Cincinnati Children's Hospital
BACKGROUND: Pediatricians are commonly the first line of
evaluation and management of tracheostomy related problems. Studies have shown
a large number of hospitalizations and ED visits due to tracheostomy
complications. Identifying and addressing knowledge gaps of pediatricians on
tracheostomy care may decrease hospitalizations in this patient population.
AIMS: Characterize the participants’ level of confidence in
tracheostomy care knowledge, compare the level of confidence in trach care
knowledge between pediatric residents and pediatricians, assess their interest
in receiving additional education in trach care, and identify preferred format
for education delivery.
SUBJECTS: all CCHMC pediatric residents in training during
2017-18, and all community pediatricians with staff privileges in CCHMC.
METHODS: Cross sectional descriptive study through an
anonymous survey administered on-line. Quantitative data was analyzed using
descriptive analysis, T-test and regression modelling. Qualitative data from
open-ended questions was analyzed using content analysis.
RESULTS: 45/292 pediatricians and 56/200 residents completed
the survey. Both groups reported having low confidence in their knowledge on
all 18 aspects of trach care assessed, expressed interest in receiving
additional education in trach care through self-directed education using materials
accessible online. Residents identified workshops and/or simulation as the
preferred method of education.
CONCLUSIONS: Study suggest that pediatricians and pediatric
residents have knowledge gaps and low confidence in their knowledge and skills
to manage common tracheostomy related problems, and support the development of
educational materials and activities to supplement current residency training
curriculum.
