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Am J Perinatol 2023; 40(06): 624-629
DOI: 10.1055/s-0041-1730361
Original Article

Examining the Validity of Pediatric Resident Self-Assessment in the Delivery Room

Betté S. Ford
1   Division of Neonatology, Connecticut Children's, Hartford, Connecticut
2   Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut
,
James I. Hagadorn
1   Division of Neonatology, Connecticut Children's, Hartford, Connecticut
2   Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut
,
Jennifer M. Trzaski
1   Division of Neonatology, Connecticut Children's, Hartford, Connecticut
2   Department of Pediatrics, University of Connecticut School of Medicine, Farmington, Connecticut
› Author Affiliations Funding None.
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Abstract

Objective The validity of resident self-assessment of competence in neonatal resuscitation skills has not been studied. This study was designed to test the hypothesis that residents are accurate in self-assessment of basic delivery room resuscitation and bag-and-mask ventilation (BMV) skills by comparing resident self-assessed performance with assessment by observers.

Study Design We conducted a prospective repeated measures observational study. After each delivery residents and observers completed 13-question standardized assessments evaluating resident performance.

Results A total of 99 paired assessments were completed by 36 residents. Residents competently performed and identified correct versus incorrect performance of basic resuscitation steps. Residents were less competent in recognizing the need for BMV and were unable to self-assess BMV-associated performance accurately. In multivariable analysis, only basic resuscitation steps versus BMV were significantly associated with accurate self-assessment.

Conclusion Pediatric residents are less competent at performing advanced neonatal resuscitation skills and are unable to accurately self-assess performance of skills essential for neonatal resuscitation.

Key Points

  • Pediatric residents can competently identify and perform basic neonatal resuscitation steps.

  • Pediatric residents are less competent at performing advanced neonatal resuscitation skills.

  • Self-assessment is not a valid method for determining resident competence in neonatal resuscitation.

Keywords

neonatal resuscitation - bag-and-mask ventilation - self-assessment - procedural competence and confidence - validity - pediatric residents

Authors' Contributions

B.S.F. performed data analysis and drafted and revised the manuscript. J.M.T. and J.I.H. supervised and performed data analysis and reviewed and revised the manuscript. All authors conceptualized and contributed to the design of the study, interpreted the results of the analysis, approved the manuscript as submitted, and agreed to be accountable for all aspects of the work.


Supplementary Material



Publication History

Received: 19 December 2020

Accepted: 09 April 2021

Article published online:
31 May 2021

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