Evidence map›Paper›PMID 41772546›Full record

ArticleBMC medical education2026

Barriers to optimal central venous catheter training: a qualitative study of physician experiences.

Joy Abou Farah, Kipum Lee, Jin E Kim-Mozeleski, Alexia El Khoury, Zainab Albar, Christopher Ladikos, Demetra Yianas, Noah Carty, Tina M Lewis, Kendra Marianne Gardiner and 1 more

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Joy Abou FarahDivision of Infectious Diseases & HIV Medicine, School of Medicine, Case Western Reserve University, Cleveland, OH, USA. jxa651@case.edu.
Kipum LeeDepartment of Design & Innovation, Weatherhead School of Management, Case Western Reserve University, Cleveland, OH, USA.
Jin E Kim-MozeleskiDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Alexia El KhouryDivision of Infectious Diseases & HIV Medicine, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Zainab AlbarInfectious Diseases Clinical Trial Unit, University Hospitals, Cleveland, OH, USA.
Christopher LadikosInfectious Diseases Clinical Trial Unit, University Hospitals, Cleveland, OH, USA.
Demetra YianasInfectious Diseases Clinical Trial Unit, University Hospitals, Cleveland, OH, USA.
Noah CartyInfectious Diseases Clinical Trial Unit, University Hospitals, Cleveland, OH, USA.
Tina M LewisQuality Institute, University Hospitals, Cleveland, OH, USA.
Kendra Marianne GardinerUniversity Hospitals Ventures, University Hospitals, Cleveland, OH, USA.
Elie SaadeDivision of Infectious Diseases & HIV Medicine, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCentral venous catheter (CVC) placement is a high-risk procedure requiring advanced training to minimize complications. Despite widespread use of various training approaches, little is known about how physicians experience CVC training in practice. The authors carried out this study to explore the experiences of physicians with central venous catheter (CVC) training and to identify opportunities for improvement.

methodsIn May 2024, the authors conducted an exploratory qualitative study through semi-structured interviews with six physicians at University Hospitals Cleveland Medical Centre, including five attending physicians and one resident across multiple specialties that frequently perform CVC placement. Interviews lasted approximately one hour and followed a structured guide of 20 open-ended questions. Interview notes were analysed using thematic analysis by three independent researchers who identified patterns, refined themes, and ensured analytic rigor. Clinical trial number: Not applicable.

resultsThree major themes and accompanying subthemes emerged: (1) Perceived insufficient preparation due to inadequate prior training; (2) Missed training opportunities related to time constraints, variable patient volumes, and limited access to equipment; and (3) A strong desire for structured feedback, standardized protocols, and improved access to high-quality training resources.

conclusionsThis qualitative study highlights identified challenges in CVC training, including limited realism, lack of standardization, and insufficient preparation for patient-centred care. These insights provide a foundation for considering how CVC training approaches may be refined to better align with physician experiences.

Indexed as

Catheterization, Central VenousCentral Venous CathetersClinical CompetencePhysiciansAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleQualitative Researchcentral venous catheter placementmedical educationmedical training gapspatient safetyprocedural competencysimulation-based training

Identifiers

PMID41772546
PMCPMC13059452

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.