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dc.contributor.authorTakeuchi, Shinyaen_US
dc.contributor.authorShiga, Takashien_US
dc.contributor.authorKoyama, Yasuakien_US
dc.contributor.authorNakanishi, Taizoen_US
dc.contributor.authorHonma, Yosukeen_US
dc.contributor.authorMorita, Hiroshien_US
dc.contributor.authorGoto, Tadahiroen_US
dc.date.accessioned2017-12-06T16:19:15Z
dc.date.issued2017en_US
dc.identifier.citationTakeuchi, Shinya, Takashi Shiga, Yasuaki Koyama, Taizo Nakanishi, Yosuke Honma, Hiroshi Morita, and Tadahiro Goto. 2017. “Longitudinal acquisition of endotracheal intubation skills in novice physicians.” PLoS ONE 12 (11): e0188224. doi:10.1371/journal.pone.0188224. http://dx.doi.org/10.1371/journal.pone.0188224.en
dc.identifier.issnen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:34493123
dc.description.abstractLittle is known about the acquisition of intubation skills among novice physicians during their one-year clinical training. Our primary objective was to determine the changes in the intubation skills of novice physicians between prior to the clinical training and after completion of the clinical training. We used data of a prospective longitudinal multicenter data registry developed to investigate factors associated with the improvement of intubation skills among novice physicians. The study participants included 90 postgraduate year 1 physicians in 2015–2016. We used 4 simulation scenarios based on the devices used (direct laryngoscope [DL] and Airway scope [AWS]) and difficulty of intubation (normal and difficult scenarios). As a marker of the intubation skills, we used the force applied on the maxillary incisors and the tongue with each intubation. We compared the data obtained prior to clinical training with those obtained after completion of one-year clinical training. When using DL, compared to prior, significantly less force were applied on the maxillary incisors and the tongue after clinical training in the normal scenario (28.0 N vs 19.5 N, p < 0.001, and 11.1 N vs 8.4 N, p = 0.004). Likewise, when using AWS, compared to prior, significantly less force were applied on the tongue after clinical training in the normal scenario (22.0 N vs 0 N, p < 0.001). The force on the tongue decreased after clinical training but not significant. These associations persisted in the difficult airway scenario. These findings suggest that force applied on oral structures can be quantified as a marker of intubation skills by using high-fidelity simulators, and the assessment of procedural competency is recommended for all novice physicians prior to performing intubation in the clinical setting to improve the quality of emergency care.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0188224en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685566/pdf/en
dash.licenseLAAen_US
dc.subjectMedicine and Health Sciencesen
dc.subjectSurgical and Invasive Medical Proceduresen
dc.subjectIntubationen
dc.subjectBiology and Life Sciencesen
dc.subjectAnatomyen
dc.subjectDigestive Systemen
dc.subjectMouthen
dc.subjectTongueen
dc.subjectPeople and Placesen
dc.subjectPopulation Groupingsen
dc.subjectProfessionsen
dc.subjectMedical Personnelen
dc.subjectMedical Doctorsen
dc.subjectPhysiciansen
dc.subjectHealth Careen
dc.subjectHealth Care Providersen
dc.subjectTeethen
dc.subjectIncisorsen
dc.subjectHeaden
dc.subjectJawen
dc.subjectCritical Care and Emergency Medicineen
dc.subjectClinical Research Designen
dc.subjectAdverse Eventsen
dc.subjectHematologyen
dc.subjectHemodynamicsen
dc.subjectGeographical Locationsen
dc.subjectAsiaen
dc.subjectJapanen
dc.titleLongitudinal acquisition of endotracheal intubation skills in novice physiciansen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dc.date.available2017-12-06T16:19:15Z
dc.identifier.doi10.1371/journal.pone.0188224*


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