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Published on: January 15, 2017
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Improving the Pediatric Emergency Department Learning Experience: A Simulation-Based Orientation for Pediatric PGY 1
Nicholas F Holzemer1, Elaine S Pomeranz2, Sarah Tomlinson3
1Resident, Internal Medicine-Pediatrics, Michigan Medicine.
Summary
A new simulation-based orientation improved pediatric emergency department (PED) interns' confidence in managing critically ill children. This training enhanced decision-making and preparedness for stabilizing acute pediatric cases.
Area of Science:
- Medical Education
- Pediatric Emergency Medicine
- Simulation-Based Learning
Background:
- Pediatric emergency department (PED) rotations offer limited exposure to critically ill patients for residents.
- Interns often report low self-confidence in decision-making and patient stabilization skills.
- A need exists for improved preparedness among residents entering PED rotations.
Observation:
- A novel, peer-led, simulation-based orientation was developed for first-year residents entering the PED rotation.
- The curriculum focused on critical workflow and decision-making skills using high-fidelity simulation mannequins and practical case scenarios.
Findings:
- Thirty-nine residents participated over two years, with significant pre- and post-intervention increases in confidence in decision-making and preparedness.
- Improvements in confidence were observed compared to a control group, and subsequent implementation showed similar gains and increased comfort initiating treatment.
Implications:
- Simulation-based orientation is effective in enhancing resident preparedness and confidence in the PED.
- This approach can improve the early learning curve for new residents in pediatric emergency medicine.
