Original ArticleSelf-Confidence in Endotracheal Intubation Among Pediatric Interns: Associations With Gender, Experience, and Performance
Section snippets
Methods
This was a secondary analysis of a randomized, controlled educational trial of an airway management curriculum for pediatric interns. The primary study aimed to determine the effect of integrating prerecorded videos of patient endotracheal intubations on pediatric intubation performance.18 The study was conducted between January 2015 and June 2016. Baseline data were collected on age, gender and number of prior successful intubations. The control group received a standard didactic curriculum
Results
Characteristics of the 49 interns enrolled in the study are shown in Table 1. Sixteen of the 49 interns (33%) were male. Thirty eight of the 49 interns (78%) reported no prior successful intubations during clinical care, while 22% reported at least one prior successful intubation; 15% of females (5 of 33) and 38% of males (6 of 16) had ≥1 prior successful intubation (not a significant difference, P= .08). Across the full study sample, median retrospective precurriculum confidence was 3
Discussion
In the clinical setting, supervisors who lack an opportunity to directly assess trainee competency often seek to assess procedural readiness by asking trainees about their confidence in their procedural skills and their prior experience, as well as by utilizing questions posed to assess their medical knowledge surrounding the procedure. We found that pediatric interns’ self-reported confidence in endotracheal intubation does not correlate with prior experience, airway management knowledge or
Conclusions
When asked to self-report confidence in endotracheal intubation, pediatric interns’ responses do not correlate with prior experience, intubation performance on airway trainers, or airway management knowledge. However, male pediatric interns initially report higher confidence compared to their female colleagues prior to the curriculum—signaling a need for further exploration into gender influences on self-assessments, performance, and likelihood to request assistance. Further research into what
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2021, Journal of Surgical EducationCitation Excerpt :Actually, 3 studies showed no correlation between self-reported confidence and simulation performance. However, only one of these studies included a self-assessment of self-confidence prior to the simulated consultation,41-43 while in our study self-reported confidence after simulated practice was also not correlated with performance. These observations invite researchers to monitor students' self-confidence levels in future studies of stress regulation methods in simulation training.
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The authors have no conflicts of interest to disclose.