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Using Simulation in Training Pediatric Residents on Neonatal Abstinence Syndrome Scoring: An Experimental Study.

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Simulation training effectively teaches the Finnegan Neonatal Abstinence Scoring System (FNAS) to pediatric residents, comparable to video methods. Further development is needed for broader, cost-effective interdisciplinary training for Neonatal Abstinence Syndrome (NAS).

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Area of Science:

  • Medical Education
  • Neonatology
  • Clinical Skills Training

Background:

  • Neonatal Abstinence Syndrome (NAS) presents significant risks to newborns exposed to substances prenatally.
  • Effective and timely assessment is crucial to prevent severe morbidity and mortality associated with NAS.
  • The Finnegan Neonatal Abstinence Scoring System (FNAS) is a standard tool for NAS assessment.

Purpose of the Study:

  • To develop and evaluate a simulation-based training model for the FNAS.
  • To compare resident comfort and competency levels between simulation and traditional video training for FNAS.
  • To assess the effectiveness of simulation training in accurately scoring NAS.

Main Methods:

  • A single-blinded randomized intervention study involving 31 pediatric residents.
  • Experimental group received simulation training; control group received video instruction.
  • FNAS scores were compared between resident groups, expert raters, and training modalities.

Main Results:

  • Both simulation and video training groups achieved comparable FNAS scores, aligning with expert raters.
  • Residents in both groups reported similar comfort and competency post-training.
  • First-year residents showed greater perceived improvement in FNAS competency compared to upper-level residents.

Conclusions:

  • Simulation training is a viable standardized method for teaching FNAS administration.
  • Current simulation models may be cost-prohibitive and require further development for broader accessibility.
  • Interdisciplinary training approaches are essential for comprehensive NAS care and FNAS assessment.