Using rapid cycle deliberate practice to improve primary and secondary survey in pediatric trauma

Abstract

Background Optimal performance of the primary and secondary survey is the foundation of Advance Trauma Life Support care. Despite its importance, not all primary surveys completed at level 1 pediatric trauma centers are performed according to established guidelines (Gala et al., Pediatr Emerg Care 32:756–762, 2016, Carter et al., Resuscitation 84:66–71, 2013). We hypothesize that rapid cycle deliberate practice (RCDP) will improve surgical residents’ confidence in performing the primary and secondary survey. Methods We developed a curriculum to teach surgical interns the principles of performing the primary and secondary survey using RCDP. Surveys distributed after each session assessed the impact of the curriculum on learner confidence and perception that this curriculum would benefit patient care. Questions were scored on a 5-point Likert scale. Sixteen surgical interns participated during intern orientation and 100% of the participants completed the post curriculum survey. Results Thirteen (81%) of participants agreed or strongly agreed that the simulation would impact future performance in the pediatric trauma bay. The curriculum also significantly improved the confidence of our learners to perform trauma surveys (p < 0.001). Conclusion This curriculum improves the confidence of junior surgical residents in learning the primary and secondary survey. Most learners enjoyed the session and felt that the curriculum would positively impact their performance.

Rapid-cycle deliberate practice versus after-event debriefing clinical simulation in cardiopulmonary resuscitation: a cluster randomized trial

“…Another study showed an increase in knowledge gain in sepsis care in the pediatric population [22]. This strategy increased the trust of medical residents in their skills in providing pediatric trauma care [23]. Another trial showed increased performance related to human factors during pediatric resuscitation [8].…”

Rapid Cycle Deliberate Practice Simulation Curriculum Improves Pediatric Trauma Performance

“…The individual case scenarios were created by principal investigator (D.H.Y.) 20 . All sessions were conducted using the Pediatric HAL S3005 mannequin on a hospital bed in the center of the pediatric trauma bay.…”

Rapid cycle deliberate practice approach on resuscitation training: A systematic review

“…As awareness and experience with this method has increased over time, RCDP has become an instructional design element in an increasing number of resuscitation-related curriculums in recent years. [24] , [25] , [26] Originally, the essence of the RCDP instructional method was that the instructor intervenes when an error is noticed. However, others used RCDP by stopping the scenario only at the end cycle, [27] , [28] gave feedback at the end of the case and then re-run the scenario, 29 or allowed any learner to stop scenarios at any moment.…”