Using pediatric advanced life support in pediatric residency training: does the curriculum need resuscitation?

摘要: OBJECTIVE The Pediatric Advanced Life Support (PALS) course is used throughout North American pediatric residency programs to provide a core resuscitation curriculum. Despite this widespread use, its effectiveness has not been formally assessed in residents. This study aimed evaluate the PALS curriculum's providing residents with knowledge, skill and confidence resuscitation. DESIGN Course evaluation. SETTING Tertiary care hospital. SUBJECTS INTERVENTIONS Subjects were followed prospectively for 1 yr following completion of an annual course. Multiple choice short answer questionnaires residents' knowledge immediately before after year. Confidence ten aspects was assessed. Scores compared acquisition confidence. at 12 months immediate post-PALS scores maintenance over time. Technical skills evaluated by staff anesthetists using 3-point scale. MEASUREMENTS AND MAIN RESULTS Knowledge questionnaire significantly higher pre-PALS, but details algorithms decreased months. ratings improved on only two measures remained very low overall. Residents could complete four technical required assistance or multiple attempts. CONCLUSIONS successful basic residents, critical algorithm sustained. does expected level competency relevant skills. do achieve feel well prepared comprehensive patients cardiopulmonary arrest. These findings support hypothesis that alone insufficient