Oral Themed Presentation
Discussant: Lindsay Nadkarni, MD
Background: Pediatric resuscitations are infrequent but high-stakes events providing scarce opportunities for trainees to achieve proficiency in leading these scenarios (1-4). The Concise Assessment of Leader Management (CALM) instrument is designed to provide formative feedback to resuscitation leaders after simulated pediatric resuscitations. The initial validation study of the CALM instrument supported content and internal structure (reliability) validity (5).
Research Question: Do higher CALM scores of leaders of pediatric resuscitation scenarios correlate with improved clinical outcomes, supporting consequence validity of the CALM instrument?
Methodology: This is a prospective validation study to assess consequence validity using Messick’s framework of validity (6). The CALM instrument will be used to score leaders of resuscitations in videos from the VIPER (Videography In Pediatric Emergency Resuscitation) Collaborative. Identified clinical outcomes as well as time to certain care processes (e.g. primary survey, epinephrine, shock delivery) will be abstracted from each video. Analysis will compare if better CALM scores correlate with better clinical outcomes and shorter time to certain care processes.
Results: We are currently in the study design and pilot data abstraction phase. Continuous data will be described as means with standard deviations, or as medians and interquartile ranges, and will be compared using Unpaired T-tests or Wilcoxon-Rank-Sum tests, as appropriate. Categorical data will be described as counts (frequencies), and will be compared using Chi-Squared analysis or Fisher’s exact test, if needed.
Discussion/Conclusions: Pediatric trainees often do not become proficient in leading resuscitation scenarios due to infrequent opportunities to lead these high-stakes events as well as lack of tools to provide immediate formative feedback. The CALM tool is designed to provide feedback to leaders of pediatric resuscitation scenarios, and initial validation studies have supported content and internal structure (reliability) validity. This study will evaluate consequence validity of the CALM instrument.
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