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An Effective Training Program for Chest Tube Drainage for Medical Interns in a Clinical Simulation Laboratory

Akinobu Yoshimura^1-3, Seiji Kosaihira^2,3, Taisuke Morimoto², Chol Kim^3,4, Takaya Tsueshita^3,4, Kohji Adachi^1,5, Ryoko Aso^1,3, Toshiro Shimura^1,3, Hiroshi Nakano^6,7 and Akihiko Gemma²

¹Academic Quality and Development Office, Nippon Medical School
²Division of Pulmonary Medicine, Infectious Diseases and Oncology, Department of Internal Medicine, Nippon Medical School
³Working Committee of Clinical Simulation Laboratory, Nippon Medical School
⁴Department of Anesthesiology, Nippon Medical School
⁵Department of Neurosurgery, Nippon Medical School
⁶Training Center for Medical Interns, Nippon Medical School Hospital
⁷Division of Geriatrics, Department of Internal Medicine, Nippon Medical School

The Department of Respiratory Medicine of Nippon Medical School Hospital and the Working Committee of Clinical Simulation Laboratory have held training sessions for chest tube drainage since 2007. The training program consists of the preparation of a training manual, a small-group session, and a review of the process of chest tube drainage using a checklist of steps after the session. A total of 21 medical interns of Nippon Medical School Hospital participated in training sessions from April 2010 through February 2011. A questionnaire survey at the end of the session revealed that most participants rated highly both the explanations given by the instructors and the descriptions in the manual for comprehensibility. Only 3 interns felt that they had successfully acquired the clinical skill, and the other 18 interns felt that they had somewhat acquired the skill. Research after the interns had completed the program of the department showed that 80% of interns had performed chest tube drainage for patients during the rotation. The interns assessed the training program as useful, and some interns felt they could perform the skill with confidence or without anxiety. Other systematic programs of skill training for medical interns are recommended to ensure definite acquisition of basic skills.

J Nippon Med Sch 2012; 79: 403-408

Keywords
training program, chest tube drainage, medical interns, clinical simulation laboratory

Correspondence to
Akinobu Yoshimura, Academic Quality and Development Office, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
ay1004@nms.ac.jp

Received, January 25, 2012
Accepted, March 29, 2012