Evidence map›Paper›PMID 40248587›Full record

ArticleThe journal of education in perioperative medicine : JEPM

Objective Assessment of Skill Retention 7 Months Post-Training: Motion Analysis of Central Venous Catheter Placement.

Vincent Baribeau, Miheer P Sane, Aidan Sharkey, Kadhiresan R Murugappan, Daniel P Walsh, Vanessa T Wong, John D Mitchell

Abstract read
In one paragraph

Article in The journal of education in perioperative medicine : JEPM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Vincent Baribeauis a Medical Student at Dartmouth Geisel School of Medicine, Hanover, NH. Miheer P. Sane is a Clinical Fellow in Anesthesiology at Harvard Medical School, Boston, MA, and a Pediatric Anesthesia Fellow at Boston Children's Hospital, Boston, MA. Aidan Sharkey is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA, and the Associate Director (Clinical) of the Center for Education Research, Technology, and Innovation (CERTAIN) at Beth Israel Deaconess Medical Center, Boston, MA. Daniel P. Walsh is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA; an Associate Anesthesia Residency Program Director at Beth Israel Deaconess Medical Center, Boston, MA; and the Director of the Intensive Care Unit at Beth Israel Deaconess Hospital, Plymouth, MA. Kadhiresan R. Murugappan is an Assistant Professor at RUSH University, Chicago, IL, and an Associate Anesthesiology Residency Program Director at RUSH University Medical Center, Chicago, IL. Vanessa T. Wong is an Anesthesia Critical Care Project Manager at Beth Israel Deaconess Medical Center, Boston, MA. John D. Mitchell is a Professor in the College of Human Medicine at Michigan State University, East Lansing, MI, and the Vice Chair for Academic Affairs at Henry Ford Health, Detroit, MI.
Miheer P Saneis a Medical Student at Dartmouth Geisel School of Medicine, Hanover, NH. Miheer P. Sane is a Clinical Fellow in Anesthesiology at Harvard Medical School, Boston, MA, and a Pediatric Anesthesia Fellow at Boston Children's Hospital, Boston, MA. Aidan Sharkey is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA, and the Associate Director (Clinical) of the Center for Education Research, Technology, and Innovation (CERTAIN) at Beth Israel Deaconess Medical Center, Boston, MA. Daniel P. Walsh is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA; an Associate Anesthesia Residency Program Director at Beth Israel Deaconess Medical Center, Boston, MA; and the Director of the Intensive Care Unit at Beth Israel Deaconess Hospital, Plymouth, MA. Kadhiresan R. Murugappan is an Assistant Professor at RUSH University, Chicago, IL, and an Associate Anesthesiology Residency Program Director at RUSH University Medical Center, Chicago, IL. Vanessa T. Wong is an Anesthesia Critical Care Project Manager at Beth Israel Deaconess Medical Center, Boston, MA. John D. Mitchell is a Professor in the College of Human Medicine at Michigan State University, East Lansing, MI, and the Vice Chair for Academic Affairs at Henry Ford Health, Detroit, MI.
Aidan Sharkeyis a Medical Student at Dartmouth Geisel School of Medicine, Hanover, NH. Miheer P. Sane is a Clinical Fellow in Anesthesiology at Harvard Medical School, Boston, MA, and a Pediatric Anesthesia Fellow at Boston Children's Hospital, Boston, MA. Aidan Sharkey is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA, and the Associate Director (Clinical) of the Center for Education Research, Technology, and Innovation (CERTAIN) at Beth Israel Deaconess Medical Center, Boston, MA. Daniel P. Walsh is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA; an Associate Anesthesia Residency Program Director at Beth Israel Deaconess Medical Center, Boston, MA; and the Director of the Intensive Care Unit at Beth Israel Deaconess Hospital, Plymouth, MA. Kadhiresan R. Murugappan is an Assistant Professor at RUSH University, Chicago, IL, and an Associate Anesthesiology Residency Program Director at RUSH University Medical Center, Chicago, IL. Vanessa T. Wong is an Anesthesia Critical Care Project Manager at Beth Israel Deaconess Medical Center, Boston, MA. John D. Mitchell is a Professor in the College of Human Medicine at Michigan State University, East Lansing, MI, and the Vice Chair for Academic Affairs at Henry Ford Health, Detroit, MI.
Kadhiresan R Murugappanis a Medical Student at Dartmouth Geisel School of Medicine, Hanover, NH. Miheer P. Sane is a Clinical Fellow in Anesthesiology at Harvard Medical School, Boston, MA, and a Pediatric Anesthesia Fellow at Boston Children's Hospital, Boston, MA. Aidan Sharkey is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA, and the Associate Director (Clinical) of the Center for Education Research, Technology, and Innovation (CERTAIN) at Beth Israel Deaconess Medical Center, Boston, MA. Daniel P. Walsh is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA; an Associate Anesthesia Residency Program Director at Beth Israel Deaconess Medical Center, Boston, MA; and the Director of the Intensive Care Unit at Beth Israel Deaconess Hospital, Plymouth, MA. Kadhiresan R. Murugappan is an Assistant Professor at RUSH University, Chicago, IL, and an Associate Anesthesiology Residency Program Director at RUSH University Medical Center, Chicago, IL. Vanessa T. Wong is an Anesthesia Critical Care Project Manager at Beth Israel Deaconess Medical Center, Boston, MA. John D. Mitchell is a Professor in the College of Human Medicine at Michigan State University, East Lansing, MI, and the Vice Chair for Academic Affairs at Henry Ford Health, Detroit, MI.
Daniel P Walshis a Medical Student at Dartmouth Geisel School of Medicine, Hanover, NH. Miheer P. Sane is a Clinical Fellow in Anesthesiology at Harvard Medical School, Boston, MA, and a Pediatric Anesthesia Fellow at Boston Children's Hospital, Boston, MA. Aidan Sharkey is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA, and the Associate Director (Clinical) of the Center for Education Research, Technology, and Innovation (CERTAIN) at Beth Israel Deaconess Medical Center, Boston, MA. Daniel P. Walsh is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA; an Associate Anesthesia Residency Program Director at Beth Israel Deaconess Medical Center, Boston, MA; and the Director of the Intensive Care Unit at Beth Israel Deaconess Hospital, Plymouth, MA. Kadhiresan R. Murugappan is an Assistant Professor at RUSH University, Chicago, IL, and an Associate Anesthesiology Residency Program Director at RUSH University Medical Center, Chicago, IL. Vanessa T. Wong is an Anesthesia Critical Care Project Manager at Beth Israel Deaconess Medical Center, Boston, MA. John D. Mitchell is a Professor in the College of Human Medicine at Michigan State University, East Lansing, MI, and the Vice Chair for Academic Affairs at Henry Ford Health, Detroit, MI.
Vanessa T Wongis a Medical Student at Dartmouth Geisel School of Medicine, Hanover, NH. Miheer P. Sane is a Clinical Fellow in Anesthesiology at Harvard Medical School, Boston, MA, and a Pediatric Anesthesia Fellow at Boston Children's Hospital, Boston, MA. Aidan Sharkey is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA, and the Associate Director (Clinical) of the Center for Education Research, Technology, and Innovation (CERTAIN) at Beth Israel Deaconess Medical Center, Boston, MA. Daniel P. Walsh is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA; an Associate Anesthesia Residency Program Director at Beth Israel Deaconess Medical Center, Boston, MA; and the Director of the Intensive Care Unit at Beth Israel Deaconess Hospital, Plymouth, MA. Kadhiresan R. Murugappan is an Assistant Professor at RUSH University, Chicago, IL, and an Associate Anesthesiology Residency Program Director at RUSH University Medical Center, Chicago, IL. Vanessa T. Wong is an Anesthesia Critical Care Project Manager at Beth Israel Deaconess Medical Center, Boston, MA. John D. Mitchell is a Professor in the College of Human Medicine at Michigan State University, East Lansing, MI, and the Vice Chair for Academic Affairs at Henry Ford Health, Detroit, MI.
John D Mitchellis a Medical Student at Dartmouth Geisel School of Medicine, Hanover, NH. Miheer P. Sane is a Clinical Fellow in Anesthesiology at Harvard Medical School, Boston, MA, and a Pediatric Anesthesia Fellow at Boston Children's Hospital, Boston, MA. Aidan Sharkey is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA, and the Associate Director (Clinical) of the Center for Education Research, Technology, and Innovation (CERTAIN) at Beth Israel Deaconess Medical Center, Boston, MA. Daniel P. Walsh is an Assistant Professor of Anaesthesia at Harvard Medical School, Boston, MA; an Associate Anesthesia Residency Program Director at Beth Israel Deaconess Medical Center, Boston, MA; and the Director of the Intensive Care Unit at Beth Israel Deaconess Hospital, Plymouth, MA. Kadhiresan R. Murugappan is an Assistant Professor at RUSH University, Chicago, IL, and an Associate Anesthesiology Residency Program Director at RUSH University Medical Center, Chicago, IL. Vanessa T. Wong is an Anesthesia Critical Care Project Manager at Beth Israel Deaconess Medical Center, Boston, MA. John D. Mitchell is a Professor in the College of Human Medicine at Michigan State University, East Lansing, MI, and the Vice Chair for Academic Affairs at Henry Ford Health, Detroit, MI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Central venous catheter (CVC) placement is a technically challenging skill. Routine assessment tools, including checklists and global rating scales, require subjective expert evaluation. We hypothesized that motion analysis could be used to objectively assess skill retention in CVC placement by comparing the performance of anesthesiology residents immediately after training and 7 months later. Methods: After learning to perform CVC placement on a mannikin, 12 first-year anesthesiology residents each performed a "baseline" trial with electromagnetic motion sensors on the dorsum of their dominant hand and base of their ultrasound probe. Seven months later, they each performed a "follow-up" mannikin trial with an identical setup. For each trial, sensors recorded participants' path length, translational motions, and rotational sum. Time was recorded for each trial as well. We defined skill retention as performance within 1 standard deviation or less of the entire cohort's average at baseline (threshold). We compared the number of residents who met the threshold, which indicated less excessive motion and therefore better performance, at baseline with the number at follow-up using McNemar's test across each metric for each sensor. Results: For path length, translational motions, and rotational sum of the probe, significantly more residents met the threshold at baseline than at follow-up ( Conclusions: Motion analysis can objectively assess skill decay in anesthesiology residents performing CVC placement. Residents exhibited skill retention in tasks involving their dominant hand and skill decay in tasks involving the ultrasound probe (nondominant hand).

Indexed as

central venous catheter placementMotion analysisobjective assessmentskill decayskill retention

Identifiers

PMID40248587
PMCPMC12005083

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