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Repetitive Pediatric Simulation Resuscitation Training

Figure 1. Training groups

Standard Session (50 minutes)

  • 1.

    Anaphylaxis case (20 minutes)

    • A.

      Poor recognition of anaphylaxis

    • B.

      Administered epinephrine SC instead of IM

  • 2.

    Video debrief/feedback- discuss case deficits A/B (30 minutes)

Repetitive Session (50 minutes):

  • 1.

    Anaphylaxis case (10 minutes)

    • A.

      Poor recognition of anaphylaxis

    • B.

      Administered epinephrine SC instead of IM

  • 2.

    Video debrief/feedback- discuss case deficits A/B (30 minutes)

  • 3.

    Application knowledge and skills in another anaphylaxis case (10 minutes)

Results

The trainees enrolled in the first and second phase of this study were similar in distribution of post-graduate year (PGY) and subspecialty. The traditional group was trained during the first portion of the academic year and therefore had less real life and simulation code experiences (Table 1).

Table 1. Trainee Variables

# prior real codes(mean)

2

3

# prior sim codes (mean)

3

4

Traditional N=74

RePedSim N=77

Peds PGY1

25

23

Peds PGY2

25

23

Peds PGY3

10

9

EM PGY2

14

12

No difference was noted in the providers’ overall performance (mode=3/fair) on the simulator or their self reported levels of stress (mode=2/slight stress), and the perceived realism (mode=4/very realistic) of the simulator between the two groups. The Repetitive group more frequently reported strong agreement with

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