Traditional Poster Round
Simulation, medical education, gold standard video, pediatrics
High-fidelity simulation is particularly useful to resident curriculums in teaching management of pediatric resuscitations, to which there is limited clinical exposure (1). The optimization of the educational experience during simulated pediatric resuscitations is therefore critical for resident knowledge and skill acquisition. There is a notable gap in the literature regarding the efficacy of supplementing simulation experiences with gold standard videos, which show experts performing well done resuscitations (2). Given that video production is resource-intensive and resident time is limited, it would be helpful to know the utility of this intervention.
Does gold standard video supplementation during simulated pediatric resuscitation education improve resident performance compared to traditional didactic lecture?
Completed: A study protocol was written and approved by the UMass Medical School Institutional Review Board. A gold standard video modeling optimal pediatric resuscitation management was created. The video script was based on the pediatrics advanced life support (PALS) algorithm for pulseless electrical activity (3). A multidisciplinary team enacted the resuscitation, which was filmed in the UMass Medical School interprofessional Center for Experiential Learning and Simulation (iCels).
In progress: PGY1, 2, 3 (pediatrics and medicine-pediatrics) and PGY4 (medicine-pediatrics) residents at UMass Memorial Hospital will be randomized to the intervention group or control group. All residents will be filmed leading two simulated resuscitations. They will complete surveys before the first simulation and after the second. Between the two simulations, the intervention group will watch the gold-standard video, and the control group will participate in traditional didactic lecture. Blinded study staff will view the recorded simulations, measure the time taken to initiate key steps in resuscitation, and evaluate resident performance using the Clinical Performance Tool (4) and Resuscitation Team Leader Evaluation (5). Survey data will be analyzed to assess preferred learning modality and self-efficacy among the residents.