title: A multi-institutional high-fidelity simulation "boot camp" orientation and training program for first year pediatric critical care fellows.
abstract: OBJECTIVE
  Simulation training has been used to integrate didactic knowledge, technical skills, and crisis resource management for effective orientation and patient safety. We hypothesize multi-institutional simulation-based training for first year pediatric critical care (PCC) fellows is feasible and effective.
  
  
  METHODS
  Descriptive, educational intervention study.
  
  
  METHODS
  The simulation facility at the host institution.
  
  
  METHODS
  A multicentered simulation-based orientation training "boot camp" for first year PCC fellows was held at a large simulation center. Immediate posttraining evaluation and 6-month follow-up surveys were distributed to participants.
  
  
  RESULTS
  A novel simulation-based orientation training for first year PCC fellows was facilitated by volunteer faculty from seven institutions. The two and a half day course was organized to cover common PCC crises. High-fidelity simulation was integrated into each session (airway management, vascular access, resuscitation, sepsis, trauma/traumatic brain injury, delivering bad news). Twenty-two first year PCC fellows from nine fellowship programs attended, and 13 faculty facilitated, for a total of 15.5 hours (369 person-hours) of training. This consisted of 2.75 hours for whole group didactic sessions (17.7%), 1.08 hours for a small group interactive session (7.0%), 4.67 hours for task training (30.1%), and 7 hours for training (45.2%) with high-fidelity simulation and crisis resource management. A "train to success" approach with repetitive practice of critical assessment and interventional skills yielded higher scores in training effectiveness in the end-of-course evaluation. A follow-up survey revealed this training was highly effective in improving clinical performance and self-confidence.
  
  
  CONCLUSIONS
  The first PCC orientation training integrated with simulation was effective and logistically feasible. The train to success concept with repetitive practice was highly valued by participants. Continuation and expansion of this novel multi-institutional training is planned.
authors.affiliation: Anesthesiology and Critical Care Medicine, Center for Simulation, The Children's Hospital of Philadelphia, PA, USA. nishisaki@email.chop.edu
authors.forename: Akira
authors.initials: A
authors.lastname: Nishisaki
authors.forename: Roberta
authors.initials: R
authors.lastname: Hales
authors.forename: Katherine
authors.initials: K
authors.lastname: Biagas
authors.forename: Ira
authors.initials: I
authors.lastname: Cheifetz
authors.forename: Christine
authors.initials: C
authors.lastname: Corriveau
authors.forename: Nan
authors.initials: N
authors.lastname: Garber
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Hunt
authors.forename: Rima
authors.initials: R
authors.lastname: Jarrah
authors.forename: John
authors.initials: J
authors.lastname: McCloskey
authors.forename: Wynne
authors.initials: W
authors.lastname: Morrison
authors.forename: Kristen
authors.initials: K
authors.lastname: Nelson
authors.forename: Dana
authors.initials: D
authors.lastname: Niles
authors.forename: Sophia
authors.initials: S
authors.lastname: Smith
authors.forename: Samuel
authors.initials: S
authors.lastname: Thomas
authors.forename: Stephanie
authors.initials: S
authors.lastname: Tuttle
authors.forename: Mark
authors.initials: M
authors.lastname: Helfaer
authors.forename: Vinay
authors.initials: V
authors.lastname: Nadkarni
mesh_terms: D002648:Child; D003422:Critical Care; D004503:Education, Medical, Graduate / Q000379:methods*; D006801:Humans; D007396:Internship and Residency; D010372:Pediatrics / Q000193:education*; D000078329:Workforce