Resident Education Committee
Pediatric Section
Society of Critical Care Medicine

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Minutes of the Resident Education Committee meeting at the SCCM Symposium
February 12, 2000, Orlando, FL

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Attendees: Margaret Winkler (Co-Chair), Mohan Mysore (Co-Chair), Renee Jankowski, Carmen Cosio, Thomas Mayes, Ken Tegtmeyer, Lissane Hauck, Bob Pettignano, Mudit Mathur, Phillip Jacobson, Amy Hardin, Bob Pascucci, Neal Thomas, Maria Enrione, Stephen Johnson, Talaat Abdelmoneim, Susan Day and Cathleen Patterson-Dehn

1. Test results:

Cathleen Patterson-Dehn, a Doctoral candidate from Beth Israel/NYU in New York, presented the results of the analysis of 130 tests. These included scores from all three versions of the Test. We are currently ONLY using Test Version C and this is to be administered as an end-of-rotation post-test. The analysis (objective) and feedback from sites ("subjective") both suggest that this version is a better instrument (but certainly not perfect) to evaluate the residents. Of course, we will continue to make revisions to this test to make it a more meaningful tool for objective evaluation of residents' performance and knowledge base. Toward this end, members of the committee are encouraged to continue to send in questions using the AAP format/guidelines. Also, a reminder to send in the results of the tests from your site. Some of you should have received a packet from Ms. Dehn by now with complete analysis of your site's performance. Only those sites that actually sent in their test results got the analysis (duh!). If you have reported your results but not received the analysis yet, do let us know. Ms. Dehn has put in an incredible amount of hard work in analyzing the tests and the committee wishes to extend its appreciation for her diligence and commitment to this endeavor.

2. Mission Statement:

In an effort to define our committee's purpose and goals, a Mission Statement was drafted and with input from the members present, we agreed on the following:

Mission statement of the Pediatric Resident Education Committee of the SCCM

This committee operates under the auspices of the Society of Critical Care Medicine to help develop, coordinate and implement educational aspects of training in critical care in pediatric residency programs. Membership is open to all teaching programs. As pediatric critical care becomes more complex, we intend to maintain the focus of resident education on the fundamental concepts of critical illness and injury. The goals of resident education in critical care should emphasize early recognition, stabilization, and ongoing management of a critically ill child. It should also emphasize the understanding of complex cases, the interaction with other disciplines, and the psychosocial sequelae and ethical concerns in critical illness. A curriculum template will be developed for programs to tailor to the educational needs specific to their site. The committee will explore the use of the Internet, multimedia and other resources to assist in the educational goals of pediatric resident education. The primary goal of this committee is to improve patient care through better resident education.

We have deliberately chosen to keep it fairly open-ended in an effort to allow programs flexibility in tailoring their educational goals to their specific needs. We need to move forward with the work of this committee and it was felt that getting the mission defined will allow us to now tackle some of the more important issues that each of us continues to face at our respective institutions - namely, the age-old question "What do we want our residents to learn ?"

3. Goals and objectives:

The next "project" for us to work on is to formulate "Goals and Objectives" for resident education in critical care and this will be a template that members can optimize to their needs. It was decided to also formulate a Curriculum of core content that every resident in every training program should receive instruction during their residency training. A few of the attendees have already expressed interest in working on this document (Goals, objectives and core curriculum). Dr. Robert Pettignano (Robert.Pettignano@CHOA.org) will head this working group and we should have this completed in the near future. Once we have identified the core curriculum we will ask for volunteers to "author" presentations on these topics with input from other members of the committee. Anyone interested in working on this project, please contact Dr. Pettignano or me.

4. Survey results:

Results of the computer/internet survey were presented. The results suggest that moving to web-based teaching (incorporating multimedia) and testing will be a reasonable goal for this committee to pursue for future projects.

 

Computer/Internet Survey

Responses:		30
Computer Access:	Overall	100 %
	In PICU:	26 (88 %)
	Yes, but not in PICU:	4 (12 %)
CD-ROM capability:	Have CD-ROM:	20 (66 %)
	No CD-ROM:	10 (34 %)
Internet access:	Overall	100 %
	In PICU:	26 (88 %)
	Yes, but not in PICU	4 (12%)
Exam format:	Web-based:	20 (67 %)
	CD-ROM:	2 (7 %)
	Paper:	8 (26 %)
Established Curriculum:	Yes:	8 (26 %)
	No:	6 (20 %)
	In development:	15 (50 %)

Of note, 70% of respondents either do not have or are developing a curriculum
and they would certainly benefit from our working together on this project.

Interest in picuBOOK:	Yes:	15 (50 %)
	No:	1 (3 %)
	Maybe:	14 (47 %) [Need more info]
Willingness to contribute to picuBOOK:	Yes:	14 (47 %)
	No:	1 (3 %)
	Maybe:	15 (50 %) [Need more info]
Continued participation in the activities of the resident education committee:		100%

5. picuBOOK - a web-based resource:

Dr. Susan Day (sday@mcw.edu) presented information on the picuBOOK, a project she is working on with Dr. Joe DiCarlo (jdicarlo@stanford.edu) . They are continuing to look for brief vignettes (1 to 2 pages) pertaining to any topic close to your heart (e.g. subatmospheric oxygen concentrations for HLHS or routine CXRs are mandatory for intubated patients or routine CXRs are useless for intubated patients etc.). Please support them in their effort and contact them directly with your questions, ideas and/or contributions. Some of the members attending the meeting have already signed up.

6. Future direction and projects:

Once the G/O/C are outlined and written, we will move forward with getting at least the core curriculum topics written up and hopefully get some multimedia/interactive aspects incorporated into the presentations. We can then have them available for access either through the picuBOOK website or the pedsCCM website.

Another issue that was identified at the meeting was the need to have some way of evaluating the residents (including an evaluation form) specific to the PICU setting. We can bundle this with the G/O/C project and come up with a working document/evaluation form. If any of you have such a form that you are pleased with, please e-mail or fax it to me.

Dr. Shekhar Venkataraman (Pittsburgh) suggested that we consider using the FCCS course as an introduction to the PICU and "package" the content of the course (videotape/power point presentation ?) for residents to review in the month BEFORE they come to the PICU for their rotation. We will look into this further and keep you posted.

Any ideas or suggestions, please get in touch with either Margaret Winkler winkler@pop.uky.eduor me. We look forward to your input. Meanwhile if any of you have been able to convince your residency programs to increase time spent in the PICU, please share your successful strategies with us ( marrying the department chair/program director does not qualify) .

Respectfully submitted,

Mohan R. Mysore, M.D.
mmysore@chsomaha.org
Fax: 402-354-7093

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