A Comparison of Telesimulation Using the Virtual Resus Room and In Situ Simulation in Pediatric Emergency Medicine

Area of Science:

• Medical Education
• Simulation Technology
• Healthcare Training

Background:

• The COVID-19 pandemic accelerated the adoption of telesimulation in medical education.
• Limited comparative data exists on the effectiveness of online versus in-person simulation methods.
• Assessing learner perceptions is crucial for refining simulation-based training.

Purpose of the Study:

• To compare learner-perceived effectiveness of telesimulation versus in situ simulation.
• To identify limitations of current online medical education platforms.
• To evaluate telesimulation's impact on self-efficacy, fidelity, educational value, and teaching quality.

Main Methods:

• Participants (residents, students, nurses, PAs) evaluated telesimulation (Virtual Resus Room) and in situ simulation.
• A modified Michigan Standard Simulation Experience Scale was used for evaluations.
• Statistical analysis (Wilcoxon rank sum tests) compared survey responses.

Main Results:

• In situ simulation received higher overall ratings than telesimulation.
• Significant differences favored in situ simulation for perceived realism and training utility (device- and team-building skills).
• No significant differences were found in physical examination fidelity, instructor adequacy, or self-efficacy perception.

Conclusions:

• Telesimulation (VRR) is comparable to in situ simulation for self-efficacy and teaching quality in pediatric emergency medicine.
• Learners perceived limitations in practicing tactile and communication skills via telesimulation.
• Enhancements are needed in telesimulation to improve fidelity and educational value.