Pediatric Resident Confidence in Resuscitation Skills Relates to Mock Code Experience

Abstract

To assess confidence in resuscitation skills among pediatric residents and its relationship to training and experience, all pediatric residents at one institution were surveyed regarding their confidence in technical and leadership resuscitation skills and their prior experience with real and mock codes. Respondents (61/82, 74%) reported participation in 4.9 +/- 3.6 mock and 3.9 +/- 5.0 real codes. Confidence score for all skills was 2.7 +/- 0.6 (scale 1-5). Senior residents were more confident than interns (2.8 +/- 0.5 vs 2.3 +/- 0.5). Residents were more confident in basic (3.9 +/- 0.6) than in advanced (2.6 +/- 0.6) or expert resuscitation skills (1.6 +/- 0.7). Confidence correlated with mock codes (r = 0.52) and to a lesser degree with real codes attended (r = 0.36). Performance of active roles and debriefing occurred more commonly with mock than with real codes. The data indicate that pediatric residents have limited confidence in resuscitation skills and that mock code training with active participation and debriefing may be an effective educational tool.

Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study

“…The benefit of simulation training for technical skills, such as theoretical knowledge, procedural skills and technical performance during resuscitation [3,12,13], as well as for non-technical skills like teamwork, leadership and communication [9, [14][15][16][17][18][19][20][21][22] has been well established in both adult and paediatric critical areas. High-fidelity simulation with well-staged and realistic scenarios followed by a debriefing session appears to be the most promising educational tool for health-care team members [13,17,19,23].…”

“…High-fidelity simulation with well-staged and realistic scenarios followed by a debriefing session appears to be the most promising educational tool for health-care team members [13,17,19,23]. Weinstock et al [24] identified difficulties for a paediatric multidisciplinary team with a high clinical workload to practise crisis management and teamwork skills because of the low incidence of critical events in paediatrics, logistic issues and restricted working hours of team members.…”

Key Elements of Clinical Physician Leadership at an Academic Medical Center

“…Training that is provided focuses predominately on the skills to succeed during specific highstress events. [14][15][16] The lack of formal training in leadership has left physicians feeling unprepared not only for specific events 17,18 but also unprepared for other, less well-defined leadership roles. Understanding physician attributes and behaviors that result in effective leadership can lay the groundwork for more formal leadership education for physicians-in-training.…”

Pediatrics Residents' Preparedness for Neonatal Resuscitation Assessed Using High-Fidelity Simulation

“…4,10,13,17,18,[24][25][26][27] As demonstrated here, video recordings of simulated scenarios are valuable tools to assess individual as well as team performance. [12][13][14][15][25][26][27] The participation of our residents during the NR and video debriefing, together with the 2 to 3 weeks of clinical experience, may have increased the residents' confidence in their ability to lead or assist in NR. The contrast between gains in self-confidence and actual performance has been observed in real-life interactions and during mock resuscitations.…”