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High-fidelity patient simulation mannequins to facilitate aerodigestive endoscopy training
1Division of Pediatric Otolaryngology, Alfred I. DuPont Hospital for Children, PO Box 269, Wilmington, DE 19899, USA. edeutsch@nemours.org
Objective:
To evaluate the perceived value of aerodigestive endoscopy training using high-fidelity simulation.
Design:
Self-reported survey.
Setting:
Pediatric tertiary care hospital.
Participants:
Consecutive sample of otolaryngology residents and 1 fellow during the 2006-2007 academic year.
Interventions:
Foreign body aspiration and ingestion were simulated in a high-fidelity, computer-assisted infant simulation mannequin. Avoidance of complications and successful removal required teamwork and responsiveness to the mannequin's physiologic characteristics in addition to dexterity with instruments.
Main Outcome Measures:
Postcourse 5-point Likert scale and subjective evaluation of perceived realism reported by participants.
Results:
Participant response was generally positive. Ratings were highest for training cognitive and psychomotor endoscopy skills, preventing and managing complications, and facilitating team process. Overall realism and appropriate "feel" showed opportunity for improvement.
Conclusion:
Pediatric otolaryngology trainees perceive that high-fidelity patient simulation facilitates acquisition of aerodigestive endoscopy skills, especially in training cognitive and psychomotor endoscopy skills, preventing and managing complications, and facilitating team process.
