High-fidelity simulation in pediatric emergency

First experience in pediatric postgraduates and residents training

Authors

  • Javier Prego Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Hospital Pediátrico. Emergencia Pediátrica. Profesor
  • Andrea Gerolami Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Departamento de Emergencia Pediátrica. Prof. Adj
  • Mariana Más Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Departamento de Pediatría y Especialidades. Prof. Adj
  • Fabiana Morosini Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Departamento de Emergencia Pediátrica. Asist. de Clínica
  • Alejandra Cedrés Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Departamento de Emergencia Pediátrica. Asist. de Clínica
  • Sebastián Rocha Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Departamento de Emergencia Pediátrica. Asist. de Clínica
  • Alicia Dalgalarrondo Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Departamento de Emergencia Pediátrica. Asist. de Clínica
  • Patricia Dall’ Orso Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Departamento de Emergencia Pediátrica. Prof. Agregado

Keywords:

SIMULATION, MEDICAL EDUCATION, PEDIATRICS

Abstract

Introduction: high-fidelity simulation in the health context appears to be an innovative strategy to train students, since they undertake an active role that them enables to face situations that are similar to real life situations, in a protected an risk-free environment.
Objectives: to communicate the first high-fidelity simulation experience that includes pediatric emergency scenarios, geared to pediatric postgraduate students.
Method: two workshops were organized: cardiopulmonary resuscitation (CPR) and initial pediatric trauma care. Learning outcomes were defined, cases and problems were selected, as well as the number of students and professors, skills to be developed and material needed were agreed, and a check-list was prepared for each activity which included three stages: briefing, scenario y debriefing.
Results: fifty eight postgraduates took part in the workshops. The chance to be trained in emergency situations, learning through the identification of mistakes and teamwork were identified as strengths. Weaknesses found included scenario credibility and roles played. The quantitative assessment of the activity accounted for 8.7; median was 9.
Discussion: the methodology was widely accepted. The study pointed out the need to repeat training courses with the purpose of maintaining the level of skills. Developing learning techniques that enable training in practical activities without compromising patients’ safety constitutes a challenge for professors. High-fidelity simulation contributes to accomplishing skills and it is likely to gain more spaces and adherents.
Conclusions: high-fidelity simulation as a teaching method applied to pediatric emergency training was assessed as a good experience for pediatric postgraduates and residents.

References

(1) Palés Argullós JL, Gomar Sancho C. El uso de las simulaciones en Educación Médica. TESI 2010; 11(2):147-69. Disponible en: http://campus.usal.es/~revistas_trabajo/index.php/revistatesi/article/view/7075/7108. Consulta: 23 de enero 2012.
(2) Weinberg ER, Auerbach MA, Shah NB. The use of simulation for pediatric training and assessment. Curr Opin Pediatr 2009; 21(3):282-7.
(3) Ruza Tarrío FJ, de la Oliva Senovilla P. La simulación en pediatría: revolución en la formación pediátrica y garantía para la calidad asistencial. An Pediatr (Barc) 2010; 73(1):1-4.
(4) Crujieras Martínez V, Oulejo Erroz I, Martinón Torres N, Rodríguez Núñez A. ¿Pueden adquirir los residentes habilidades sin comprometer la seguridad del paciente? El ejemplo de la canalización venosa central. An Pediatr (Barc) 2010; 73(3):286-7.
(5) Carrillo Alvarez A, Calvo Macías C. Educación y robótica: simulación médica en pediatría, un futuro prometedor. An Pediatr (Barc) 2008; 68(6):541-3.
(6) Rey Grazzia, Visconti A, Balager E, Martínez J. Uso de simuladores en ginecología y obstetricia: experiencia en la enseñanza de pregrado. Educación Médica 2006; 9(4B):229-33.
(7) Jeffries P. Rogers K. Theoretical framework for simulation desing. En: Jeffries PR, ed. Simulation in nursing education: from conceptualization to evaluation. 2 ed. New York: National League for Nursing, 2012:25-42.
(8) Aschenbrenner D, Braun Milgrom L, Settles J. Designing simulation scenarios to promote learning. En: Jeffries PR, ed. Simulation in nursing education: from conceptualization to evaluation. 2 ed. New York: National League for Nursing, 2012:43-74.
(9) Dreifuerst K, Decker S. Debriefing: an essential component for learning in simulation pedagogy. En: Jeffries PR, ed. Simulation in nursing education: from conceptualization to evaluation. 2 ed. New York: National League for Nursing, 2012:105-30.
(10) Adamson K, Jeffries P, Rogers K. Evaluation: a critical step in simulation practice and research. En: Jeffries PR, ed. Simulation in nursing education: from conceptualization to evaluation. 2 ed. New York: National League for Nursing, 2012:131-62.
(11) Madenci AL, Solis CV, de Moya MA. Central venous access by trainees: a systematic review and meta-analysis of the use of simulation to improve success rate on patients. Simul Healthc 2014; 9(1):7-14.
(12) Foell K, Finelli A, Yasufuku K, Bernardini MQ, Waddell TK, Pace KT, et al. Robotic surgery basic skills training: evaluation of a pilot multidisciplinary simulation-based curriculum. Can Urol Assoc J 2013; 7(11-12):430-4.
(13) Maddox RW, Schmid RJ. New frontiers in medical education: simulation technology at Campbell University School of Osteopathic Medicine. N C Med J 2014; 75(1):59-61.
(14) Hamaoui K, Sadideen H, Saadeddin M, Onida S, Hoey AW, Rees J. Is it time for integration of surgical skills simulation into the United Kingdom undergraduate medical curriculum? A perspective from King’s College London School of Medicine. J Educ Eval Health Prof 2013; 10:10.

Published

2014-12-31

How to Cite

1.
Prego J, Gerolami A, Más M, Morosini F, Cedrés A, Rocha S, et al. High-fidelity simulation in pediatric emergency: First experience in pediatric postgraduates and residents training. Rev. Méd. Urug. [Internet]. 2014 Dec. 31 [cited 2024 Sep. 7];30(4):247-54. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/232

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