Evidence map›Paper›PMID 32590830›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2020

Pediatric Resident Engagement With an Online Critical Care Curriculum During the Intensive Care Rotation.

Dennis A Daniel, Sue E Poynter, Christopher P Landrigan, Charles A Czeisler, Jeffrey P Burns, Traci A Wolbrink

Abstract read
In one paragraph

Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2020. 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
–field-weighted citation impact
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.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Dennis A DanielDepartment of Anaesthesia, Harvard Medical School, Boston, MA.
Sue E PoynterDepartment of Pediatrics, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Christopher P LandriganDepartment of Anaesthesia, Harvard Medical School, Boston, MA.
Charles A CzeislerDivision of Sleep and Circadian Disorders, Department of Medicine, Brigham and Women's Hospital, Boston, MA.
Jeffrey P BurnsDepartment of Anaesthesia, Harvard Medical School, Boston, MA.
Traci A WolbrinkDepartment of Anaesthesia, Harvard Medical School, Boston, MA.

Funding

Multi-Center Trial of Limiting PGY2&3 Resident Work Hours on Patient Safety-CCCU01HL111478 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI CZEISLER, CHARLES A, LANDRIGAN, CHRISTOPHER PAUL · 2012 to 2017
$8.4M
Impact of lifting work hour restrictions on first-year resident safety, health and well-beingR01OH011773 · OH · BRIGHAM AND WOMEN'S HOSPITAL · PI BARGER, LAURA K. · 2019 to 2022
$2.9M
Impact of Eliminating Extended Duration Work Shifts on Resident Health and SafetyR01OH010300 · OH · BRIGHAM AND WOMEN'S HOSPITAL · PI BARGER, LAURA K. · 2013 to 2016
$2.8M
MULTI-CENTER TRIAL OF LIMITING PGY2&3 RESIDENT WORK HOURS ON PATIENT SAFETY-DCCU01HL111691 · NHLBI · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI STONE, KATIE L · 2012 to 2016
$1.9M
NHLBI NIH HHS U01 HL111478NHLBI NIH HHS U01 HL111691NIOSH CDC HHS R01 OH010300NIOSH CDC HHS R01 OH011773
6 · The paper itself

Abstract

objectivesResidents are often assigned online learning materials as part of blended learning models, superimposed on other patient care and learning demands. Data that describe the time patterns of when residents interact with online learning materials during the ICU rotation are lacking. We describe resident engagement with assigned online curricula related to time of day and ICU clinical schedules, using website activity data.

designProspective cohort study examining curriculum completion data and cross-referencing timestamps for pre- and posttest attempts with resident schedules to determine the hours that they accessed the curriculum and whether or not they were scheduled for clinical duty. Residents at each site were cohorted based on two differing clinical schedules-extended duration (>24 hr) versus shorter (maximum 16 hr) shifts.

settingTwo large academic children's hospitals. SUBJECTS: Pediatric residents rotating in the PICU from July 2013 to June 2017.

interventionsNone. MEASUREMENTS AND MAIN

resultsOne-hundred and fifty-seven pediatric residents participated in the study. The majority of residents (106/157; 68%) completed the curriculum, with no statistically significant association between overall curriculum completion and schedule cohort at either site. Residents made more test attempts at nighttime between 6 PM and 6 AM (1,824/2,828; 64%) regardless of whether they were scheduled for clinical duty. Approximately two thirds of test attempts (1,785/2,828; 63%) occurred when residents were not scheduled to work, regardless of time of day. Forty-two percent of all test attempts (1,199/2,828) occurred between 6 PM and 6 AM while off-duty, with 12% (342/2,828) occurring between midnight and 6 AM.

conclusionsResidents rotating in the ICU completed online learning materials mainly during nighttime and off-duty hours, including usage between midnight and 6 AM while off-duty. Increasing nighttime and off-duty workload may have implications for educational design and trainee wellness, particularly during busy, acute clinical rotations, and warrants further examination.

Indexed as

Internship and ResidencyChildCritical CareCurriculumHumansProspective StudiesWorkload

Identifiers

PMID32590830
PMCPMC7597756

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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.