Table 4 Procedural Competencies Identified as Difficult to Achieve and Themes Concerning the Barriers to completing them in a Paediatric CBME Training Program
Procedural Competencies Reported as Difficult to Achieve | Number (%) of Participants (N = 24) | ||||
|---|---|---|---|---|---|
Lumbar Puncture | 18 (75.0) | ||||
Line Insertion (intraosseous, PICC, arterial, umbilical, long, IV) | 11 (45.8) | ||||
Intubation | 10 (41.7) | ||||
Emergency Procedures (bone marrow aspirate, chest drain insertion, septic work-up, pleuritic/ascitic tap, hemodilution, NG-tube insertion, ABG collection, cardiac arrest work-up) | 9 (37.5) | ||||
Catherization (Umbilical or Urinary) | 8 (33.3) | ||||
Suturing or Casting | 3 (12.5) | ||||
Themes on Barriers to Achieving Procedural Competencies | |||||
Number of Participants whose Comments Related to this Theme | |||||
Participant Profession | Number of Participants | Simulation and Diverse Teaching Pedagogies Required | Limited Clinical Exposure | Trainee Confidence, Knowledge, and Communication | Limited Number of Trainers and Protected Supervision Time |
Paediatric Consultant | 7 | 2 | 6 | 1 | 4 |
Paediatric HST Program Trainee | 5 | 1 | 3 | 1 | 3 |
Paediatric BST Program Trainee | 6 | 2 | 4 | 0 | 4 |
Paediatric NCHD in a Non-Structured RCPI Program | 6 | 0 | 6 | 0 | 2 |