• Lawrence Proano, Liudvikas Jagminas, Clark S Homan, and Steve Reinert.
• Department of Emergency Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA.
• J Emerg Med. 2002 Jul 1; 23 (1): 89-95.

AbstractA prior study evaluated the efficacy of a dog laboratory to teach residents chest tube thoracostomy. This study evaluated a similarly structured program using human cadavers. A prospective repeat measure study of chest tube thoracostomy placement training was performed in a university laboratory setting using human cadavers. Ten Emergency Medicine residents were given a written pretest, followed by training. Resident attempts were then timed. The following day, a repeat test was administered. Three weeks later, a third written post-test was conducted. The written test scores improved for every participant. Mean times for procedure completion improved from 86 sec to 34 sec during the first session, and remained stable over 4 attempts from 30 sec to 32 sec during the second session. This approach to teaching clinical procedures should be considered for Emergency Medicine residency programs and for continuing education courses that emphasize procedural skills.

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