3/6/2025 Anesthesiology Journal Club - Coaching inexperienced clinicians before a high stakes medical procedure: randomized clinical trial
This journal club reviews a randomized clinical trial evaluating whether just-in-time coaching—brief, focused training delivered immediately before a procedure—can improve first-attempt success rates for infant intubation, a high-risk and technically challenging skill. Participants will examine the unique challenges of the pediatric airway, analyze study methods and outcomes, and discuss the potential role of just-in-time training in improving procedural performance and reducing cognitive workload in clinical practice.
Target Audience
Anesthesiologists and anesthesiologists-in-training and other anesthesia professionals, nurse anesthetists and anesthesia assistants.
Learning Objectives
Upon completion of this activity, participants should be able to:
- Describe the utility of “just-in-time” training prior to high stakes medical procedures with trainees.
- Review the pediatric airway anatomy and physiology.
- Discuss advantages & disadvantages of “just-in-time” training in anesthesiology residency training.
John Driggers, MD — PGY-2 Resident, UPMC Department of Anesthesiology & Perioperative Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Brianna Hildreth, MD — PGY-2 Resident, UPMC Department of Anesthesiology & Perioperative Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Darius Hossainian, MD — PGY-2 Resident, UPMC Department of Anesthesiology & Perioperative Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Stephen McHugh, MD, FASA — Associate Professor, Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine
No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician (CME)
The University of Pittsburgh designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Healthcare Professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 0.75 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 0.75 Attendance

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