Impact of an educational intervention on residents' knowledge of pediatric disaster medicine.
BACKGROUND
Globally, natural and created events have underscored the vulnerability of children in disasters. There is an unmet need for a standardized pediatric disaster medicine (PDM) curriculum.


OBJECTIVE
To create and implement a PDM course, measure course efficacy, and assess residents' attitudes toward and experience in disaster medicine.


METHODS
An educational intervention was conducted for pediatric and emergency medicine residents at a tertiary care teaching hospital. Participants completed a precourse survey of PDM attitudes and experience. Paired t tests were used to compare pretest, immediate posttest, and delayed posttest scores. Test performance was assessed by resident type and postgraduate year. A postcourse survey gauged reaction to the course and interest in further PDM training.


RESULTS
Among the participants, 11 residents (9.4%) have treated disaster victims, and 5 (4.3%) had formal disaster medicine education. Most (83%) felt PDM is an important part of their training. Seventy-five eligible residents (64.6%) completed the intervention. Pairwise comparison of scores showed a mean improvement in scores of 24.5% immediately after taking the course (95% confidence interval, 22.9%-30.1%; P < 0.001). Two months later, residents scored a mean of 69.0% for the delayed posttest, with a retained improvement in scores (18.3%; 95% confidence interval, 14.3%-22.3%; P < 0.001). Residents preferred future PDM exercises to additional didactic training (72.0% vs. 32.7%; P < 0.001%).


CONCLUSIONS
Residents who complete this curriculum increase their knowledge of PDM with moderate retention of information. Most residents lack PDM training, believe it is important, and request disaster-training exercises.
Cicero
Mark X
MX
Department of Pediatrics, Section of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA. mark.cicero@yale.edu
Blake
Eileen
E
Gallant
Noelle
N
Chen
Lei
L
Esposito
Lauren
L
Guerrero
Magdelena
M
Baum
Carl R
CR
D054597:Disaster Medicine / Q000193:education*; D004189:Disaster Planning / Q000458:organization & administration*; D004521:Educational Measurement; D004635:Emergency Medicine / Q000193:education*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D010372:Pediatrics / Q000193:education*; D012189:Retrospective Studies; D013663:Teaching / Q000379:methods*; D014481:United States