Traditional Poster Round
Background: Pediatric critical care fellows need to develop an extensive understanding of complex pathophysiology during their training and are expected to be engaged and effective teachers. The simulation-based pediatric critical care curriculum we present encourages the fellows to develop their own simulation scenario as a tool to engage the rest of their colleagues in learning complex pathophysiology.
Approach: Each month, critical care fellows with the guidance of a faculty mentor develop a simulation case covering a specific pathophysiologic process, based on the ABP content outline for pediatric critical care medicine. The three representative scenarios require participants to acutely manage: 1) altered mental status 2) sepsis and acute kidney injury, and 3) status epilepticus in the setting of autoimmune encephalitis. The simulations are followed by a structured debrief and then a 30-minute interactive didactic session covering the pathophysiology from the case.
Results: From the 3 case scenarios presented, the majority of fellows indicated that the content was relevant to his or her clinical practice, that the case was challenging and that this simulation event will improve their clinical practice. Fellows report high levels of engagement in the learning and teaching process.
Discussion: This fellow-developed simulation curriculum is novel and highlights the importance for critical care fellows’ understanding of realistic clinical scenarios while promoting advanced management skills with a pathophysiology focus. In addition, the fellows are gaining skills in teaching and simulation development.