MWHC and MGUH are available for on-site testing!
- For your convenience testing sessions are available at the Sim Centers in MGUH, as well as the Connecticut Ave and Baltimore Sim Centers including the Mobile Simulation Lab (pending availability of MedStar SiTEL Operations).
- Learners must enroll in and watch the required online course:
- MedStar Health Central Line Education for Physicians and Advanced Care Practitioners (OD 022380 effective June 2, 2017)
- Failure of a learner to complete the online course ahead of simulation testing will make the learner ineligible to test.
- Learners must be familiar with the grading checklists (last updated Febuary 2019)
What to Expect During the Testing Session
- The resident will be evaluated by the test proctor using a formalized set of three grading checklists.
- The testing session will take about 2 – 2.5 hours.
- Proctors are arranged by MedStar SiTEL ONLY
- Learners will be tested on these types of central line placement:
- Ultrasound-guided internal jugular placement and landmark-based subclavian line placement. The resident will also be tested on femoral placement by verbalizing the differences between internal jugular and femoral placement. (There are some exceptions, as not all programs place subclavian lines.)
- The results of the resident’s performance will be available on the day of testing.
- At the start of each testing session, each learner will be given a handout on the grading requirements, the flow of the session, and limitations of the mannequins. It is encouraged to review the handout ahead of coming to the simulation center.
- There will be no written test at the simulation center.
- A learner must successfully complete placement of a central line in a simulated setting – defined as performing 85% of the Non-Critical Steps and 100% of the Critical Steps on each of the grading checklists.
- If a mistake is made during the test but is self-corrected at the time it is made, this will not be counted against the learner. The proctor, however, will not provide any prompts to encourage the learner to correct a given mistake.
- Failure to maintain sterile technique at any stage of the procedure will result in a failing grade.
- A learner CAN fail the test for a specific site (i.e. Subclavian), but pass the line placement test for a different site (i.e. IJ).
- In this case, the learner can begin to place attending-supervised IJ lines, but must re-test and pass the Subclavian line placement test before placing attending-supervised Subclavian lines.
- Individuals that do not pass the central line test will require remediation by their programs. When deemed ready to re-attempt the test, the program should contact the MedStar SiTEL Administrator to schedule a re-test.
- If an individual is not successful after a second attempt at testing, Central Line Testing Director (Dr. Jennifer Yu) and the Central Line Testing Team will discuss the plan on a case-by-case basis.
Observer Role during Testing
- Observer will follow and check off the “observer checklist” specific for their institution as the operator inserts the central line.
- Observer can call out any item on the “observer checklist” if they see that it has not occurred at the needed time or that there has been a breach in sterile technique.
- Observer will not speak to any corrective action that is necessary to correct a breach in sterile technique.
- If Operator self corrects or is able to correct the breach in sterile technique called out at moment of occurrence by the Operator, and the patient is not compromised, then the Operator will pass this step.
- If Operator does not correctly proceed with appropriate corrective action or breaks sterile technique and the Observer does not address this at the time it happens, then the Operator will be marked “Needs Remediation” for this step.
- Observer can only address what is on the “observer checklist” and may not speak out regarding any other aspects of the line placement.
Currently, there is no re-certification process for Residents once they have passed the testing course.