Scaglione Marco, Calandrino Andrea, Puzone Laura, Bottino Giovanni, Conte Alessio, Striano Pasquale, Maghnie Mohamad
Department of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, 16132, Italy.
Department of Maternal and Neonatal Health, Neonatal Intensive Care Unit, IRCCS Giannina Gaslini Institute, Genoa, 16147, Italy.
Adv Med Educ Pract. 2025 Sep 3;16:1621-1626. doi: 10.2147/AMEP.S518814. eCollection 2025.
The reduction in clinical rotation hours, particularly in high-demand pediatric subspecialties such as Neonatal Intensive Care Units (NICU) and Pediatric Emergency Rooms (ER), has highlighted the need for innovative approaches to enhance pediatric residency education. A 2019 survey of Italian pediatric residency programs revealed that most residents receive fewer than five hours of simulation-based training annually, with 66% participating in no simulation activities. Additionally, pediatric ER rotation hours have seen significant reductions-daytime rotations decreased by 29%, while nighttime rotations were reduced by 60% over the past four years at the University of Genoa. These challenges emphasize the importance of simulation-based curricula to address gaps in clinical exposure.This study presents a gamified simulation-based curriculum developed at the University of Genoa, designed to improve both technical and non-technical competencies among pediatric residents while compensating for reduced clinical exposure. The curriculum spans five years, with Year 1 focusing on foundational skills such as airway management, vascular access, and diagnostic techniques. Year 2 introduces more advanced scenarios like neonatal resuscitation, shock management, and cardiac arrest, while Years 3-5 culminate in high-fidelity simulations involving complex trauma and crisis resource management.Throughout the program, gamification elements such as badges, leaderboards, and team-based rewards enhance engagement, motivation, and participation. These elements provide feedback and foster progression, reinforcing residents' commitment to mastering technical skills and non-technical competencies like teamwork, leadership, and decision-making. By combining simulation-based training with gamification, this curriculum offers an innovative approach to residency education, preparing pediatric residents for real-world challenges and developing essential skills for high-stakes pediatric care.
临床轮转时间的减少，尤其是在新生儿重症监护病房（NICU）和儿科急诊室（ER）等高需求儿科亚专业领域，凸显了采用创新方法加强儿科住院医师教育的必要性。2019年对意大利儿科住院医师培训项目的一项调查显示，大多数住院医师每年接受的基于模拟的培训少于5小时，66%的人没有参与任何模拟活动。此外，热那亚大学的数据显示，在过去四年中，儿科急诊室的轮转时间大幅减少——日间轮转减少了29%，夜间轮转减少了60%。这些挑战凸显了基于模拟的课程对于弥补临床接触机会不足的重要性。本研究介绍了热那亚大学开发的一种基于游戏化模拟的课程，旨在提高儿科住院医师的技术和非技术能力，同时弥补临床接触机会的减少。该课程为期五年，第一年侧重于气道管理、血管通路和诊断技术等基础技能。第二年引入更高级的场景，如新生儿复苏、休克管理和心脏骤停，而第三年至第五年则以涉及复杂创伤和危机资源管理的高保真模拟结束。在整个课程中，徽章、排行榜和团队奖励等游戏化元素增强了参与度、动力和参与度。这些元素提供反馈并促进进步，强化住院医师掌握技术技能和非技术能力（如团队合作、领导能力和决策能力）的决心。通过将基于模拟的培训与游戏化相结合，该课程提供了一种创新的住院医师教育方法，使儿科住院医师为现实世界的挑战做好准备，并培养应对高风险儿科护理所需的基本技能。
