title: Learning gains derived from a high-fidelity mannequin-based simulation in the pediatric emergency department.
abstract: There are limited data on the effectiveness of mannequin-based simulations in pediatrics. This study developed a training program using a high-fidelity child mannequin to simulate critical cases in an emergency department, and examined the learning gains derived from this simulation. Eighteen pediatric residents, as pairs, participated in a high-fidelity simulation pretest, training session and a posttest. The training session, developed based on participants' pretest performance, included videotape review, feedback, and hands-on practice, and focused on the improvement of management skills for shock and tachydyspnea. The pre- and posttest performances were scored for task-specific technical skills and behaviors. The learning gains between the pre- and posttests were significant (p < 0.001) for task-specific technical skills (from 64 +/- 15% to 93 +/- 4%) and behaviors (from 65 +/- 18% to 85 +/- 12%). This study suggests that high-fidelity simulation can enhance learning about how to manage critical cases in the pediatric emergency department.
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan, R.O.C. tsaitc@ms1.mmh.org.tw
authors.forename: Tsuen-Chiuan
authors.initials: TC
authors.lastname: Tsai
authors.forename: Peter H
authors.initials: PH
authors.lastname: Harasym
authors.forename: Cheri
authors.initials: C
authors.lastname: Nijssen-Jordan
authors.forename: Penny
authors.initials: P
authors.lastname: Jennett
mesh_terms: D004417:Dyspnea / Q000628:therapy; D004521:Educational Measurement; D004636:Emergency Service, Hospital; D006801:Humans; D007396:Internship and Residency; D007858:Learning; D008348:Manikins; D010372:Pediatrics / Q000193:education*; D012769:Shock / Q000628:therapy; D013663:Teaching / Q000379:methods*