{"pk":12921,"title":"An Inexpensive Conceptual Training Model for Transvenous Pacemaker Placement","subtitle":null,"abstract":"Introduction:\n Emergent transvenous (TV) pacemaker placement can be life-saving, but it has associated complications. Emergency medicine (EM) educators must be able to teach this infrequent procedure to trainees.\nMethods: \nWe constructed a conceptually-focused, inexpensive training model made from polyvinyl chloride pipes and connectors, vinyl tubing, and a submersible pump. Cost of the model was $51. We tested the model with a group of 15 EM residents. We then asked participants to complete a survey reporting confidence with the procedure before and after the session. Confidence was compared using a Wilcoxon matched-pairs test.\nResults: \nConfidence improved after the session, with a median confidence before the session of 2 (minimally confident; interquartile range [IQR] 1-3) and a median confidence after the session of 4 (very confident; IQR 3-4, p=0.001). All residents agreed that the model helped them to understand the process of placing a TV pacemaker.\nConclusion:\n Our TV pacemaker placement model was inexpensive and allowed for practice of a complex emergency procedure with direct visualization. It improved trainee confidence.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"transvenous pacemaker"},{"word":"residency training"},{"word":"Simulation"}],"section":"Educational Advances","is_remote":true,"remote_url":"https://escholarship.org/uc/item/06v0x56g","frozenauthors":[{"first_name":"Timothy","middle_name":"P.","last_name":"Young","name_suffix":"","institution":"Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California \n\nLoma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Jennifer","middle_name":"M.","last_name":"Tango","name_suffix":"","institution":"Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California \n\nLoma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Cory","middle_name":"J.","last_name":"Toomasian","name_suffix":"","institution":"Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California \n\nLoma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Kayla","middle_name":"J.","last_name":"Kendric","name_suffix":"","institution":"Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California \n\nLoma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Deena","middle_name":"I.","last_name":"Bengiamin","name_suffix":"","institution":"Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California \n\nLoma Linda University Medical Center and Children’s Hospital, Department of Emergency Medicine, Loma Linda, California","department":"None"}],"date_submitted":"2019-07-07T21:51:11Z","date_accepted":"2019-07-07T21:51:11Z","date_published":"2019-12-19T20:31:25Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/12921/galley/6788/download/"}]}