Rebekah Burns1, Manu Madhok2, Ilana Bank3, Michael Nguyen4, Michael Falk5, Muhammad Waseem6, Marc Auerbach7. 1. Department of Pediatrics University of Washington Seattle Washington USA. 2. Department of Pediatrics Children's Minnesota Minneapolis Minnesota USA. 3. Department of Pediatrics McGill University Montreal Quebec Canada. 4. Department of Medicine Morsani College of Medicine University of South Florida Tampa Florida USA. 5. Department of Pediatrics Children's Hospital Medical Center Washington DC USA. 6. Departments of Pediatrics and Emergency Medicine Lincoln Medical Center Bronx New York USA. 7. Departments of Pediatrics and Emergency Medicine Yale University New Haven Connecticut USA.
Abstract
BACKGROUND: The majority of children seeking care in emergency departments are seen by general emergency medicine (EM) residency program graduates. Throughout training, EM residents manage fewer critically ill pediatric patients compared to adults, and the exposure to children with illness and injury requiring emergent assessment and management is often limited and sporadic across training sites. This report describes the creation of a robust set of simulation cases for EM trainees incorporating topics identified during a previous modified Delphi study to improve their pediatric acute care knowledge and skills. METHODS: All 30 pediatric EM topics and 19/26 procedures previously identified as "must be taught by simulation" to EM residents were mapped to 15 simulation case topics. Twenty-seven authors from 16 institutions created cases and supporting materials. Each case was iteratively implemented during a peer review process at two to five sites with EM residents. Feedback from learners and facilitators was collected via electronic surveys and used to revise each case before the next implementation. RESULTS: Thirty-five institutions participated in the peer review process. Fifty-one facilitators and 281 participants (90% EM residents) completed surveys. Most facilitators (98%) agreed or strongly agreed with the statement "This simulation case is relevant to the field of emergency medicine." A majority of facilitators and participants agreed or strongly agreed with the statements "The simulation case was realistic" (98% of facilitators, 94% of participants) and "This simulation case was effective in teaching resuscitation skills" (92% of facilitators, 98% of participants). Most participants reported confidence in knowledge and skills addressed in the learning objectives after participation. CONCLUSIONS: Facilitators and EM residents found cases from a novel simulation-based curriculum covering critical pediatric EM topics relevant, realistic, and effective. This curriculum can help provide a standardized, uniform experience for EM residents who will care for critically ill pediatric patients in their communities.
BACKGROUND: The majority of children seeking care in emergency departments are seen by general emergency medicine (EM) residency program graduates. Throughout training, EM residents manage fewer critically ill pediatric patients compared to adults, and the exposure to children with illness and injury requiring emergent assessment and management is often limited and sporadic across training sites. This report describes the creation of a robust set of simulation cases for EM trainees incorporating topics identified during a previous modified Delphi study to improve their pediatric acute care knowledge and skills. METHODS: All 30 pediatric EM topics and 19/26 procedures previously identified as "must be taught by simulation" to EM residents were mapped to 15 simulation case topics. Twenty-seven authors from 16 institutions created cases and supporting materials. Each case was iteratively implemented during a peer review process at two to five sites with EM residents. Feedback from learners and facilitators was collected via electronic surveys and used to revise each case before the next implementation. RESULTS: Thirty-five institutions participated in the peer review process. Fifty-one facilitators and 281 participants (90% EM residents) completed surveys. Most facilitators (98%) agreed or strongly agreed with the statement "This simulation case is relevant to the field of emergency medicine." A majority of facilitators and participants agreed or strongly agreed with the statements "The simulation case was realistic" (98% of facilitators, 94% of participants) and "This simulation case was effective in teaching resuscitation skills" (92% of facilitators, 98% of participants). Most participants reported confidence in knowledge and skills addressed in the learning objectives after participation. CONCLUSIONS: Facilitators and EM residents found cases from a novel simulation-based curriculum covering critical pediatric EM topics relevant, realistic, and effective. This curriculum can help provide a standardized, uniform experience for EM residents who will care for critically ill pediatric patients in their communities.
Authors: Kenneth A Michelson; Todd W Lyons; Joel D Hudgins; Jason A Levy; Michael C Monuteaux; Jonathan A Finkelstein; Richard G Bachur Journal: Acad Emerg Med Date: 2018-07-04 Impact factor: 3.451
Authors: Kenneth A Michelson; Joel D Hudgins; Michael C Monuteaux; Richard G Bachur; Jonathan A Finkelstein Journal: Pediatrics Date: 2018-02 Impact factor: 7.124
Authors: Joyce Li; Genie Roosevelt; Kerry McCabe; Jane Preotle; Faria Pereira; James K Takayesu; Michael Monuteaux; Richard G Bachur Journal: AEM Educ Train Date: 2018-10-07