Abstract
BackgroundCompetency-based education has been shown to enhance clinical skills, improve patient care, and reduce number of complications resulting in a better return on investments. Residents constitute an important workforce at many hospitals. Yet, the effect of training on residents’ contribution to production in patient care is scarcely studied. This study evaluated the effects of early competency-based procedural training on residents’ contribution to patient care in central venous catheterization and spinal and epidural anesthesia.MethodsThe design was a non-randomized cohort study of first-year anesthesiology residents. The intervention group received additional early focused skills training while three control groups received traditional competency-based education. The residents’ contributions to patient care were compared between the intervention group (n = 20), a historical control group (n = 19), and between a contemporary control group (n = 7) and a historical control group (n = 7) from different departments. The residents’ vs specialists’ procedural production share was compared between years within each study group. We calculated specialist time saved compared to the time spent providing additional skills training in the intervention group.ResultsWe found statistically significant increases in residents’ vs specialists’ share of total production after the intervention for epidural anesthesia: 2015: 0.51 (0.23, 0.70) to 2017: 0.94 (0.78, 1.05), p = 0.011 and central venous catheterization: 2015: 0.30 (0.23, 0.36) to 2016: 0.46 (0.35, 0.55), p = .008; and to 2017: 0.64 (0.50, 0.79), p = 0.008.Comparison between residents and specialists on production of the three procedures before and after the intervention showed a surplus of 21 h of freed specialist time per year.ConclusionsEarly procedural training results in more productive residents and freed specialist time for additional supervision, other clinical tasks or research. This provides empirical support for a positive correlation between early focused training and increased independent production among residents.
Highlights
Competency-based education has been shown to enhance clinical skills, improve patient care, and reduce number of complications resulting in a better return on investments
competency-based education (CBE) is by some clinicians and researchers perceived as a cornerstone in the continuing professional development (CPD), which is believed to promote quality of health care and focus on patient-relevant outcomes [7]
Allocation Intervention group Four out of five departments of anesthesiology involved in basic residency training for post-graduate education in North Denmark Region participated in the intervention group; these departments are referred to as the intervention departments
Summary
Competency-based education has been shown to enhance clinical skills, improve patient care, and reduce number of complications resulting in a better return on investments. The effect of training on residents’ contribution to production in patient care is scarcely studied. This study evaluated the effects of early competency-based procedural training on residents’ contribution to patient care in central venous catheterization and spinal and epidural anesthesia. Medical trainees have been accredited as specialists through completion of a fixed duration of residency supplemented with evaluations by experienced doctors, procedural log books or written examinations [3, 4]. The competency-based Danish anesthesia training program is divided into a one-year basic residency and a subsequent four-year residency before reaching specialist authorization [15]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
