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Pediatric heart disease simulation curriculum: Educating the pediatrician
Tyler H Harris1, Mark Adler2, Sharon M Unti3
1Division of Cardiology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh Medical School, Pittsburgh, Pennsylvania, USA.
Congenital Heart Disease
|May 27, 2017
Summary
A simulation-based cardiac curriculum significantly improved pediatric residents' ability to manage acute cardiac patients, with knowledge retained over several months. This training addresses a critical gap in pediatric education.
Area of Science:
- Medical Education
- Pediatric Cardiology
- Simulation-Based Training
Background:
- Pediatricians require skills in diagnosing, managing, and triaging pediatric cardiac disease.
- Resident exposure to acute cardiac conditions has decreased, creating a training gap.
- Simulation training is a proven method for acute care education.
Purpose of the Study:
- To evaluate the effectiveness of a simulation-based cardiac curriculum for pediatric residents.
- To determine if the curriculum improves residents' management of cardiac patients.
- To assess knowledge retention after the simulation intervention.
Main Methods:
- Pediatric residents participated in 4 simulation cases with debriefing and a computer presentation.
- Knowledge and skills were assessed pre-intervention, and at 1 and 4-6 months post-intervention.
- Performance was scored using a dichotomous checklist, with repeated measure ANOVA and ICC for analysis.
Main Results:
- Residents showed significant improvement (P < .05) in managing all 4 cardiac cases post-intervention.
- No significant knowledge decay was observed at 4-6 months.
- Large effect sizes (1.1–2.1) indicated meaningful improvement, with good inter-rater reliability (ICC 0.61–0.93).
Conclusions:
- A novel simulation-based curriculum effectively addresses a gap in pediatric resident training for acute cardiac conditions.
- The curriculum demonstrates sustained improvement and knowledge retention.
- The program is planned for expansion and has been integrated into the cardiology rotation.
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