Board #146 - Research Abstract Longitudinal Assessment of Trainees' Pediatric Code Leadership Through Simulation (Submission #10193).

Hypothesis: Pediatric codes are not common, so training opportunities are limited to simulation-based training. Simulation-based pediatric mock code curricula have demonstrated their educational1-2 impact on clinical outcomes.3 A simulation-based Clinical Resuscitation Skills curriculum allows trainees to assume the leadership role during a pediatric code in a safe environment. To assess code leadership skills, an assessment form was created to be completed by the trainee, their peers and a faculty evaluator. We hypothesize mock code simulation with immediate assessment will identify trainee performances gaps to guide timely remediation. Methods: This proposal retrospectively reviews the assessments of mid and senior level trainees in pediatric code resuscitation skills from October 2008-December 2012. Participating trainees were either midlevel or senior residents within both Pediatrics and Medicine/Pediatrics programs at our institution. Trainees performed at least 1 mock code during their residency. The majority of the mock codes took place within our Clinical Simulation Center without prior warning to the trainees. A variety of simulation manikins were used for the testing, and scenarios included standard practice of airway skills, rhythm recognition, hemodynamic assessment, and global patient evaluation. The assessment tool consisted of eight items rated on 5-point scales ranging from 1(unacceptable) to 5 (outstanding). A many-facet Rasch model4 was used to compare facul...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - Category: Medical Equipment Tags: Abstracts: 2ND PLACE AWARD WINNER: PDF Only Source Type: research