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Repetitive Pediatric Simulation Resuscitation Training

Abstract

Objective: To compare the effectiveness of repetitive pediatric simulation training (scenario-debriefing-scenario) to standard simulation training (scenario- debriefing).

Methods: Pediatric and Emergency Medicine residents prospectively participated in simulated pediatric resuscitation training sessions in an in-situ simulation room on a pediatric floor. Residents anonymously reported their knowledge, skills, and confidence after each simulation session. Four learners and two faculty preceptors (one pediatric emergency medicine attending and one pediatric emergency medicine fellow) participated in each session. Scenarios where performed on a high-fidelity simulator (SimBaby, Laerdal Medical, Stavanger, Norway) and video debriefing was used for all training sessions. Standard training (STN) was used in the initial 6 months of the study while repetitive pediatric simulation training (RPS) was used in the second 6 months of the study.

Results: 115 subjects completed simulation sessions during the study period. The RPS group reported higher overall debriefing quality and were more likely to report that the simulation session was an excellent method of teaching. The RPS group reported greater improvement in knowledge and skills than the STN group. Similar scores were reported for confidence, overall performance, stress levels, and realism of the simulator in both the STN and RPS groups.

Conclusion: Feedback is a key feature of effective medical simulation. The RPS design provides learners the opportunity to apply the knowledge and skills discussed during debriefing. This format led to improved self-reported knowledge, skills, and satisfaction with the simulator session. Future studies should address if this debriefing format improves retention and translates to improved performance in providers’ clinical performance during resuscitations.

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