TY - JOUR
T1 - Assessing Resident Knowledge of Acute Pain Management in Hospitalized Children
T2 - A Pilot Study
AU - Saroyan, John M.
AU - Schechter, William S.
AU - Tresgallo, Mary E.
AU - Sun, Lena
AU - Naqvi, Zoon
AU - Graham, Mark J.
N1 - Funding Information:
This study was supported by the Department of Anesthesiology at the Columbia University College of Physicians and Surgeons and by the Arnold P. Gold Foundation.
PY - 2008/12
Y1 - 2008/12
N2 - This pilot study was undertaken to evaluate the hypotheses that there are differences in pediatric pain management (PPM) knowledge across resident specialties, that questions in the form of multiple-choice items could detect such differences, and that resident knowledge of analgesic-related adverse drug events (ADEs) would be greater than knowledge of PPM. Questions were based on two general categories of knowledge within acute pain management in hospitalized children: pediatric pain assessment and treatment, and identification of analgesic-related ADEs. As part of the pilot nature of this study, a convenience sample of 60 residents completed a 10-item PPM knowledge assessment prior to a PPM lecture. Twenty-six were pediatric residents (43%), 19 were orthopedic residents (32%), and 15 were anesthesiology residents (25%). All items had content validity. When controlling for resident year, performance by resident specialty was significantly different between anesthesia and orthopedics (P = 0.006) and between anesthesia and pediatrics (P < 0.001). Resident knowledge of analgesic-related ADEs was not greater than knowledge of PPM. The most difficult topics were opioid equianalgesia, assessment of the cognitively impaired child, and maximal acetaminophen doses. Repeated administration of the PPM knowledge assessment at multiple institutions will allow further evaluation of our initial findings, and with directed educational interventions, provide opportunity for measurement of improvement.
AB - This pilot study was undertaken to evaluate the hypotheses that there are differences in pediatric pain management (PPM) knowledge across resident specialties, that questions in the form of multiple-choice items could detect such differences, and that resident knowledge of analgesic-related adverse drug events (ADEs) would be greater than knowledge of PPM. Questions were based on two general categories of knowledge within acute pain management in hospitalized children: pediatric pain assessment and treatment, and identification of analgesic-related ADEs. As part of the pilot nature of this study, a convenience sample of 60 residents completed a 10-item PPM knowledge assessment prior to a PPM lecture. Twenty-six were pediatric residents (43%), 19 were orthopedic residents (32%), and 15 were anesthesiology residents (25%). All items had content validity. When controlling for resident year, performance by resident specialty was significantly different between anesthesia and orthopedics (P = 0.006) and between anesthesia and pediatrics (P < 0.001). Resident knowledge of analgesic-related ADEs was not greater than knowledge of PPM. The most difficult topics were opioid equianalgesia, assessment of the cognitively impaired child, and maximal acetaminophen doses. Repeated administration of the PPM knowledge assessment at multiple institutions will allow further evaluation of our initial findings, and with directed educational interventions, provide opportunity for measurement of improvement.
KW - Pediatric pain management
KW - knowledge assessment
KW - resident education
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U2 - 10.1016/j.jpainsymman.2007.12.006
DO - 10.1016/j.jpainsymman.2007.12.006
M3 - Article
C2 - 18400459
AN - SCOPUS:56949083947
SN - 0885-3924
VL - 36
SP - 628
EP - 638
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 6
ER -