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The amount of supervision trainees receive during neonatal resuscitation is variable and often dependent on subjective criteria

Journal of Perinatology volume 38, pages 1081–1086 (2018)Cite this article

Subjects

Abstract

Objective

Measure variation in delivery room supervision provided by neonatologists using hypothetical scenarios and determine the factors used to guide entrustment decisions.

Study design

A survey was distributed to members of the American Academy of Pediatrics Section on Perinatal Pediatrics. Neonatologists were presented with various newborn resuscitation scenarios and asked to choose the level of supervision they thought appropriate and grade factors on their importance in making entrustment decisions.

Results

There was significant variation in supervision neonatologists deemed necessary for most scenarios (deviation from the mode 0.36–0.69). Post-graduate year of training and environmental circumstances influence the amount of autonomy neonatologists grant trainees. Few neonatologists have objective assessment of a trainees’ competence in neonatal resuscitation available to them and most never document how the trainee performed.

Conclusion

Delivery room supervision is often determined by subjective evaluation of trainees’ competence and may not provide a level of supervision congruent with their capability.

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Acknowledgements

Statistical analysis completed by George J. Eckert, MAS, Indiana University. This project was funded with support from the Indiana Clinical and Translational Sciences Institute, in part by Grant Number UL1TR001108 from the National Institutes of Health, National Center for Advancing Translational Sciences, Clinical and Translational Sciences Award. The sponsor had no role in the study design, collection, analysis or interpretation of data. This work was initially developed as part of the Association of Pediatric Program Directors’ Leadership in Educational Academic Development (APPD LEAD) program.

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  1. Indiana University School of Medicine, 699 Riley Hospital Drive, RR208, Indianapolis, IN, 46202, USA

    Sara K. Kane & Diane E. Lorant

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  1. Sara K. Kane
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Correspondence to Diane E. Lorant.

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Kane, S.K., Lorant, D.E. The amount of supervision trainees receive during neonatal resuscitation is variable and often dependent on subjective criteria. J Perinatol 38, 1081–1086 (2018). https://doi.org/10.1038/s41372-018-0137-4

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