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J Clin Anesth. 2007 Dec;19(8):583-6.

Teaching without a teacher: developing competence with a Bullard laryngoscope using only a structured self-learning course and practicing on a mannequin.

Author information

1
Department of Anesthesiology, Milton S. Hershey Medical Center, Hershey, PA 17033-0850, USA. lpott@psu.edu

Abstract

STUDY OBJECTIVE:

To show that a complex motor skill can be taught without requiring active expert faculty participation.

DESIGN:

Prospective descriptive study.

SETTING:

Simulation laboratory of an academic anesthesiology department.

SUBJECTS:

Novice users of the Bullard laryngoscope, predominantly residents.

INTERVENTIONS:

Novice Bullard users were presented with a PowerPoint presentation using text and pictures describing the use of the Bullard. The learners were also provided with a Bullard laryngoscope and a mannequin on which to practice. Self-learning time was not restricted.

MEASUREMENTS:

Learners decided for themselves when they were competent and ready for competency assessment. The assessment tool was a checklist of essential steps developed by faculty experienced in Bullard laryngoscopy. The primary end-point was successful intubation.

MAIN RESULTS:

All learners were deemed competent. The mean self-learning time was 14.1 minutes (SD, 3.1 min; range, 9.2-21.0 min). All subjects indicated a high level of satisfaction with the learning technique.

CONCLUSIONS:

Teaching a complex motor skill with no expert instruction is possible.

PMID:
18083470
DOI:
10.1016/j.jclinane.2007.06.004
[Indexed for MEDLINE]

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