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Final Program


Final Program

Administrative / Leadership / Education

1806 - Intrathecal Baclofen Pump Call Education for New Attending's in KU PM&R

Friday, February 20, 2026
5:00 PM - 6:30 PM AST
Objectives: To improve confidence, workflow clarity, and efficiency among new Physical Medicine and Rehabilitation (PM&R) faculty at The University of Kansas Health System (TUKHS) in managing intrathecal (IT) baclofen pump consults during weekend call.

Design: Pre-intervention surveys were administered October 2024 to new attending physicians to assess baseline knowledge and confidence in IT baclofen pump management. Identified gaps guided a targeted educational intervention in February 2024 consisting of verbal presentations and written materials. These included triage instructions, protocols for pump toxicity and withdrawal, emergency contact pathways, and structured handoff guidance. Post-intervention surveys were then distributed to evaluate changes in confidence, consult management effectiveness, and overall satisfaction.

Results: Survey analysis demonstrated significant improvements in attending confidence following the intervention: triage urgency (+1.71 points, p=0.017), communication (+1.57 points, p=0.0019), and emergency contact clarity (+1.43 points, p=0.025). The average amount of time faculty spent on consults was 8.43 hours (range 1–15 hours), with mean satisfaction of 3.29/5. A weak negative correlation (-0.14) was observed between consult time and satisfaction, suggesting that longer time spent completing consults was modestly associated with lower satisfaction.

Conclusions: Annual, structured onboarding education significantly improved new attending confidence and efficiency in managing weekend IT baclofen pump consults. Standardized educational materials and support tools enhanced workflow clarity and inter-provider communication. This model may be adapted for other high-complexity consults to improve onboarding and call efficiency.