Menu
Disease
A-Z
Health Topics
Alternative Medicine
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
View all Topics
Featured Articles
Anaphylaxis
Anal fissure
Urticaria (hives) and angioedema
Skin allergies
Anal itching
Circumcision
Kids Corner
Health and Knowledge with fun.
Drugs &
Calculators
Medical Calculators
Drug Calculators
Growth Calculators
Renal Calculators
View all Calcualtors
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Equipments
Diagnostic Aid
Get your diffrential
diagnosis.
Consult
& Posts
Ask a Doctor
Diagnostic Dilemma
Question of the Week
Pediatric Blogs
Spot Diagnosis
Grand Rounds
Pedi Poll
Pediatric
Journal
Current Issue
All Issues
Advance Access
About the Journal
Submit Article
Books
& Apps
Book Store
Pediatric Oncall
Medical Calculators
Vaccine Reminder
Pediatric Oncall Journal
Drug Center
Parenting
CME &
Videos
Upcoming Conferences
Conference Abstracts
MCQs
Videos
Vaccine
Reminder
Sign In
Pediatric Oncall Journal
Home
Articles & Issues
Current Issue
All Issues
Advance Access
About
Pediatric Oncall Journal
Editorial Board
Peer Review Policy
Other Policies
Copyrights
Privacy Statement
Contribute
Open Access Statement
Authorship & Acknowledgment
Author Guidelines
Forms
Submit Manuscript
Assessing Resident Diagnostic Skills Using a Modified Bronchiolitis Score
Abstract
Full Text
Advance Access
ARTICLE HISTORY
Received 30 October 2020
Accepted 3 January 2021
DOI:
https://doi.org/10.7199/ped.oncall.2021.10
CITE THIS ARTICLE
Rivera-Sepulveda A, Isona M. Assessing Resident Diagnostic Skills Using a Modified Bronchiolitis Score. Pediatr Oncall J. 2021;18. doi: 10.7199/ped.oncall.2021.10
Journal Subscription
Pediatric Oncall Journal
Subscribe Now
ORIGINAL ARTICLE
Assessing Resident Diagnostic Skills Using a Modified Bronchiolitis Score
Andrea Rivera-Sepulveda
1,2
, Muguette Isona
3
.
1
Department of Pediatrics, Emergency Medicine, Nemours Children’s Hospital, Orlando, FL, United States,
2
University of Puerto Rico Medical Sciences Campus, School of Health Professions and School of Medicine, San Juan, Puerto Rico,
3
Emergency Department, San Juan City Hospital, San Juan, Puerto Rico.
Show affiliations
Abstract
Background:
Resident milestones are objective instruments that assess the resident’s growth, progression in knowledge, and clinical diagnostic reasoning; but they rely on the subjective appraisal of the supervising attending. Little is known about the use of standardized instruments that may complement the evaluation of resident diagnostic skills in the academic setting.
Objectives:
Evaluate a modified bronchiolitis severity assessment tool by appraising the inter-rater variability and reliability between pediatric attendings and pediatric residents.
Methods:
Cross-sectional study of children under 24 months of age who presented to a Community Hospital’s Emergency Department with bronchiolitis between January-June 2014. A paired pediatric attending and resident evaluated each patient. Evaluation included age-based respiratory rate (RR), retractions, peripheral saturation, and auscultation. Cohen's kappa (K) measured inter-rater agreement. Inter-rater reliability (IRR) was assessed using a one-way random, average measures intra-class correlation (ICC) to evaluate the degree of consistency and magnitude of disagreement between inter-raters. Value of >0.6 was considered substantial for kappa and good internal consistency for ICC.
Results:
Twenty patients were evaluated. Analysis showed fair agreement for the presence of retractions (K=0.31), auscultation (K=0.33), and total score (K=0.3). The RR (ICC=0.97), SpO2 (ICC=1.0), auscultation (ICC=0.77), and total score (ICC=0.84) were scored similarly across both raters, indicating excellent IRR. Identification of retractions had the least agreement across all statistical analysis.
Conclusion:
The use of a standardized instrument, in conjunction with a trained resident-teaching staff, can help identify deficiencies in clinical competencies among residents and facilitate the learning process for the identification of pertinent clinical findings.
READ FULL TEXT
This work is licensed under a
Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
X
Sign In
Disease A-Z
Health Topics
Alternative Medicine
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
View all topics
Featured Articles
Anaphylaxis
Anal fissure
Urticaria (hives) and angioedema
Skin allergies
Anal itching
Circumcision
Kids Corner
Drugs & Calculators
Medical Calculators
Drug Calculators
Growth Calculators
Renal Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Eqipments
Diagnostic Aid
Consult & Posts
Ask a Doctor
Diagnostic Dilemma
Question of the Week
Pediatric Blogs
Spot Diagnosis
Grand Rounds
Pedi Poll
Pediatric Oncall Journal
Current Issue
All Issues
Advance Access
About the Journal
Submit Article
Books & Apps
Book Store
Pediatric Oncall
Medical Calculators
Vaccine Reminder
Pediatric Oncall Journal
Drug Center
Parenting
CME & Videos
Upcoming Conferences
Conference Abstracts
MCQs
Videos
Vaccine Reminder
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0