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A Modified Delphi Study to Prioritize Content for a Simulation-based Pediatric Curriculum for Emergency Medicine
Jennifer Mitzman1, Ilana Bank2, Rebekah A Burns3
1The Ohio State University Wexner Medical Center/Nationwide Children's Hospital Columbus OH.
AEM Education and Training
|November 5, 2020
Summary
This study prioritized pediatric content for emergency medicine (EM) residents, establishing 56 essential simulation-based training items. This consensus will guide the development of a standardized pediatric simulation curriculum for all EM programs.
Area of Science:
- Medical Education
- Emergency Medicine
- Simulation Training
Background:
- Pediatric training in emergency medicine (EM) residencies is crucial but faces challenges due to experience heterogeneity.
- A standardized national simulation curriculum can address these disparities.
- Previous work established a consensus-derived content list for pediatric EM training.
Purpose of the Study:
- To prioritize a previously published set of pediatric curricular content.
- To establish a consensus on essential pediatric simulation-based training items for all EM residency programs.
Main Methods:
- A three-round modified Delphi project involving 73 participants from 10 stakeholder organizations.
- Participants ranked 275 pediatric content items and suggested new ones.
- Consensus was reached on items that definitely must be taught via simulation.
Main Results:
- A total of 56 pediatric items were identified as definitely must be taught using simulation.
- These include 20 resuscitation items, nine nonresuscitation items, and 26 skills.
- 98% of participants completed all three rounds of the Delphi process.
Conclusions:
- A consensus was achieved on 56 core pediatric simulation training topics for EM residents.
- This prioritized list serves as a needs assessment for developing a standardized pediatric simulation curriculum.
- The findings aim to enhance the quality and consistency of pediatric emergency medicine training.

