Teaching practice of endotracheal intubation in emergency department standardized residency training guided by the outcome-based education concept

ObjectiveTo evaluate the effect of outcome-based education (OBE) approach on endotracheal intubation training for emergency department residents during the standardized residency training. MethodsFrom August 2023 to July 2024, 48 emergency department residents undergoing standardized training at Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, were enrolled and randomly assigned to an OBE teaching group or a traditional training group. Each group received the corresponding teaching method, and the examination scores as well as pass rates were compared between the two groups. After the training, a questionnaire was administered to assess satisfaction with the teaching method and confidence in performing successful endotracheal intubation. ResultsThe OBE teaching group achieved significantly higher theoretical and practical examination scores than the traditional training group (P < 0.05). The OBE group has a higher first-attempt success rate of endotracheal intubation during the practical examination than the traditional group (79.2% vs 20.8%, P < 0.001), and a significantly shorter intubation duration [(63.2 ± 20.7) s vs (97.3 ± 12.8) s, P < 0.001]. The OBE group also reported higher satisfaction with the teaching method and greater confidence in performing the procedure successfully (P < 0.001). ConclusionsThe OBE-based teaching method can effectively improve endotracheal intubation skills of emergency department residents, and offers a new instructional model for practical endotracheal intubation courses.