Evidence map›Paper›PMID 32556030›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation.

Fátima Kiyoko Hayashi, Pedro Paulo Marino Rodrigues Ayres, Anna Miethke Morais, Mayson Laércio de Araújo Sousa, Carmen Sílvia Valente Barbas, Eduardo Leite Vieira Costa, Pedro Caruso, Juliana Carvalho Ferreira

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
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  4. RT education and COVID-19 pneumonia discharge quality.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Fátima Kiyoko Hayashi. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0001-8062-2755
Pedro Paulo Marino Rodrigues Ayres. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0001-8284-1521
Anna Miethke Morais. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-5077-4122
Mayson Laércio de Araújo Sousa. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0003-4236-5107
Carmen Sílvia Valente Barbas. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-4922-6256
Eduardo Leite Vieira Costa. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-6941-3626
Pedro Caruso. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-1051-8458
Juliana Carvalho Ferreira. Divisão de Pneumologia, Instituto do Coração, Hospital das Clínicas -HCFMUSP - Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0001-6548-1384
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and apply a competency-based test to assess learning among internal medicine residents during a respiratory ICU rotation at a university hospital.

methodsWe developed a test comprising 19 multiple-choice questions regarding knowledge of mechanical ventilation (MV) and 4 self-assessment questions regarding the degree of confidence in the management of MV. The test was applied on the first and last day of a 30-day respiratory ICU rotation (pre-rotation and post-rotation, respectively). During the rotation, the residents had lectures, underwent simulator training, and shadowed physicians on daily bedside rounds focused on teaching MV management.

resultsFifty residents completed the test at both time points. The mean score increased from 6.9 ± 1.2 (pre-rotation) to 8.6 ± 0.8 (post-rotation; p < 0.001). On questions regarding the approach to hypoxemia, the recognition of patient-ventilator asynchrony, and the recognition of risk factors for extubation failure, the post-rotation scores were significantly higher than the pre-rotation scores. Confidence in airway management increased from 6% before the rotation to 22% after the rotation (p = 0.02), whereas confidence in making the initial MV settings increased from 31% to 96% (p < 0.001) and confidence in adjusting the ventilator modes increased from 23% to 77% (p < 0.001).

conclusionsWe developed a competency-based test to assess knowledge of MV among residents before and after an rotation in a respiratory ICU. Resident performance increased significantly after the rotation, as did their confidence in caring for patients on MV.

Indexed as

Clinical CompetenceCompetency-Based EducationInternship and ResidencyAdultAirway ExtubationBrazilEducational MeasurementEducation, MedicalFemaleHealth Knowledge, Attitudes, PracticeHumansIntensive Care UnitsMaleRespiration, ArtificialSurveys and Questionnaires

Identifiers

PMID32556030
PMCPMC7572270
OpenAlexW3035849892

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.