554 - The S.T.A.B.L.E. Program Enhances Pediatric Resident Education in Neonatology
Saturday, April 29, 2023
3:30 PM – 6:00 PM ET
Poster Number: 554 Publication Number: 554.229
Adrienne Cohen, University of Utah, Salt Lake City, UT, United States; Allison Judkins, University of Utah School of Medicine, Salt Lake City, UT, United States; Tara L. DuPont, University of Utah, salt lake city, UT, United States
Physician Fellow University of Utah University of Utah Health Salt Lake City, Utah, United States
Background: Over the past ten years,pediatric residency programs have decreased the time residents spend in the neonatal intensive care unit (NICU), with the expectation that they will attain the sameskills and knowledge.The degree of educational exposure varies and depends on the patient population and the medical care team at the time of a pediatric resident’s NICU rotation.S.T.A.B.L.E. is the most widely distributed and implemented neonatal education program to focus exclusively on the stabilization of sick infants. Implementation of the S.T.A.B.L.E. curriculum, both in the US and internationally, has increased provider confidence and competence when performing neonatal stabilization. Objective: The aim of this study is to assess whether the S.T.A.B.L.E. program can improve resident education in neonatology. Design/Methods: Informed consent was obtained from all participants. Rotating pediatric resident cohorts were assigned to either control (no S.T.A.B.L.E. course) or intervention (S.T.A.B.L.E. course),randomized by their rotation month. All residents completed a pre-test on the first day of their NICU rotation, prior to intervention, anda separate post-test during the last week ofthe NICUrotation.During the second year of data collection, residents also completed a questionnaire with a 5-point Likert scale at the time of post-test to assess their confidence in post-resuscitation neonatal stabilization. Data was compiled from the first two years of the study and analyzed using t test and ANOVA with Fishers LSD. Results: Fifty-nine residents enrolled in the study, 29in the control arm and 30in the intervention. Twelveparticipants were lost to follow-up(6 control, 6intervention, 20.3%).Post-test scores were significantly higher in the intervention group than pre-test scoresand control post-test scores(110+9.6% and113.1+9.9%, respectively, p < 0.05).Likert scale responses were significantly higher in the intervention group for the subgroups Sugar/Safe Care, Temperature, and Lab Workthan control (Table 1).
Conclusion(s): Residents who receivedS.T.A.B.L.E. trainingscoredhigher on post-test and expressed more confidencewith post-resuscitation neonatal stabilization than those who did not receive S.T.A.B.L.E. training.Our next steps include analyzing neonatal scores on in-training exams to evaluate whether S.T.A.B.L.E. training increaseslong-term knowledge retention and improved scores.
