Simulation-based training in central venous catheterization for first-year postgraduate students: A prospective study

Abstract

Background: The current model of procedure training involves lectures, seminars, observations and personalised education in small groups or by watching videos on digital platforms. Central venous catheterisation (CVC) is an important skill; however, its training largely remains unstructured. There is a need of protocol-based uniform training policy. Aims: The aims and objectives of the study are to prepare and implement simulation-based CVC training module for the 1st year post-graduate students. Materials and Methods: After approval from the institutional ethical committee, 1st year post-graduate students of anaesthesia, medicine and surgery were enroled. Training modules and questionnaires were prepared with discussions amongst faculty. Students' baseline knowledge regarding the CVC was noted on mannequins along with self-reported confidence. After that, they were subjected to training module. Students repeat knowledge and confidence regarding CVC were noted. In the next few months, procedures performed by post-graduate students were directly observed and rated. Students as well as faculty feedback regarding this teaching module was also collected. Results: Training module was associated with a statistically significant increase in knowledge and self-reported confidence regarding the knowledge and skill of CVC (P < 0.05). Most of the students and faculty agreed regarding the training module utility. Conclusions: A structured simulation module for CVC helped to improve students' knowledge and confidence about the CVC skill. The module was well accepted by both faculty and students.

Keywords

• central venous catheterisation
• simulation
• training