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Improved Tracheostomy-Dependent Patient Outcomes After Implementation of the Pediatric Resident Education in Pulmonary (PREP) Boot Camp
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  • Erin Khan,
  • Tai Lockspeiser M,
  • Maxene Meier,
  • Deborah Liptzin R,
  • Christopher Baker
Erin Khan
University of Kansas Department of Pediatrics

Corresponding Author:[email protected]

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Tai Lockspeiser M
University of Colorado Anschutz Medical Campus Department of Pediatrics
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Maxene Meier
University of Colorado Anschutz Medical Campus Department of Pediatrics
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Deborah Liptzin R
University of Washington Department of Pediatrics
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Christopher Baker
University of Colorado Anschutz Medical Campus Department of Pediatrics
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Abstract

Introduction: Children with tracheostomies are high risk for morbidity and mortality. Pediatric resident physicians are not routinely taught skills to care for this vulnerable patient population. Few reports link educational interventions to improved patient outcomes. This study evaluates the impact of an intensive educational training program on pediatric residents’ observed skills and tracheostomy-dependent patient outcomes. Methods: Pediatric post-graduate year 2 (PGY2) resident physicians rotating through the inpatient pediatric pulmonology month at Children’s Hospital Colorado July 2018-2019 participated in the Pediatric Resident Education in Pulmonary (PREP) Boot Camp, an intensive educational program with an interactive lecture and simulation experience on patients with tracheostomy-dependence. PGY2s who partook in PREP and PGY3s who rotated prior to PREP initiation were invited to be studied. Primary outcomes included: 1) resident skills assessed by direct observation during simulation encounters and 2) rates of intensive care unit (ICU) transfers in tracheostomy-dependent patients following acute events before and after introduction of PREP. We hypothesized that increased education would enhance resident skills and improve patient outcomes by decreasing the rate of ICU transfers. Results: PGY2 residents retained skills learned during PREP up to 11 months following initial participation, and significantly outperformed their PGY3 counterparts. There was a significant decrease in ICU transfer rate in patients with tracheostomies admitted to the pulmonary team during the 19 months following initiation of PREP. Conclusions: Enhanced early education improves resident physicians’ ability to care for complex patients with tracheostomies and improves outcomes in this high-risk population.
29 Aug 2023Submitted to Pediatric Pulmonology
29 Aug 2023Assigned to Editor
29 Aug 2023Submission Checks Completed
29 Aug 2023Review(s) Completed, Editorial Evaluation Pending
12 Sep 2023Reviewer(s) Assigned