Abstract Details

Title Enhancing Junior Resident Confidence in Plasma Exchange Catheter Removal Through Simulation-Based Training

Topic ��ɫ��, Research, and Methodology

Presentation(s) P5 - Poster Session 5 (8:00 AM-9:00 AM)

Poster/Presentation
Number 5-031

Objective To evaluate the efficacy of a simulation-based skills station in enhancing junior neurology residents’ competence and confidence in performing plasma exchange (PLEX) catheter removal per institutional standardized protocol.

Background PLEX catheter removal is a critical skill for junior neurology residents. Initial surveys revealed low self-reported confidence in this procedure, potentially compromising patient safety. To address this gap, a simulation-based skills station utilizing a manikin-based approach was developed to provide safe, supervised practice.

Design/Methods A skills station based on institutional standard operating procedure was integrated into a pre-neurology bootcamp for 14 junior residents (12 PGY-2 adult neurology, 2 PGY-3 child neurology). Residents and faculty observers completed pre- and post-training surveys assessing confidence and competence in performing PLEX removal independently. Confidence was rated on a 4-point Likert scale (1=could not perform, 2=may perform with assistance, 3=may perform independently, 4=easily perform independently). Results were analyzed using Wilcoxon-Signed Rank Tests with median and interquartile range (IQR) reported.

Results All 14 residents completed the training. Resident reported confidence increased significantly from a median of 1 (IQR 1-2) pre-training to 3 (IQR 1-4) post-training (V=0, p<0.001). Pre-training, 64% (9/14) residents rated themselves at the lowest confidence level, while post-training 93% (13/14) rated themselves as able to perform independently or easily (score 3-4). Faculty perceptions showed an even greater improvement, with median scores rising from 1 (IQR 0-1) to 4 IQR (1-4), (V= 0, p <0.001). Notably, faculty consistently rated trainee confidence higher than the trainee themselves.

Conclusions The simulation-based skills station significantly improved both resident and faculty-perceived confidence in PLEX catheter removal. This study demonstrates manikin-based simulation training is an effective approach for teaching invasive procedures to junior residents.

Authors/Disclosures
Joseph Conway, MD (Cleveland Clinic Foundation) PRESENTER	Dr. Conway has nothing to disclose.
Damla Sarisaltik, DO (Cleveland Clinic Foundation)	Dr. Sarisaltik has nothing to disclose.
Robert J. Marquardt, DO (Cleveland Clinic)	Dr. Marquardt has nothing to disclose.
A. Blake Buletko, MD (Cleveland Clinic)	Dr. Buletko has nothing to disclose.
Catherine Hassett, MD	Dr. Hassett has nothing to disclose.

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