Educating Anesthesia Residents to Improve Perioperative Care for the Elderly

NCT03008863 | Completed

• 1 other identifier: Pro00069462
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.The investigators will design, test and implement a education curriculum for anesthesia residents teaching geriatric anesthesiology.
2. 2.The investigators will randomize 42 anesthesia residents so that half receive an innovative, e-learning curriculum while the other half receives the current standard curriculum. We will assess their medical knowledge, and the amount of anesthesia delivered to patients after the curriculum is implemented.
3. 3.The investigators will analyze any changes in clinical practice of residents in the care of elderly patients. Enrollment will be voluntary for all residents. Also, the investigators will not interfere with clinical management of any patients by residents which are done under direct supervision of faculty.

Conditions

Anesthesia

Outcome Measures

Primary Outcomes (1)

• average minimum alveolar concentration (MAC) fraction in patients over age 65 given general anesthesia by residents

  6 months

Secondary Outcomes (4)

• change in residents' geriatric anesthesia knowledge base to be measured using a pre- and post-test

  6 months

• mean bispectral index value in patients over age 65 given monitored sedation by residents

  6 months

• frequency of use of medications known to increase delirium risk given to patients over age 65 by residents

  6 months

• mean doses of medications known to increase delirium risk given to patients over age 65 by residents

  6 months

Study Arms (2)

Education Intervention

EXPERIMENTAL

The investigators will use an electronic learning (E-learning) curriculum with an educational video and a user-centered checklist for anesthesia residents. This E-learning curriculum will cover how to care for geriatric patients in the preoperative, intraoperative and postoperative settings, and specific interventions that have been shown to improve postoperative outcomes in older patients. The checklist will be user-centered. It will remind providers of what they learned in the video and online curriculum, and how to apply these lessons in real-time while they are caring for older patients.

Other: Education

Control

NO INTERVENTION

Residents randomized to this group will receive the current, standard education provided for all Duke Anesthesiology residents.

Interventions

Education OTHER

Education Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Duke Anesthesiology Resident
• Willing to comply with study activities and guidelines

You may not qualify if:

• Unable to comply with study activities and guidelines

Sponsors & Collaborators

• Duke University: lead

Study Sites (1)

Duke University Medical Center

Durham, North Carolina, United States

Location

Related Publications (1)

• Berger M, Eleswarpu SS, Cooter Wright M, Ray AM, Wingfield SA, Heflin MT, Bengali S, Udani AD. Developing a Real-Time Electroencephalogram-Guided Anesthesia-Management Curriculum for Educating Residents: A Single-Center Randomized Controlled Trial. Anesth Analg. 2022 Jan 1;134(1):159-170. doi: 10.1213/ANE.0000000000005677.

  PMID: 34709008 DERIVED

MeSH Terms

Interventions

Educational Status

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• Miles Berger, MD, Phd

  Duke University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 28, 2016
• First Posted: January 4, 2017
• Study Start: December 1, 2016
• Primary Completion: June 30, 2017
• Study Completion: June 30, 2017
• Last Updated: December 24, 2018

Record last verified: 2018-12

Locations

US (1)