en آموزش پزشکی Medical Education پژوهشي اصیل Orginal Research <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:16px;"><b>Background & Objective: </b>At emergency department (ED) at different point of time different teams are involved in management of patients as per their posting/duty roster. So, a robust system should be in place to avoid major mishaps. The current study was an attempt to improve pediatric care at our Emergency Department through third-level Kirkpatrick&rsquo;s evaluation model after training of pediatric resident doctors to use newly developed structured proforma while doing initial assessment of sick children at ED.<br> <b>Materials & Methods:</b> This Quasi-experimental study included all departmental pediatric resident doctors and as per sample size calculation, 36 (pre-intervention) and 36 (post-intervention) computer-generated random selection records were reviewed from the total of serially arranged admissions of pediatric patients. The intervention was the implementation of a Structured proforma, and training of all departmental residents. All raters scored the records of patients on 47 & 51 items of documentation pre-and post-intervention periods respectively on a scale 0-2, 0 meaning &lsquo;no mention&rsquo;, 1-incomplete/improper mention and 2-complete/proper mention. Mean, standard deviation (SD) of scores were calculated item-wise, raters-wise and overall. Bland Altman analysis was done to find agreement in scoring among raters both in pre-and post-intervention.<br> <b>Results:</b> <span lang="EN-IN">The mean (SD) and percentage of mean score were 32.93 (4.50) and 35.03% before intervention whereas 89.64 (4.35) and 87.88% post-intervention. This indicated 53.5% improvement post-intervention. Bland Altman analysis found good agreement post-intervention</span>.<br> <b>Conclusion:</b> The introduction of Educational tool along with the training of pediatric resident doctors to implement it, has improved documentation process significantly.<br> <span style="font-family:"Times New Roman",serif"></span></span></span></span></div> Educational Tool, Initial Assessment, Pediatric Acute Care, Pediatrics Resident Doctors 27 36 http://edujournal.zums.ac.ir/browse.php?a_code=A-12-2044-1&slc_lang=en&sid=1 Tanvi Mehta tanunm95@yahoo.co.in 5300319475328460030239 5300319475328460030239 No Department of Pediatrics, SBKS Medical Institute and Research Center, Sumandeep Vidyapeeth, Pipariya, Waghodiya, Vadodara, Gujarat, India. Shradha Patel drpatelshradha@gmail.com 5300319475328460030240 5300319475328460030240 No Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India. Amit Kumar amitpaed2006@yahoo.com 5300319475328460030241 5300319475328460030241 No Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India. Bhadra Trivedi bhadra81@gmail.com 5300319475328460030242 5300319475328460030242 No Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India. Jaishree Ganjiwale jaishreeganjiwale@gmail.com 5300319475328460030243 5300319475328460030243 No Department of Community Medicine, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India. Manoj Chaudhary drmanojkc497@gmail.com 5300319475328460030244 5300319475328460030244 No Department of Pediatrics, Birat Medical College Teaching Hospital, Kathmandu University, Buddhiganga-02, Morang, Nepal. Krutika Tandon tandonkrutika72@gmail.com 5300319475328460030245 5300319475328460030245 Yes Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India.