Related Experiment Video
Updated: May 1, 2026

Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
Impact of virtual simulation vs. Video refresher training on NRP simulation performance: a randomized controlled
R A Umoren1, M M Gray2, R Chitkara3
1University of Washington and Seattle Children's Hospital, Seattle, WA, USA. rumoren@uw.edu.
Objective:
To assess the impact of NRP virtual simulations (eSim™), video or no refresher training, on simulation performance, six months after a provider course; and to evaluate eSim™ acceptability.
Study Design:
In this multi-site randomized controlled trial, NRP providers from four U.S. institutions were randomized to receive refreshers every two months with NRP eSim™, NRP resuscitation video, or no refresher (control). Simulation performance was assessed immediately after an NRP course and six months later.
Result:
248 participants completed the baseline simulation and 148 completed the six-month follow-up simulation. The majority (71%) of subjects had a decline in resuscitation skills at 6 months. There were no differences in performance between the study groups, but participants who reported using either the video or eSim™ had less decline in performance at the 6-month follow-up (p < 0.05).
Conclusion:
NRP refreshers with either eSim™ or NRP video may mitigate the decline in resuscitation skills after training.

