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Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum.

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This summary is machine-generated.

Pediatric medical students significantly improved their management of infant respiratory distress from acute bronchiolitis after simulation training. Further simulation opportunities are recommended for enhanced clinical skills development.

Keywords:
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Area of Science:

  • Pediatric Emergency Medicine
  • Medical Simulation
  • Respiratory Illness

Background:

  • Acute bronchiolitis affects 90% of children under 2, causing 200,000 deaths annually.
  • Current management focuses on respiratory support and prevention.
  • Effective assessment and escalation of care are crucial for healthcare providers.

Purpose of the Study:

  • To evaluate the impact of high-fidelity simulation on pediatric clerkship students' management of respiratory distress in acute bronchiolitis.
  • To assess performance improvement after simulation-based training and debriefing.

Main Methods:

  • A high-fidelity infant simulator was used to model progressing respiratory distress in acute bronchiolitis.
  • Pediatric clerkship students underwent simulation, followed by debriefing and repeat simulation.
  • Performance was measured using a weighted checklist, and student feedback was collected.

Main Results:

  • Student performance improved significantly from 57% to 86% (p < .05) after simulation and debriefing.
  • Donning personal protective equipment was the most common missed item pre- and post-simulation.
  • The simulation course was well-received, with requests for more opportunities.

Conclusions:

  • Simulation-based training effectively improved pediatric students' management of respiratory distress in acute bronchiolitis.
  • Performance-based assessment tools can provide valid evidence of learning.
  • Increased simulation opportunities and faculty diversity are recommended for future training.