Experience of the objective structured clinical examination in the framework of state certification of graduates of the clinical ordinature on the specialty «Anesthesiology and reanimatology»: station «Сathering of the internal nuclear vene under the control of ultrasound»

Abstract

The evaluation sheet was tested and practical skills for conducting puncture and catheterization of the internal jugular vein in clinical residents at the station «Catheterization of the internal jugular vein under ultrasound control» were evaluated. The manipulation was performed by 28 second-year clinical interns on the phantom, which allows the puncture of the vessel under the control of ultrasound. The evaluation of manual skills, independently of each other, was carried out by two teachers. Successfully station passed 100% of the examinees. The total time spent on the passage of one resident station was 6,3 (5,1; 7,3) minutes. In 100% of cases, the residents demonstrated their knowledge of the technique of puncture and catheterization of the internal jugular vein. In 8 (28,5%) cases, the most frequent errors encountered during the passage of the station were associated with the absence of time fixation after the manipulation, in 10 (35,7%) residents the state of health was not monitored. The differences in the completed evaluation sheets of teachers amounted to 3%. It is shown that the developed evaluation sheet allows you to objectively assess the practical skills of graduates of residency. This evaluation sheet will be further used in the assessment of practical skills at the stage of primarily specialized accreditation for graduates of residency in the speciality «Anesthesiology and reanimatology».

Keywords

venous access / internal jugular vein / short axis / long axis / clinical residency / objective structured clinical exam / primarily specialized accreditation / certification in anesthesiology / practical skills

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RIGHTS & PERMISSIONS

Lakhin R.E., Tsygankov K.A., Andreenko A.A., Shchegolev A.V.