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Improving Procedural Skill Confidence in Pediatric Residents: A Longitudinal Simulation-Based Workshop Curriculum.

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Area of Science:

  • Medical Education
  • Pediatric Residency Training
  • Simulation-Based Learning

Background:

  • Pediatric residency graduates often lack confidence in performing essential procedures, highlighting a significant curricular challenge.
  • Current simulation training is frequently limited in scope, duration, and procedural coverage.
  • There is a need for comprehensive, longitudinal simulation curricula to enhance procedural competency.

Purpose of the Study:

  • To develop and evaluate a comprehensive, yearlong, simulation-based curriculum for pediatric residents.
  • To improve resident confidence in performing a wide range of pediatric procedures through recurring workshops.
  • To assess the impact of a longitudinal simulation curriculum on procedural skill confidence.

Main Methods:

  • A longitudinal curriculum featuring monthly workshops using low- and high-fidelity simulators for 17 pediatric procedures was implemented.
  • Comprehensive facilitator guides, including equipment lists, instructions, competency checklists, and quizzes, were developed for each workshop.
  • Correlation between workshop attendance and skill confidence was analyzed, alongside pre- and post-curriculum ACGME exit survey data.

Main Results:

  • Graduate confidence in performing procedures increased from 50% to 66% after curriculum implementation.
  • The percentage of graduates feeling uncomfortable with procedures decreased from 40% to 22%.
  • A strong positive correlation was observed between repeated workshop attendance and increased procedural confidence (R² range, .60-.99).

Conclusions:

  • Longitudinal, simulation-based education effectively enhances learner confidence in procedural skills.
  • The developed curriculum, emphasizing repetition, can be adopted by other programs to improve resident preparedness.
  • The curriculum's sustainability is supported by the use of cost-effective low-fidelity simulators and adaptable instructional guides.