The Role of High-Fidelity Simulation in Training Pediatric Emergency Medicine Fellows in the United States and Canada

Eppich, Walter; Nypaver, Michele M.; Mahajan, Prashant; Denmark, Kent; Kennedy, Christopher; Joseph, Madeline; Kim, In

doi:10.1097/pec.0b013e31827b20d0

Cited by 33 publications

(32 citation statements)

References 64 publications

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“…With the exception of neonatal resuscitation, the most common trainee-identified topics are currently taught by the least number of programs and identified as less important by program directors (Figure 1). The current focus of most programs on technical skills reflects what simulation has traditionally been used to teach [6][7][8], which is reasonable given the need for deliberate practice, decreasing clinical exposure, and the need to enhance patient safety. However, simulation is also being used successfully to teach non-procedural skills [17].…”

Section: Curriculummentioning

confidence: 99%

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Use of Simulation in Canadian Neonatal-Perinatal Medicine Training Programs

Wong

2017

Paediatrics &Amp; Child Health

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Section: Curriculummentioning

confidence: 99%

“…Sixty-three percent of programs at that time used high-technology simulators, mostly to teach decision making and technical skills [7]. In general, all program directors that were surveyed indicated value and the need to incorporate simulation into their training programs if not already done.…”

Section: Introductionmentioning

confidence: 99%

Use of Simulation in Canadian Neonatal-Perinatal Medicine Training Programs

Wong

2017

Paediatrics &Amp; Child Health

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“…In 2008, 37% of responding PEM fellowships did not use high-fidelity simulation. 11 Regional "boot camps," 12 in-situ simulation, and faculty training were identified as possible solutions. This study aims to describe the current use of simulation and barriers to its implementation in PEM fellowship programs.…”

Section: What This Study Addsmentioning

confidence: 99%

“…The initial version of the survey was developed and substantially revised from on the previous survey from Eppich et al 11 At the start of the survey simulation-based training was defined broadly to include a range of tools or techniques used to recreate reality, including the following: task or procedural trainers, simple mannequins that support bag-mask ventilation, highfidelity simulators that can be programmed to respond to medical interventions, and simulated patients (actors who portray patients or family members).…”

Section: Survey Contentmentioning

confidence: 99%

Simulation in Pediatric Emergency Medicine Fellowships

et al. 2015

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BACKGROUND AND OBJECTIVES: Graduate medical education faces challenges as programs transition to the next accreditation system. Evidence supports the effectiveness of simulation for training and assessment. This study aims to describe the current use of simulation and barriers to its implementation in pediatric emergency medicine (PEM) fellowship programs.METHODS: A survey was developed by consensus methods and distributed to PEM program directors via an anonymous online survey.RESULTS: Sixty-nine (95%) fellowship programs responded. Simulation-based training is provided by 97% of PEM fellowship programs; the remainder plan to within 2 years. Thirty-seven percent incorporate .20 simulation hours per year. Barriers include the following: lack of faculty time (49%) and faculty simulation experience (39%); limited support for learner attendance (35%); and lack of established curricula (32%). Of those with written simulation curricula, most focus on resuscitation (71%), procedures (63%), and teamwork/communication (38%). Thirty-seven percent use simulation to evaluate procedural competency and resuscitation management. PEM fellows use simulation to teach (77%) and have conducted simulation-based research (33%). Thirty percent participate in a fellows' "boot camp"; however, finances (27%) and availability (15%) limit attendance. Programs receive simulation funding from hospitals (47%), academic institutions (22%), and PEM revenue (17%), with 22% reporting no direct simulation funding.CONCLUSIONS: PEM fellowships have rapidly integrated simulation into their curricula over the past 5 years. Current limitations primarily involve faculty and funding, with equipment and dedicated space less significant than previously reported. Shared curricula and assessment tools, increased faculty and financial support, and regionalization could ameliorate barriers to incorporating simulation into PEM fellowships.WHAT'S KNOWN ON THIS SUBJECT: Simulationbased education is increasing but its use in pediatric emergency medicine (PEM) fellowships has not been recently documented. Previous studies identified barriers including equipment and space, but growth of simulation centers and equipment has been widespread. WHAT THIS STUDY ADDS:Simulation is widely used in PEM fellowships, and current barriers include faculty and learner time, implementation of best practices in simulation; equipment is less significant. Future work should focus on curriculum and evaluation development, aligning with the milestones.

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“…New projects that use simulation show promising results. 25 Direct feedback to field providers is an essential component for continual improvement in any trauma system to improve outcomes for injured children. This feedback can be provided by the receiving facility by using real-time reviews, case review presentations, or feedback to the referring prehospital agency.…”

Section: Prehospital Pediatric Trauma Carementioning

confidence: 99%

Management of Pediatric Trauma

Shook¹,

Chun²,

Conners³

et al. 2016

Pediatrics

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Injury is still the number 1 killer of children ages 1 to 18 years in the United States (http://www.cdc.gov/nchs/fastats/children.htm). Children who sustain injuries with resulting disabilities incur significant costs not only for their health care but also for productivity lost to the economy. The families of children who survive childhood injury with disability face years of emotional and financial hardship, along with a significant societal burden. The entire process of managing childhood injury is enormously complex and varies by region. Only the comprehensive cooperation of a broadly diverse trauma team will have a significant effect on improving the care of injured children.

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The Role of High-Fidelity Simulation in Training Pediatric Emergency Medicine Fellows in the United States and Canada

Cited by 33 publications

References 64 publications

Use of Simulation in Canadian Neonatal-Perinatal Medicine Training Programs

Use of Simulation in Canadian Neonatal-Perinatal Medicine Training Programs

Simulation in Pediatric Emergency Medicine Fellowships

Management of Pediatric Trauma

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