1 Clinical Trials for Various Conditions
Hypothesis #1: Residents who complete a structured, ultrasound guided simulation training protocol will have superior skills at central venous catheter (CVC) insertion on actual patients as compared to residents who are trained in CVC insertion according to the traditional, bedside apprenticeship model as measured by a reduced failure rate at CVC insertion. Hypothesis #2: Residents who complete a structured, ultrasound guided simulation training protocol will have superior skills at CVC insertion on actual patients as compared to residents who are trained in CVC insertion according to the traditional, bedside apprenticeship model as measured by: 1. a reduced number of attempts at venous cannulation, 2. a decreased rate of technical errors and a decreased complication rate based on an independent rater's evaluation using a procedure checklist, and 3. a decreased time to CVC insertion from opening the catheter kit to placement of sterile dressing as timed by an independent rater.