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Record W2086803677 · doi:10.1097/ta.0b013e3180341ff8

Evaluation of a Multidisciplinary Pediatric Mock Trauma Code Educational Initiative: A Pilot Study

2008· article· en· W2086803677 on OpenAlexaff
Angelo Mikrogianakis, Martin H. Osmond, Janet Nuth, Allyson Shephard, Isabelle Gaboury, Mona Jabbour

Bibliographic record

VenueThe Journal of Trauma: Injury, Infection, and Critical Care · 2008
Typearticle
Languageen
FieldMedicine
TopicSimulation-Based Education in Healthcare
Canadian institutionsHospital for Sick ChildrenToronto Public Health
Fundersnot available
KeywordsDebriefingMedicinePediatric traumaTrauma centerMultidisciplinary approachMultidisciplinary teamSession (web analytics)ResuscitationPhysical therapyEmergency medicineMedical emergencyPoison controlInjury preventionNursingSurgeryRetrospective cohort studyMedical education

Abstract

fetched live from OpenAlex

BACKGROUND: Our aim was to develop and evaluate a multidisciplinary pediatric mock trauma code orientation program for residents on their pediatric hospital rotation. METHODS: A before and after evaluation of trauma team residents from various programs was conducted. The 1-hour educational session consisted of a 15-minute mock trauma code, a debriefing and teaching intervention, and then a new, postintervention mock trauma code. Before and after each session, residents completed a self-assessment questionnaire. All codes were videotaped and later evaluated by two blinded observers using a standardized evaluation tool to assess patient management and team functioning. RESULTS: Thirty-seven prequestionnaire (pre) and postquestionnaire (post) pairs were completed. Residents reported a significant improvement in their (1) comfort in managing pediatric trauma (median pre 3, post 5, p < 0.001); (2) understanding of their role on the trauma team (median pre 4.5, post 6, p < 0.001); (3) familiarity with the resuscitation room (median pre 4, post 5, p = 0.001); (4) comfort with procedural skills (median pre 4, post 5, p = 0.001); (5) awareness of pediatric trauma resuscitation management priorities (median pre 5, post 6, p = 0.007). Postintervention, residents reported lower knowledge scores in locating equipment in the resuscitation room (p < 0.001). There was no significant difference in team performance on the videotaped assessments (premean score = 79.8, postmean score = 79.5). CONCLUSIONS: The pediatric mock trauma code educational initiative improved residents' self-reported confidence, knowledge, and comfort level in managing pediatric trauma. The experience also raised residents' awareness of knowledge gaps. We were unable to measure a significant change in team functioning post intervention.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.007
metaresearch head score (Gemma)0.010
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.007
Threshold uncertainty score0.038

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.010
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.152
GPT teacher head0.453
Teacher spread0.301 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations50
Published2008
Admission routes1
Has abstractyes

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