How Much Training Is Enough? Low-Dose, High-Frequency Simulation Training and Maintenance of Competence in Neonatal...

Area of Science:

• Medical Education
• Neonatal Resuscitation
• Simulation Training

Background:

• Facemask ventilation is critical but challenging in neonatal resuscitation.
• Previous studies showed instructor-led simulation training improved healthcare provider (HCP) competence.
• This study aimed to determine optimal simulation training frequency and dose for sustained competence.

Purpose of the Study:

• To identify the optimal frequency and dose of simulation training for maintaining neonatal ventilation competence.
• To analyze the impact of training frequency and dose on specific ventilation skill elements.
• To establish training parameters for individualized neonatal resuscitation education.

Main Methods:

• A prospective observational study tracked HCPs over 9 months.
• Ventilation competence scores were calculated based on 7 skill elements.
• Generalized linear mixed effects models analyzed frequency and dose as predictors of competence.

Main Results:

• 156 HCPs completed 4348 training cases.
• Performing ≥5 sessions in 9 months predicted high global competence scores.
• Training frequency predicted airway patency and ventilation fraction; dose impacted global performance and ventilation rate.

Conclusions:

• Training frequency is crucial for maintaining overall neonatal ventilation competence.
• Specific skill elements benefit from varying training frequencies and doses.
• Findings support individualized training schedules for neonatal resuscitation.