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Simulation Platforms to Train and Assess Pediatric Acute Care Procedural Skills: A Scoping Review
Shayan Novin1, Tehrim Younas1, Jessie Xu1
1Faculty of Health Sciences McMaster University Hamilton Ontario Canada.
AEM Education and Training
|July 28, 2025
Summary
Simulation-based training enhances pediatric emergency medicine (PEM) skills for medical trainees. This review highlights the use of simulation for procedures like intubation and lumbar puncture, emphasizing the need for diverse platforms and standardized assessments.
Area of Science:
- Medical Education
- Simulation Technology
- Pediatric Emergency Medicine
Background:
- Medical trainees face limited clinical practice for critical pediatric emergency medicine (PEM) procedures.
- Simulation-based education offers a vital avenue for enhancing both technical and non-technical skills in a controlled environment.
Purpose of the Study:
- To conduct a scoping review exploring the application of simulation in training and assessing medical learners in PEM.
- To identify the methodologies and outcomes of simulation-based training for essential pediatric procedures.
Main Methods:
- A comprehensive literature search was performed from 2011 to August 2022 across major databases (MEDLINE, Embase, Emcare, Cochrane Trials).
- Included empirical studies focused on simulation for training in intubation, lumbar puncture, intraosseous insertion, and chest tube insertion.
- Six reviewers independently screened articles, and data were extracted and summarized systematically.
Main Results:
- The review analyzed 107 studies, with a significant focus on intubation (69 studies) and lumbar puncture (19 studies).
- Training primarily involved residents (61 studies) using mannequins (84 studies) as the predominant simulation platform.
- Competency assessment predominantly relied on assessment tools as the sole method in 45 studies.
Conclusions:
- Simulation-based training and assessment are effective for developing essential PEM technical and non-technical skills in medical learners.
- There is a critical need to diversify simulation platforms, broaden the scope of procedures covered, and develop standardized, procedure-specific assessments.
