Article

This educational unit was developed to instruct physical medicine and
rehabilitation residents on tracheostomy management in non-ventilator-dependent
patients and to implement an objective assessment format to measure the
attainment of these skills.
Thirty-one subjects participated in a 2-day didactic
and hands-on workshop supervised by an attending physiatrist, certified speech
pathologists, and registered nurses. Assessment tools developed for this program
address the basic competencies outlined by the Accreditation Council for Graduate
Medical Education. To test the success of the standardized educational module,
data have been collected on an ongoing basis for a period of 6 yrs. A
before-and-after multiple-choice written examination, as well as simulated
patient encounters consisting of eight segments divided into four stations, was
used to assess knowledge acquisition and skill achievement. Before instruction,
none of the 31 participants were able to perform appropriate tracheostomy care.
After the workshop, 31 of 31 (100%) successfully demonstrated clinical
proficiency in every segment of the evaluation element of the educational module.
Furthermore, a significant increase in knowledge was observed in the
multiple-choice examination from pretest to posttest (pretest, 52.7%; posttest,
84.5%). Participation in this module resulted in substantial acquisition of
knowledge and skills regarding tracheostomy management for physical medicine and
rehabilitation residents.

Langue : ANGLAIS