Simulation in Neonatal-Perinatal Medicine Fellowship Programs

Abstract

Objective To investigate the use of simulation in neonatal-perinatal medicine (NPM) fellowship programs. Study Design This was a cross-sectional survey of program directors (PDs) and simulation educators in Accreditation Council for Graduate Medical Education (ACGME)- accredited NPM fellowship programs. Results Responses were received from 59 PDs and 52 simulation educators, representing 60% of accredited programs. Of responding programs, 97% used simulation, which most commonly included neonatal resuscitation (94%) and procedural skills (94%) training. The time and scope of simulation use varied significantly. The majority of fellows (51%) received ≤20 hours of simulation during training. The majority of PDs (63%) wanted fellows to receive >20 hours of simulation. Barriers to simulation included lack of faculty time, experience, funding, and curriculum. Conclusion While the majority of fellowship programs use simulation, the time and scope of fellow exposure to simulation experiences are limited. The creation of a standardized simulation curriculum may address identified barriers to simulation.

Simulation in neonatal care: towards a change in traditional training?

“…Simulation-based training offers a safe risk-free environment for clinicians to develop and maintain competency [ 8 ]. Simulation-based training has become an integral part of many neonatal-perinatal medicine training programs, and is used as a basis for many standardized newborn training programs worldwide to teach neonatal procedures and resuscitation as noted in the 2021 European Resuscitation Council Guidelines [ 9 – 11 ]. In addition, simulation has the potential to play a key role in maintaining professional competency for infrequently performed high-risk procedures such as thoracentesis and extracorporeal membrane oxygenation (ECMO) [ 12 , 13 ].Simulation-based training is also a valuable tool in teaching behavioral skills such as effective communication, teamwork, and leadership, which are essential aspects of team performance.…”

A Survey of Academic Neonatologists on Neonatal Electrical Cardioversion and Defibrillation

“…A survey of perinatal and neonatal fellowship program directors showed that EC-D is a "very important" skill for fellows to learn 10 . Interestingly, the American Board of Pediatrics Content Outline for neonatal-perinatal medicine, which defines the body of knowledge…”

“…A study done by Sawyer et al on simulation training in neonatal-perinatal medicine programs showed that about 97% of the programs offer simulation training to the fellows. Of note, most of the program directors felt that skills for EC-D are important or very important, but not mandatory for the fellows to learn 10 . Our study reinforces the need to incorporate EC-D in simulation training sessions for fellows.…”

Aktuelles in der Neonatologie

“…FA ZIT Neueste Expertenrichtlinien äußern sich daher sehr zurückhaltend bezüglich des Cord Milking [21]. [27]. Letztere Faktoren sind in geschulten Teams antizipierbar und zugänglich für spezifische Schulungen.…”