Saavedra Heather R, Turner Joseph S, Cooper Dylan D
From the Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.
Pediatr Emerg Care. 2018 Sep;34(9):633-635. doi: 10.1097/PEC.0000000000001596.
The aims of this study were to identify the needs for further critical care experience for pediatric and internal medicine-pediatric residents, to describe a multidisciplinary approach to education, and to assess the impact of high-fidelity simulation on critical care comfort and perceived competence in pediatric residents. In addition, this study assessed pediatric residents' attitudes toward simulation as a means of providing additional education with critically ill patients.
Residents on their pediatric emergency medicine (PEM) rotation voluntarily participated in a 2-hour simulation session. Each session involved the evaluation and management of 3 critically ill pediatric patients with emergency medicine and pediatric/PEM faculty facilitating and debriefing as a team. All resident participants were asked to complete a presession and postsession survey including questions rating their comfort level with common emergent pediatric disease processes and procedures on a 5-point Likert scale.
Overall, the participants reported a significant improvement in comfort level in most categories with P < 0.05. The majority of the resident participants rated the simulation program as a valuable learning tool for managing pediatric emergencies and felt that it would be beneficial to have additional simulation experiences in the PEM curriculum.
This simulation program improved resident comfort in important aspects of the care of critically ill pediatric patients. The use of simulation as an educational tool for pediatric emergencies is considered valuable to residents in our program. In addition, simulation provides an opportunity for educational collaboration between academic departments.
本研究旨在确定儿科及儿内科住院医师对进一步重症监护经验的需求，描述多学科教育方法，并评估高仿真模拟对儿科住院医师重症监护舒适度和感知能力的影响。此外，本研究还评估了儿科住院医师对模拟作为为重症患儿提供额外教育手段的态度。
参与儿科急诊医学（PEM）轮转的住院医师自愿参加为期2小时的模拟训练。每次训练包括对3名重症儿科患者的评估与处理，由急诊医学及儿科/PEM教员团队进行指导和总结汇报。所有参与的住院医师都被要求完成训练前和训练后的调查，包括用5分量表对他们在常见儿科急症病程及操作方面的舒适度进行评分的问题。
总体而言，参与者在大多数类别中报告舒适度有显著提高，P < 0.05。大多数住院医师参与者将模拟训练项目评为管理儿科急症的有价值学习工具，并认为在PEM课程中增加模拟训练经验会有益处。
该模拟训练项目提高了住院医师在重症儿科患者护理重要方面的舒适度。在我们的项目中，将模拟作为儿科急症的教育工具对住院医师而言具有价值。此外，模拟为学术部门之间的教育合作提供了机会。
