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Rapid Cycle Deliberate Practice Simulation Curriculum Improves Pediatric Trauma Performance: A Prospective Cohort
Diana Hou Yan1, Mark B Slidell, Alisa McQueen
1From the Department of Pediatrics, Section of Emergency Medicine (D.H.Y., A.M.), University of Chicago Medicine, Comer Children's Hospital; and Department of Surgery, Section of Pediatric Surgery (M.B.S.), University of Chicago Medicine, Chicago, IL.
Summary
Rapid cycle deliberate practice (RCDP) significantly improved surgical residents' trauma resuscitation survey skills. This training enhanced patient care, demonstrating a rare clinical impact in pediatric trauma simulation studies.
Area of Science:
- Medical Education
- Trauma Resuscitation
- Surgical Skills Training
Background:
- Simulation-based medical education is crucial for refining clinical skills in high-stakes scenarios like trauma resuscitation.
- Adherence to fundamental primary and secondary surveys in trauma resuscitation is often poor, with reported rates as low as 13%.
Purpose of the Study:
- This study evaluated the impact of rapid cycle deliberate practice (RCDP) on the retention of primary and secondary survey skills among surgical residents.
- The hypothesis was that RCDP training would lead to improved real-world clinical performance in pediatric trauma resuscitations.
Main Methods:
- A RCDP trauma resuscitation curriculum was developed and implemented.
- Videos of trauma resuscitations were scored by blinded reviewers using a modified Pediatric Trauma Assessment Scoring Tool.
- Performance of residents who received the RCDP curriculum was compared to historical and concurrent control groups.
Main Results:
- A total of 188 resuscitation videos were analyzed.
- The RCDP group showed significant improvement in primary survey performance compared to the historical control group (P < 0.001).
- Significant improvements in secondary survey performance were observed in the RCDP group compared to both control groups (P < 0.001).
Conclusions:
- The RCDP curriculum effectively enhanced surgical residents' trauma survey performance.
- The training demonstrated a significant clinical impact on actual patient care, a notable outcome in pediatric trauma simulation research.
