Evidence map›Paper›PMID 36936084›Full record

ArticleAEM education and training2023

Coaching the coach: A randomized controlled study of a novel curriculum for procedural coaching during intubation.

Kelsey A Miller, Marc Auerbach, Steven S Bin, Aaron Donoghue, Benjamin T Kerrey, Matthew R Mittiga, Gabrielle D'Ambrosi, Michael C Monuteaux, Ashley Marchese, Joshua Nagler

Abstract read
In one paragraph

Article in AEM education and training, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Kelsey A MillerDepartment of Pediatrics Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-0323-2048
Marc AuerbachDepartments of Pediatrics and Emergency Medicine Yale School of Medicine New Haven Connecticut USA.ORCID https://orcid.org/0000-0002-3796-4300
Steven S BinDepartments of Pediatrics and Emergency Medicine University of California San Francisco San Francisco California USA.
Aaron DonoghueDepartment of Anesthesiology and Critical Care Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.
Benjamin T KerreyDepartment of Pediatrics University of Cincinnati College of Medicine Cincinnati Ohio USA.
Matthew R MittigaUniversity of Colorado Aurora Colorado USA.
Gabrielle D'AmbrosiDepartment of Pediatrics Harvard Medical School Boston Massachusetts USA.
Michael C MonuteauxDepartment of Pediatrics Harvard Medical School Boston Massachusetts USA.
Ashley MarcheseDepartment of Pediatrics Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0001-7508-450X
Joshua NaglerDepartment of Pediatrics Harvard Medical School Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-8497-4771

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background: Videolaryngoscopy allows real-time procedural coaching during intubation. This study sought to develop and assess an online curriculum to train pediatric emergency medicine attending physicians to deliver procedural coaching during intubation. Methods: Curriculum development consisted of semistructured interviews with 12 pediatric emergency medicine attendings with varying levels of airway expertise analyzed using a constructivist grounded theory approach. Following development, the curriculum was implemented and assessed through a multicenter randomized controlled trial enrolling participants in one of three cohorts: the coaching module, unnarrated video recordings of intubations, and a module on ventilator management. Participants completed identical pre and post assessments asking them to select the correct coaching feedback and provided reactions for qualitative thematic analysis. Results: Content from interviews was synthesized into a video-enhanced 15-min online coaching module illustrating proper technique for intubation and strategies for procedural coaching. Eighty-seven of 104 randomized physicians enrolled in the curriculum; 83 completed the pre and post assessments (80%). The total percentage correct did not differ between pre and post assessments for any cohort. Participants receiving the coaching module demonstrated improved performance on patient preparation, made more suggestions for improvement, and experienced a greater increase in confidence in procedural coaching. Qualitative analysis identified multiple benefits of the module, revealed that exposure to video recordings without narration is insufficient, and identified feedback on suggestions for improvement as an opportunity for deliberate practice. Conclusions: This study leveraged clinical and educational digital technology to develop a curriculum dedicated to the content expertise and coaching skills needed to provide feedback during intubations performed with videolaryngoscopy. This brief curriculum changed behavior in simulated coaching scenarios but would benefit from additional support for deliberate practice.

Identifiers

PMID36936084
PMCPMC10014969

What OpenQuestion holds

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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.