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Open Access Publications from the University of California

Airway Tape Review: Learning Through Retrospective Review of Video Laryngoscopy Cases

Creative Commons 'BY' version 4.0 license

Learning Objectives: With Airway Tape Review (ATR), we sought to implement a curriculum where actual resident airway recordings are reviewed in a group setting. The lecture series highlights best airway practices, challenging cases and common mistakes encountered by learners.

Introduction/Background: Airway Tape Review (ATR) provides a novel approach to covering airway curriculum through real airway cases. The advent of video laryngoscopy has allowed viewing of resident intubation by the supervising attending, improving safety and feedback in real time. Recording these intubations allows for retrospective review, knowledge translation to learners and supervisors not present and aligns curricular goals and objectives to actual cases. Reviewing these cases in a group setting provides professional development of airway skills in a safe and supportive environment for both learners and supervisors.

Educational Objectives: •Review intubations to highlight curricular goals and objectives for airway skills •Improve professional development of learners through the experience of a larger quantity and variety of intubations •Discuss best practices in pre, peri and post intubation management •Align ATR with curricular goals and objectives.

Curricular Design: We have implemented vignette-based didactic sessions that permit a “walk-through” of complex airway situations encountered by residents. Established at the UMass Chan-Baystate Emergency Medicine (EM) residency by Dr. Lutfy-Clayton and translated to the UMass Chan EM residency, our lecture series consists of a 1-2 hour quarterly interactive session with a collation of resident intubations pre-reviewed and edited to highlight teaching objectives. The session emphasizes resident participation and can be paired with relevant resident education including journal club and simulation to provide for additional spaced repetition.

Impact/Effectiveness: Retrospective review plays a key role in development of clinical acumen as an EM physician. ATR provides a means to decelerate and distill discrete airway skills through repetition and the impact of real cases. Potential future uses for video laryngoscopy review include regular, direct resident feedback and tracking of resident improvement.

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