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Improved Team Performance During Pediatric Resuscitations After Rapid Cycle Deliberate Practice Compared With
Daniel S Lemke1, Elaine K Fielder, Deborah C Hsu
1From the Department of Pediatrics, Section of Emergency Medicine, Baylor College of Medicine, Houston, TX.
Pediatric Emergency Care
|October 15, 2016
Summary
Rapid cycle deliberate practice (RCDP) simulation showed a trend toward improved team performance and significantly better human factors skills compared to traditional simulation methods in pediatric resuscitation training. Further research is needed to optimize RCDP applications.
Area of Science:
- Medical Education
- Simulation-Based Training
- Pediatric Resuscitation
Background:
- Simulation-based medical education (SBME) enhances medical knowledge.
- Traditional SBME prioritizes debriefing over skill practice.
- Rapid cycle deliberate practice (RCDP) offers repetitive skill practice with feedback, previously shown to improve individual resuscitation skills.
Purpose of the Study:
- To compare the effectiveness of traditional SBME with RCDP in pediatric resuscitation training.
Main Methods:
- Development of four pediatric resuscitation cases (3 for teaching, 1 for testing).
- Deconstruction of traditional cases into progressive rounds for RCDP.
- Learners received either traditional or RCDP instruction over two days.
- Pretest and posttest performance assessed via video recording and the Simulation Team Assessment Tool; satisfaction surveys collected.
Main Results:
- No significant difference in pretest team performance between groups.
- RCDP group showed a 7.2% improvement in overall performance versus 0.8% in the traditional group.
- Statistically significant improvement in human factors subscore for RCDP (10.2%) compared to traditional (1.7%).
- RCDP was well-received but induced learner fatigue.
Conclusions:
- RCDP demonstrates a trend towards improved team performance and significantly enhances human factors in pediatric resuscitation simulation.
- Further studies are required to establish optimal RCDP applications, suitable learners, and learning objectives.
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