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Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship

OBJECTIVE: To implement a curriculum using simulation and skills training to augment a Pediatric Emergency Medicine (PEM) rotation within a pediatric clerkship. BACKGROUND: PEM faculty are often challenged with a high learner to teacher ratio in a chaotic clinical setting. This challenge was heighte...

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Autores principales: Fielder, Elaine K., Lemke, Daniel S., Doughty, Cara B., Hsu, Deborah C., Middleman, Amy B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4666893/
https://www.ncbi.nlm.nih.gov/pubmed/26626927
http://dx.doi.org/10.3402/meo.v20.29618
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author Fielder, Elaine K.
Lemke, Daniel S.
Doughty, Cara B.
Hsu, Deborah C.
Middleman, Amy B.
author_facet Fielder, Elaine K.
Lemke, Daniel S.
Doughty, Cara B.
Hsu, Deborah C.
Middleman, Amy B.
author_sort Fielder, Elaine K.
collection PubMed
description OBJECTIVE: To implement a curriculum using simulation and skills training to augment a Pediatric Emergency Medicine (PEM) rotation within a pediatric clerkship. BACKGROUND: PEM faculty are often challenged with a high learner to teacher ratio in a chaotic clinical setting. This challenge was heightened when our pediatric clerkship's traditional 1-week PEM rotation (consisting of 4 students completing four 8-hour ED shifts/week) expanded to 8 students every 2 weeks. We sought to meet this challenge by integrating simulation-based education into the rotation. METHODS: Clerkship students from March to June 2012 completed our traditional rotation. Students between July and October 2012 completed the new PEM-SIM curriculum with 19 hours ED shifts/week and 16 hours/week of simulation/skills training. Pre/post-tests evaluated 1) medical management/procedural comfort (five-point Likert scale); and 2) PEM knowledge (15 multiple-choice questions). RESULTS: One hundred and nine students completed the study (48 traditional, 61 PEM-SIM). Improvement in comfort was significantly higher for the PEM-SIM group than the traditional group for 6 of 8 (75%) medical management items (p<0.05) and 3 of 7 (43%) procedures, including fracture splinting, lumbar puncture, and abscess incision/drainage (p<0.05). PEM-SIM students had significantly more improvement in mean knowledge compared to the traditional group (p<0.001). CONCLUSIONS: We have successfully integrated 16 hours/week of faculty-facilitated simulation-based education into a PEM rotation within our clerkship. This curriculum is beneficial in clinical settings with high learner to teacher ratios and when patient care experiences alone are insufficient for all students to meet rotation objectives.
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spelling pubmed-46668932015-12-10 Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship Fielder, Elaine K. Lemke, Daniel S. Doughty, Cara B. Hsu, Deborah C. Middleman, Amy B. Med Educ Online Trend Article OBJECTIVE: To implement a curriculum using simulation and skills training to augment a Pediatric Emergency Medicine (PEM) rotation within a pediatric clerkship. BACKGROUND: PEM faculty are often challenged with a high learner to teacher ratio in a chaotic clinical setting. This challenge was heightened when our pediatric clerkship's traditional 1-week PEM rotation (consisting of 4 students completing four 8-hour ED shifts/week) expanded to 8 students every 2 weeks. We sought to meet this challenge by integrating simulation-based education into the rotation. METHODS: Clerkship students from March to June 2012 completed our traditional rotation. Students between July and October 2012 completed the new PEM-SIM curriculum with 19 hours ED shifts/week and 16 hours/week of simulation/skills training. Pre/post-tests evaluated 1) medical management/procedural comfort (five-point Likert scale); and 2) PEM knowledge (15 multiple-choice questions). RESULTS: One hundred and nine students completed the study (48 traditional, 61 PEM-SIM). Improvement in comfort was significantly higher for the PEM-SIM group than the traditional group for 6 of 8 (75%) medical management items (p<0.05) and 3 of 7 (43%) procedures, including fracture splinting, lumbar puncture, and abscess incision/drainage (p<0.05). PEM-SIM students had significantly more improvement in mean knowledge compared to the traditional group (p<0.001). CONCLUSIONS: We have successfully integrated 16 hours/week of faculty-facilitated simulation-based education into a PEM rotation within our clerkship. This curriculum is beneficial in clinical settings with high learner to teacher ratios and when patient care experiences alone are insufficient for all students to meet rotation objectives. Co-Action Publishing 2015-11-30 /pmc/articles/PMC4666893/ /pubmed/26626927 http://dx.doi.org/10.3402/meo.v20.29618 Text en © 2015 Elaine K. Fielder et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
spellingShingle Trend Article
Fielder, Elaine K.
Lemke, Daniel S.
Doughty, Cara B.
Hsu, Deborah C.
Middleman, Amy B.
Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship
title Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship
title_full Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship
title_fullStr Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship
title_full_unstemmed Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship
title_short Development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship
title_sort development and assessment of a pediatric emergency medicine simulation and skills rotation: meeting the demands of a large pediatric clerkship
topic Trend Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4666893/
https://www.ncbi.nlm.nih.gov/pubmed/26626927
http://dx.doi.org/10.3402/meo.v20.29618
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