Pediatric critical care fellow Cleveland Clinic Children's Cleveland, Ohio, United States
Background: The Pediatric Intensive Care Unit (PICU) presents a unique set of challenges for resident physicians due to its specialized nature and the intensity of patient care. Hence, orientation can be challenging when learners from different backgrounds need to adapt to such a niche environment. Residents at the Cleveland Clinic Children’s Pediatric Residency who finished PICU rotations during the 2022-23 academic year completed a survey about their PICU orientation and aspects about it that were good or could be improved. 22(78%) out of 28 residents responded to the survey. Most noted issues were unfamiliarity with PICU equipment and lab procedures (14/22, 63.5%), absence of proper sign-out procedure to the oncoming team (11/22, 50%), lack of awareness about efficient PICU chart review routine (10/22, 45.5%), and educational resources (9/22, 41%). Objective: Primary aim is to improve by 30% resident confidence in the PICU including handover, routines, and resources by December 2023. Design/Methods: Interventions included: 1. PowerPoint Presentation: This was aimed at offering insights into the daily PICU routine, order sets, note templates, and handy learning resources. To ensure that residents had ample time to process this information, the presentation was shared with them a week ahead of their rotation. 2. In-Person Orientation: On the first day of their rotation, residents were provided a brief hands-on orientation by the PICU fellow with emphasis on chart review tips. 3. Resident sign-outs: Outgoing and incoming residents were encouraged to have a formal handover during weekends before the new block. This would facilitate a smoother transition and handover of patients. A post intervention questionnaire using Likert scale will be sent quarterly through January 2024. Subsequent data analysis will be conducted employing the T test statistical method.
