AIM To assess overall confidence level of trainees in assessing and treating shock,we sought to improve awareness of recurrent biases in clinical decision-making to help address appropriate educational interventions.M...AIM To assess overall confidence level of trainees in assessing and treating shock,we sought to improve awareness of recurrent biases in clinical decision-making to help address appropriate educational interventions.METHODS Pediatric trainees on a national listserv were offered the opportunity to complete an electronic survey anonymously.Four commonly occurring clinical scenarios were presented,and respondents were asked to choose whether or not they would give fluid,rank factors utilized in decision-making,and comment on confidence level in their decision.RESULTS Pediatric trainees have a very low confidence level for assessment and treatment of shock.Highest confidence level is for initial assessment and treatment of shock involving American College of Critical Care Medicine/Pediatric Advanced Life Support recommendations.Children with preexisting cardiac comorbidities are at high risk ofunder-resuscitation.CONCLUSION Pediatric trainees nationwide have low confidence in managing various shock states,and would benefit from guidance and teaching around certain common clinical situations.展开更多
文摘AIM To assess overall confidence level of trainees in assessing and treating shock,we sought to improve awareness of recurrent biases in clinical decision-making to help address appropriate educational interventions.METHODS Pediatric trainees on a national listserv were offered the opportunity to complete an electronic survey anonymously.Four commonly occurring clinical scenarios were presented,and respondents were asked to choose whether or not they would give fluid,rank factors utilized in decision-making,and comment on confidence level in their decision.RESULTS Pediatric trainees have a very low confidence level for assessment and treatment of shock.Highest confidence level is for initial assessment and treatment of shock involving American College of Critical Care Medicine/Pediatric Advanced Life Support recommendations.Children with preexisting cardiac comorbidities are at high risk ofunder-resuscitation.CONCLUSION Pediatric trainees nationwide have low confidence in managing various shock states,and would benefit from guidance and teaching around certain common clinical situations.
