A novel method for improving chest tube insertion skills among medical interns. Using biomaterial-covered mannequin
Objectives: To develop a low-cost biomaterial-covered chest tube simulation model and assess its possible usefulness for developing the chest tube insertion skills among medical interns.
Methods: This mannequin-based interventional study was performed in a University hospital setting. We included 63 physicians performing emergency medicine internship at the Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey, between January 2015 and March 2015. A dummy was prepared for training simulation using a display mannequin. Medical interns received instruction concerning pneumothorax and the chest tube procedure. A total of 63 medical interns participating in this interventional study were asked to insert a chest tube in a biomaterial-covered mannequin. A senior trainee scored their performance using a check list and the mean of the total scores was calculated (21 items; total score, 42).
Results: The mean procedural score was 40.9 ± 1.3 of a possible 42. The maximum score of 42 was achieved by 39.7% of the medical interns, while another 33.3% achieved a score of 41. Of the participants, 85% succeeded in inserting the tube via an appropriate technique, achieving a score of 40 or more.
Conclusion: Our results indicated that this model could be useful for effective training of medical interns for chest tube insertion, which is an important skill in emergency medicine. This biomaterial-covered model is inexpensive and its use can potentially be widened to improve training methods without significant financial demand.
Saudi Med J 2017; Vol. 38 (10): 1007-1012doi: 10.15537/smj.2017.10.21021
How to cite this article:
Tatli O, Turkmen S, Imamoglu M, Karaca Y, Cicek M, Yadigaroglu M, Bayrak ST, Asik O, Topbas M, Turedi S. A novel method for improving chest tube insertion skills among medical interns. Using biomaterial-covered mannequin. Saudi Med J. 2017 Oct;38(10):1007-1012. doi: 10.15537/smj.2017.10.21021.
Ernst A, Critchlow J. Percutaneous tracheostomy-special considerations. Clin Chest Med 2003; 24: 409-412.
Naicker TR, Hughes EA, McLeod DT. Validation of a novel resin-porcine thorax model for chest drain insertion training. Clin Med 2012; 12: 49-52.
Maritz D, Wallis L, Hardcastle T. Complications of tube thoracostomy for chest trauma. S Afr Med J 2009; 99: 114-117.
Ball CG, Lord J, Laupland KB, Gmora S, Mulloy RH, Ng AK, et al. Chest tube complications: how well are we training our residents? Can J Surg 2007; 50: 450-458.
Yoshimura A, Shimura T, Kim C, Ishikawa G, Haraguchi S, Ohno T, et al. A training session in a clinical simulation laboratory for the acquisition of clinical skills by newly recruited medical interns. Journal of Nippon Medical School 2010; 77: 209-213.
Ballard HO, Shook LA, Iocono J, Turner MD, Marino S, Bernard PA. Novel animal model for teaching chest tube placement. J Ky Med Assoc 2009; 107: 219-221.
Hutton IA, Kenealy H, Wong C. Using simulation models to teach junior doctors how to insert chest tubes: a brief and effective teaching module. Intern Med J 2008; 38: 887-891.
Hishikawa S, Kawano M, Tanaka H, Konno K, Yasuda Y, Kawano R, et al. Mannequin simulation improves the confidence of medical students performing tube thoracostomy: a prospective, controlled trial. Am Surg 2010; 76: 73-78.
Proano L, Jagminas L, Homan CS, Reinert S. Evaluation of a teaching laboratory using a cadaver model for tube thoracostomy. J Emerg Med 2002; 23: 89-95.
Berkenstadt H, Munz Y, Trodler G, Alsafran S, Graygo JM, Withum KF, et al. Evaluation of the Trauma-Man simulator for training in chest drain insertion. Eur J Trauma 2006; 32: 523-526.
Homan CS, Viccellio P, Thode HC, Fisher W. Evaluation of an emergency-procedure teaching laboratory for the development of proficiency in tube thoracostomy. Acad Emerg Med 1994; 1: 382-387.
Yoshimura A, Kosaihira S, Morimoto T, Kim C, Tsueshita T, Adachi K, et al. An effective training program for chest tube drainage for medical interns in a clinical simulation laboratory. J Nippon Med Sch 2012; 79: 403-408
Ghazali A, Breque C, Léger A, Scépi M, Oriot D. Testing of a complete training model for chest tube insertion in traumatic pneumothorax. Simul Healthc 2015; 10: 239-244.
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