Zanetto Lorenzo, Cavallin Francesco, Doglioni Nicoletta, Bua Benedetta, Savino Sandro, Bernardo Giuseppe De, Pratesi Simone, Villani Paolo Ernesto, Weiner Gary M, Trevisanuto Daniele
Department of Women's and Children's Health, University Hospital of Padua, Via Giustiniani, 3, 35128 Padua, Italy.
Independent Statistician, 36020 Solagna, Italy.
Children (Basel). 2023 Sep 28;10(10):1621. doi: 10.3390/children10101621.
Training programs on resuscitation have been developed using simulation-based learning to build skills, strengthen cognitive strategies, and improve team performance. This is especially important for residency programs where reduced working hours and high numbers of residents can reduce the educational opportunities during the residency, with lower exposure to practical procedures and prolonged length of training. Within this context, gamification has gained popularity in teaching and learning activities. This report describes the implementation of a competition format in the context of newborn resuscitation and participants' perceptions of the educational experience.
Thirty-one teams of three Italian pediatric residents participated in a 3-day simulation competition on neonatal resuscitation. The event included an introductory lecture, familiarization time, and competition time in a tournament-like structure using high-fidelity simulation stations. Each match was evaluated by experts in neonatal resuscitation and followed by a debriefing. The scenarios and debriefings of simulation station #1 were live broadcasted in the central auditorium where teams not currently competing could observe. At the end of the event, participants received an online survey regarding their perceptions of the educational experience.
81/93 (87%) participants completed the survey. Training before the event mostly included reviewing protocols and textbooks. Low-fidelity manikins were the most available simulation tools at the residency programs. Overall, the participants were satisfied with the event and appreciated the live broadcast of scenarios and debriefings in the auditorium. Most participants felt that the event improved their knowledge and self-confidence and stimulated them to be more involved in high-fidelity simulations. Suggested areas of improvement included more time for familiarization and improved communication between judges and participants during the debriefing.
Participants appreciated the simulation competition. They self-perceived the educational impact of the event and felt that it improved their knowledge and self-confidence. Our findings suggest areas of improvements for further editions and may serve as an educational model for other institutions.
已开发出基于模拟学习的复苏培训项目，以培养技能、强化认知策略并提升团队表现。这对于住院医师培训项目尤为重要，因为工作时长减少和住院医师数量众多可能会减少住院医师培训期间的教育机会，实际操作的机会减少且培训时间延长。在此背景下，游戏化在教学活动中颇受欢迎。本报告描述了在新生儿复苏背景下竞赛形式的实施情况以及参与者对教育体验的看法。
31个由三名意大利儿科住院医师组成的团队参加了为期三天的新生儿复苏模拟竞赛。活动包括一场 introductory lecture、熟悉时间以及使用高保真模拟站以类似锦标赛的结构进行的竞赛时间。每场比赛由新生儿复苏专家进行评估，并在赛后进行总结汇报。模拟站1的场景和总结汇报在中央礼堂进行了现场直播，未参赛的团队可以在那里观看。活动结束时，参与者收到了一份关于他们对教育体验看法的在线调查。
93名参与者中有81名（87%）完成了调查。活动前的培训主要包括复习规程和教科书。低保真人体模型是住院医师培训项目中最常用的模拟工具。总体而言，参与者对活动感到满意，并赞赏礼堂中场景和总结汇报的现场直播。大多数参与者认为该活动提高了他们的知识和自信心，并促使他们更多地参与高保真模拟。建议改进的方面包括增加熟悉时间以及在总结汇报期间改善评委与参与者之间的沟通。
参与者对模拟竞赛表示赞赏。他们自我感知到了该活动的教育影响，并认为它提高了他们的知识和自信心。我们的研究结果为后续版本提出了改进方向，也可为其他机构提供教育模式参考。
