Efficacy of Self-Directed Learning in the Supracondylar Fracture Performance Improvement Module at an Academic Pediatric Orthopedic Institution

Table 1

Detailed response rates for PIM questions before and after PIM education, based on level of experience as well as for the cohort as a whole. Significant differences are noted via bold values; differences at alpha < 0.10 are in italics.

	Junior	Senior	All
Preoperative assessment
Limb perfusion documented
Before PIM	94%	95%	95%
After PIM	97%	91%	95%
Neuro deficit/exam documented
Before PIM	97%	100%	98%
After PIM	86%	95%	90%
AP/lateral X-rays obtained
Before PIM	97%	100%	98%
After PIM	86%	95%	90%
Treatment assessment
Time of injury available to determine length of time between injury and treatment
Before PIM	9%	18%	13%
After PIM	6%	9%	7%
Informed consent obtained and documented in op. note
Before PIM	100%	95%	98%
After PIM	100%	98%	98%
Site signed and documented in op. note
Before PIM	38%	100%	63%
After PIM	65%	86%	74%
Surgical pause performed and documented in op. note
Before PIM	97%	77%	89%
After PIM	97%	91%	95%
Preop. antibiotics given and charted in op. note
Before PIM	76%	86%	80%
After PIM	86%	86%	86%
Limb perfusion documented after reduction and fixation
Before PIM	24%	14%	20%
After PIM	37%	5%	25%
Lateral pins only?
Before PIM	76%	73%	75%
After PIM	69%	72%	70%
Degree of flexion in cast documented
Before PIM	18%	18%	18%
After PIM	29%	18%	26%
Neuro deficit/exam documented prior to discharge
Before PIM	44%	64%	52%
After PIM	54%	64%	58%
Limb perfusion documented prior to discharge
Before PIM	35%	68%	48%
After PIM	66%	55%	61%
Aftercare and outcome at final follow-up
Pins removed at 3 weeks?
Before PIM	76%	73%	75%
After PIM	51%	76%	61%
Cast d/c at 3 weeks?
Before PIM	68%	64%	66%
After PIM	46%	62%	52%
Limb perfusion documented at last f/u?
Before PIM	85%	59%	75%
After PIM	89%	77%	84%
Neuro deficit/exam documented at last f/u?
Before PIM	85%	82%	84%
After PIM	91%	95%	93%
On A/P X-ray, was alignment within 5 degrees anatomic?
Before PIM	76%	95%	84%
After PIM	83%	91%	86%
On lateral, does anterior humeral line pass through central 1/3 of capitellum?
Before PIM	74%	55%	66%
After PIM	66%	50%	59%
Patient has minimum 6-week f/u?
Before PIM	41%	59%	48%
After PIM	57%	77%	65%
Physical exam documented elbow alignment at final visit?
Before PIM	57%	31%	44%
After PIM	55%	35%	46%
Range of motion documented at final visit?
Before PIM	76%	82%	79%
After PIM	83%	91%	76%
Time of return to unrestricted activity known?
Before PIM	100%	92%	96%
After PIM	80%	94%	87%
Reoperation?
Before PIM	0%	0%	0%
After PIM	5%	0%	3%

1 patient had reoperation for septic elbow.