Traditional Poster Round
Background: : High fidelity simulation (HFS) is a growing trend in medical education, from full-scale simulators to part-task trainers. Fellow-level simulation-based programs are increasingly common in pediatric anesthesia education.1 However, there is less experience with junior trainees who often find their first pediatric rotation daunting.2 Unique challenges of pediatric anesthesiology include new hands-on skills, equipment, and a different care flow model.
Research Question: : Does an immersive pediatric hands-on simulation program incorporating rapid cycle deliberate practice (RCDP) improve anesthesia residents' preparedness for pediatric anesthesia?3
Methodology: : A robust three-hour simulation curriculum was developed for junior learners targeting pediatric specific challenges previously identified through resident and attending feedback. Each session is interactive, tailored to the learners’ knowledge levels, and flexible in allowing the participants to pause or slow down the scenarios. Utilizing RCDP, three HFS scenarios progress in a step-wise fashion from simple to complex. The sessions are led by faculty trained in simulation facilitation. Cases are repeated as needed for additional practice, comfort and competency. Content focuses on pediatric airway equipment, ancillary equipment, pharmacology, workflow, and the ability to identify and treat common complications.
Results: : Post-participant simulation evaluations were completed (n=9). Additionally, non-participant residents were surveyed (n=22) and attendings (n=11). Selected sample data presented as percentages (%). For the participating residents, there was a statistically significant increase in perceived knowledge for each area targeted in the simulation (Figure 1). Notably, participants agreed that their knowledge of pediatric perioperative workflow (100%, p=0.004) and airway equipment (89%, p=0.008) increased to an appropriate pre-rotation level. All agreed that simulation is an ideal tool to use for pediatric anesthesiology rotation preparation.
Discussion/Conclusions: : In prior decades, the adage was “See one, do one, and then teach one”. Simulation affords us the opportunity to modify this adage to “See some, practice, practice, practice and then do some.” HFS with RCDP is an ideal tool to address the unique challenges of pediatric anesthesia education, aiding our residents’ confidence, competence and accelerating their learning curves. Future direction for our project is to develop pre-simulation video component with primer clips highlighting proper equipment usage, such as the pediatric intravenous sets. Additionally, we plan to continue assessment of the curriculum through pre- and post- simulation exposure evaluations. In conclusion, HFS utilizing RCDP is an innovative and effective educational model for enhancing preparedness and improving residents’ pediatric anesthesia appropriate pre-rotation knowledge.