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Improving Procedural Skill Confidence in Pediatric Residents: A Longitudinal Simulation-Based Workshop Curriculum.
Lydia Maleknia1, Vanessa Boshuizen2, Heather Caputo3
1Fellow, Department of Pediatric Hospital Medicine, Kaiser Permanente Oakland Medical Center.
Summary
A yearlong simulation curriculum significantly boosted pediatric residents' procedural confidence. Repeated exposure through recurring workshops improved comfort levels, addressing a key educational gap.
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.
