Online versus in-person CVC insertion training
Abstract:
Background: This study compares surgical residents’ knowledge acquisition of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) between in-person and online procedural training cohorts before receiving independent in-person Dynamic Haptic Robotic Simulation training.
Methods: Three surgical residency procedural training cohorts, two in-person (N = 26) and one online (N = 14), were compared based on their performance on a 24-item US-IJCVC evaluation checklist completed by an expert physician completed after training. Pre- and post-training US-IJCVC knowledge was also compared for the online cohort.
Results: No significant change in the pass rates on the US-IJCVC checklist was found between in-person and online cohorts (p = 0.208). There were differences in the Economy of Time and Motion between in-person and online cohorts (p < 0.005). The online cohort had significant increases in US-IJCVC knowledge pre-to post-training (p < 0.008).
Conclusion: Online training with independent simulation practice was as effective as in-person training for US-IJCVC.
Reference:
Gonzalez-Vargas JM, Tzamaras HM, Martinez J, Brown DC, Moore JZ, Han DC, Sinz E, Ng P, Yang MX, Miller SR. Going the (social) distance: Comparing the effectiveness of online versus in-person Internal Jugular Central Venous Catheterization procedural training. Am J Surg. 2021 Dec 7:S0002-9610(21)00731-5. doi: 10.1016/j.amjsurg.2021.12.006. Epub ahead of print. PMID: 34930583.