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. 2023 Dec 1;39(12):953-956.
doi: 10.1097/PEC.0000000000003084.

First-Person Point-of-View Instructional Video on Lumbar Puncture Procedure

Danielle Hatt  1 , Elise Zimmerman, Elizabeth Chang, Jackson Vane, Kathryn A Hollenbach  2 , Ashish Shah  2
Affiliations

First-Person Point-of-View Instructional Video on Lumbar Puncture Procedure

Danielle Hatt et al. Pediatr Emerg Care. .

Abstract

Objectives: Tutorial videos filmed from a first-person point of view (FP-POV) are generally well received. Pediatric residents are expected to be competent in performing the lumbar puncture (LP). The educational effectiveness of a FP-POV in lumbar puncture procedure training for resident physicians has yet to be evaluated. We compared a FPPOV LP video with a standard in-person demonstration of the LP.

Methods: We designed an assigned cohort study to compare a FP-POV procedural instructional video of a simulated pediatric LP to the standard in-person procedure demonstration.After the intervention, residents completed an LP observed by one of two blinded reviewers who assessed the procedure using a modified, published assessment tool.Participants completed preintervention and postintervention surveys to rate self-confidence and usefulness of the FP-POV educational method. The data was analyzed using a Wilcoxon Rank sum test. z Scores were calculated on the raw assessment scores.

Results: Eighteen first year pediatric residents participated, nine in each group. The median modified assessment tool score was 17 in the FP-POV group (min, 14; max, 17; IQR:, 1.5) and 14 in the standard demonstration group (min, 6; max, 17; IQR, 4.5), with the higher score being more successful. There was a statistical difference between the assessment scores between the 2 groups (z score = 2.18, P = 0.04). Postintervention survey data demonstrated relative satisfaction with the FPPOV educational method.

Conclusions: This study supports the educational effectiveness of a FP-POV procedure tutorial.Future studies with a larger sample size are needed.

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Conflict of interest statement

Disclosure: The authors declare no conflict of interest.

References

    1. Accreditation Council for Graduate Medical Education (ACGME). ACGME program requirements for graduate medical education in pediatrics impact statement. http://www.acgme.org/Portals/0/PDFs/archive/320_pediatrics_Impact.pdf . Accessed August 9, 2020
    1. Geanacopoulos AT, Porter JJ, Michelson KA, et al. Declines in the number of lumbar punctures performed at United States children's hospitals, 2009-2019. J Pediatr . 2021;231:87–93.e1.
    1. Pantell RH, Roberts KB, Adams WG, et al; Subcommittee on Febrile Infants. Evaluation and management of well-appearing febrile infants 8 to 60 days old. Pediatrics . 2021;148:e2021052228.
    1. Ericsson KA. Deliberate practice and acquisition of expert performance: a general overview. Acad Emerg Med . 2008;15:988–994.
    1. Auerbach M, Chang TP, Reid J, et al. Are pediatric interns prepared to perform infant lumbar punctures? A multi-institutional descriptive study. Pediatr Emerg Care . 2013;29:453–457.

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