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Pediatric emergency care · Jul 2009
Comparative StudyImpact of an educational intervention on residents' knowledge of pediatric disaster medicine.
- Mark X Cicero, Eileen Blake, Noelle Gallant, Lei Chen, Lauren Esposito, Magdelena Guerrero, and Carl R Baum.
- Department of Pediatrics, Section of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA. mark.cicero@yale.edu
- Pediatr Emerg Care. 2009 Jul 1;25(7):447-51.
BackgroundGlobally, natural and created events have underscored the vulnerability of children in disasters. There is an unmet need for a standardized pediatric disaster medicine (PDM) curriculum.ObjectiveTo create and implement a PDM course, measure course efficacy, and assess residents' attitudes toward and experience in disaster medicine.Design/MethodsAn educational intervention was conducted for pediatric and emergency medicine residents at a tertiary care teaching hospital. Participants completed a precourse survey of PDM attitudes and experience. Paired t tests were used to compare pretest, immediate posttest, and delayed posttest scores. Test performance was assessed by resident type and postgraduate year. A postcourse survey gauged reaction to the course and interest in further PDM training.ResultsAmong the participants, 11 residents (9.4%) have treated disaster victims, and 5 (4.3%) had formal disaster medicine education. Most (83%) felt PDM is an important part of their training. Seventy-five eligible residents (64.6%) completed the intervention. Pairwise comparison of scores showed a mean improvement in scores of 24.5% immediately after taking the course (95% confidence interval, 22.9%-30.1%; P < 0.001). Two months later, residents scored a mean of 69.0% for the delayed posttest, with a retained improvement in scores (18.3%; 95% confidence interval, 14.3%-22.3%; P < 0.001). Residents preferred future PDM exercises to additional didactic training (72.0% vs. 32.7%; P < 0.001%).ConclusionsResidents who complete this curriculum increase their knowledge of PDM with moderate retention of information. Most residents lack PDM training, believe it is important, and request disaster-training exercises.
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