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Updated: Jan 18, 2026

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Enhancing Pediatric Residency Training Through Peer-Education Based Gamified Simulation.

Marco Scaglione1, Andrea Calandrino1,2, Laura Puzone1

  • 1Department of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, 16132, Italy.

Advances in Medical Education and Practice
|September 10, 2025
PubMed
Summary
This summary is machine-generated.

Reduced pediatric residency clinical hours necessitate innovative training. A gamified simulation curriculum enhances technical and non-technical skills, improving pediatric resident preparedness for critical care scenarios.

Keywords:
Simulationgamificationnon-technical skillspeer-educationresidentstechnical skillstraining

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Area of Science:

  • Medical Education
  • Pediatric Training
  • Simulation-Based Learning

Background:

  • Decreased clinical rotation hours in pediatric subspecialties like Neonatal Intensive Care Units (NICU) and Pediatric Emergency Rooms (ER) impact residency training.
  • A 2019 survey indicated minimal simulation-based training (fewer than five hours annually) for most Italian pediatric residents.
  • Significant reductions in pediatric Emergency Room (ER) rotation hours have been observed, necessitating alternative educational strategies.

Purpose of the Study:

  • To present a gamified simulation-based curriculum designed to enhance pediatric residents' technical and non-technical competencies.
  • To address the educational gaps created by reduced clinical exposure in pediatric residency programs.
  • To improve resident preparedness for high-stakes pediatric care through innovative training methods.

Main Methods:

  • Development of a five-year gamified simulation curriculum at the University of Genoa.
  • Curriculum progression from foundational skills (Year 1) to advanced scenarios and high-fidelity simulations (Years 2-5).
  • Integration of gamification elements (badges, leaderboards, team rewards) to boost engagement and motivation.

Main Results:

  • The curriculum aims to improve both technical skills (e.g., airway management, resuscitation) and non-technical competencies (e.g., teamwork, leadership).
  • Gamification elements are designed to enhance resident motivation, participation, and skill mastery.
  • The program provides a structured approach to developing essential skills for pediatric critical care.

Conclusions:

  • Gamified simulation offers an innovative solution to the challenges posed by reduced clinical hours in pediatric residency.
  • This approach effectively enhances resident preparedness for real-world pediatric emergencies.
  • The curriculum fosters the development of critical technical and non-technical skills vital for high-stakes pediatric care.