An Assessment of Competency Level of Intern Doctors for Intraosseous Insertion Skill on An Infant Intraosseous Leg Task Trainer After Introduction of a Simulation-Based Short Course Training Module

Krutika Rahul Tandon; Vishakha Kanubhai  Desai; Rahul Tandon; Dhanshree Vyas

Krutika Rahul Tandon Professor & Former Head of Department, Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India
Vishakha Kanubhai Desai Ex-PG, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
Rahul Tandon Assistant Professor, Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India
Dhanshree Vyas Second Year PG, Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India

Keywords: Competency-based medical education (CBME), Mannequin, National Medical commission, Pediatric emergency, Simulation, Task-Trainer

Abstract

Background: Since Simulation-Based Education (SBE) provides safe learning, as a part of skill development, future doctors also should learn to perform intraosseous insertion skill, which is one of the vital skills in emergency Pediatrics.
Objectives: To train and assess Indian Medical Graduates (IMG) for the acquirement of IO access skill through a short course module using an infant intraosseous leg task trainer in the later part of their internship year.
Materials and Methods: This quasi-experimental educational study was conducted in year 2025 on 53 volunteer interns after approval from the ethics committee and permission from the dean. After the introduction of simulation based short course module, the participants were assessed for achievement of competency. Feedback was also taken from them about their satisfaction and confidence level on a 1-10 Likert scale.
Result: All 53 participants successfully identified the anatomical site. Major components of IO skill: adherence to the correct insertion angle, bone marrow aspiration, and infusion of physiological solutions were achieved by 52, 50, and 48 participants, respectively. Comparisons between pre- and post-tests indicated meaningful improvements in knowledge, satisfaction, and confidence. The median (Q1, Q3) time for overall procedure was 69 (57, 118) seconds. A total of 47(88.6%) participants achieved the passing score of less than or equal to 14 out of 20.
Conclusion: A simulation-based training module enhanced the intern doctors’ competency with confidence in intraosseous insertion skill on task-trainer.

How to cite this article:
Tandon K R, Desai V K, Tandon R, Vyas D. Assessment of Competency Level of Intern Doctors For Intraosseous Insertion Skill on an Infant Intraosseous Leg Task Trainer After Introduction of a Simulation-Based Short Course Training Module. IAP J. Med. Educ. Res. 2026;3(1):20-26.

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