Current training in percutaneously inserted central catheter (PICC) placement and maintenance for neonatal-perinatal medicine fellows

J Perinatol. 2020 Apr;40(4):589-594. doi: 10.1038/s41372-019-0587-3. Epub 2020 Jan 13.

Abstract

Objective: To describe the current educational status of percutaneously inserted central catheter (PICC) insertion/ maintenance training for neonatal-perinatal medicine (NPM) fellows in the United States.

Study design: A cross-sectional 34-question survey was electronically distributed to NPM fellowship training program directors (PDs) in the United States.

Results: The response rate was 81.8% (81/99 PD). Most PDs (68.5%) reported that their neonatal intensive care unit has a PICC team. Fellows were PICC team members in 72%. Only 52% of programs offer formal training in PICC placement to fellows; 61.5% of these utilize a standardized curriculum. Dedicated PICC team existence was negatively associated with formal training for PICC insertion and maintenance for fellows (42.0% with PICC team vs. 73.91% without, p = 0.01).

Conclusions: Wide variation exists in fellow's exposure, education, and competency assessment in PICC-related activities nationally. Development of a standardized curriculum would be beneficial.

MeSH terms

  • Catheterization, Central Venous*
  • Catheterization, Peripheral*
  • Chi-Square Distribution
  • Clinical Competence*
  • Cross-Sectional Studies
  • Curriculum / standards
  • Education, Medical, Graduate*
  • Educational Measurement
  • Fellowships and Scholarships
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Surveys and Questionnaires
  • United States