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1057: A PILOT STUDY TO ENHANCE MEDICAL TRAINEES’ KNOWLEDGE OF THE SURVIVING SEPSIS CAMPAIGN GUIDELINES

Learning Objectives: Adherence to the Surviving Sepsis Campaign practice guidelines (SSCG) was shown to be associated with improved patient outcomes. Medical residents are often among the first responders in the evaluation and care of septic patients, though their knowledge of the SSCG is largely unknown. Improving residents’ familiarity with the SCCG may contribute to improved outcomes of septic patients. Methods: We conducted a single-center quality improvement pilot study to examine the familiarity of Internal Medicine and Family Medicine residents (n = 80) with the SSCG and to assess the impact of a 60-minute interactive didactic session focused the 6-hour bundle of the 2016 SCCG. A coded, anonymous, web-based survey was conducted at baseline (B), immediately post-session (I) and 2 months afterward (2M). Descriptive statistics, Kruskal-Wallis test, and the Jonckheere-Terpstra trend test were used. Results: Forty nine residents (61.3% response rate) completed the B survey & 25 of these completed the I and 2M surveys after attending the didactic session. Nine residents (18.4%) indicated being very familiar with the SSCG on the B survey. When responses in the B survey on questions about the recommended approach to the circulatory resuscitation of patients with sepsis-induced hypoperfusion were examined among the subgroup of residents indicating good or excellent skills in the diagnosis and care of sepsis (n = 33 [67.3%]), 18 (54.5%) correctly identified the recommended time frame to initiate circulatory resuscitation and 7 (21.2%) identified correctly the target measure for resuscitation. Among those who completed the B, I & 2M surveys (n = 25), the median (IQR) percent of the correct answers were 75 (62.5–87.5), 83.3 (66.7–83.3), & 62.5 (53.1–75), respectively (p = 0.153; p = 0.085 for trend). Conclusions: The present pilot initiative failed to achieve measurable global performance improvement and retention of SSCG-related data provided through a didactic session, while showing limited self-reported familiarity with the SSCG at baseline. However, the demonstrated gaps between trainees’ perceptions of skills vs. survey-based performance on SSCG-based key elements of care, and in their knowledge about the 6-hour care bundle can inform future efforts to enhance residents’ performance in the care of sepsis.