ABSTRACT 890

Background and aims: While insertion of CVC (central venous catheter) is common, it is an intricate procedure and not risk-free. Traditionally, inexperienced residents learn to insert CVC on real patients and thus can put patients' life at risk. One way to reduce medical errors is to use high-fidelity simulation for training tomorrow's practitioners on ultrasound-guided CVC insertion. Aims: To evaluate the efficacy of medical simulation based learning course on knowledge and skills improvement on (U/S) ultrasound-guided CVC insertion. Methods: A pre-assessment was performed for all the course attendees through a pre-test and hands-on skill assessment for central line insertion under U/S guidance (Internal Jugular, Subclavian or Femoral lines) utilizing a standardized checklist. All candidates then attended one day course that included theoretical and hands-on simulation training using high fidelity manikins and phantoms. A post-test and hands-on assessment was performed at the end of the day with similar checklist as pre test. Results: Twenty residents from Internal Medicine and Pediatrics were enrolled in the study at King Fahad Medical City Simulation Center. There were significant improvement in the knowledge based training: 90% showed significant increase in their MCQ scores (p<0.001), 10% had equal scores and non showed decline in their scores. For the hands-on skills: All 20 candidates showed significant improvement in their skills (p<0.001). Conclusions: A one day simulation course on CVC insertion under ultrasound guidance significantly improves the knowledge and skills for residents in training programs. Recommendations: Such courses and other similar should be compulsory for all Residents training programs as it is called safe training.