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Implementing a Multidisciplinary Trauma Simulation Curriculum for Pediatric Emergency Medicine Fellows.

Carissa Bunke1,2, Heather Hartman2,3, Alisha Ching2

  • 1Department of Pediatric Emergency Medicine, Children's Minnesota, Minneapolis, MN.

Pediatric Emergency Care
|December 24, 2025
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Summary

Pediatric trauma training improved fellows' comfort with technical skills, including traction splint application and massive transfusion protocols. This trauma simulation curriculum provides a foundation for better pediatric emergency care.

Keywords:
fellowshipmedical educationpediatric emergency medicinesimulationtrauma

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Area of Science:

  • Medical Education
  • Pediatric Emergency Medicine
  • Trauma Surgery

Background:

  • Unintentional injury is a major cause of childhood morbidity and mortality.
  • Pediatric trauma resuscitation training is mandated but lacks established best practices.
  • Existing pediatric trauma training data is limited, highlighting a need for improved curricula.

Purpose of the Study:

  • To identify knowledge gaps in pediatric trauma training.
  • To implement and evaluate a novel trauma simulation curriculum for Pediatric Emergency Medicine (PEM) fellows.
  • To assess changes in fellows' comfort levels with trauma skills post-curriculum implementation.

Main Methods:

  • Utilized Kern's 6-step model for curriculum design.
  • Conducted a needs assessment across PEM faculty, fellows, pediatric surgery, and nursing staff.
  • Implemented a year-long curriculum with 11 simulation cases and 3 didactic sessions, assessed via pre/post surveys (Kirkpatrick levels 1 & 2).

Main Results:

  • Fellows showed significantly improved comfort with overall technical skills (P < 0.05).
  • Statistically significant gains were observed in traction splint application and initiating massive transfusion protocols (P < 0.05).
  • Positive trends noted in skills like vascular access, pelvic binder placement, ICP management, and leadership, though faculty perceptions showed no significant change.

Conclusions:

  • The developed longitudinal pediatric trauma curriculum shows promise for enhancing fellow competency.
  • The study demonstrated improved fellow comfort in trauma resuscitation, particularly technical skills, at Kirkpatrick Level 1.
  • Future research should focus on larger sample sizes, refined skills assessment, and broader trauma team inclusion.