title: Repetitive pediatric simulation resuscitation training.
abstract: OBJECTIVE
  The objective of the study was to compare the effectiveness of repetitive pediatric simulation (RPS) training (scenario-debriefing-scenario) to standard pediatric simulation (STN) training (scenario-debriefing).
  
  
  METHODS
  Pediatric and emergency medicine residents prospectively participated in simulated pediatric resuscitation training sessions in an in situ simulation room. Residents anonymously reported their knowledge, skills, and confidence after each session. Four learners and 2 faculty preceptors (1 pediatric emergency medicine attending physician and 1 pediatric emergency medicine fellow) participated in each session. Scenarios were performed on a high-fidelity simulator (SimBaby; Laerdal Medical, Stavanger, Norway), and video debriefing was used for all training sessions. Standard pediatric simulation was used in the initial 6 months of the study, whereas RPS was used in the second 6 months of the study.
  
  
  RESULTS
  One hundred fifteen subjects completed simulation sessions during the study period. The RPS group reported higher overall debriefing quality and were more likely to report that the simulation session was an excellent method of teaching. The RPS group reported greater improvement in knowledge and skills than did the STN group. Similar scores were reported for confidence, overall performance, stress levels, and realism of the simulator in both the STN and RPS groups.
  
  
  CONCLUSIONS
  Feedback is a key feature of effective medical simulation. Repetitive pediatric simulation provides learners with a discrete opportunity to apply the knowledge and skills discussed during debriefing in an immediate second simulation session and thereby complete Kolb's experiential learning cycle. In this study, the RPS debriefing format was associated with higher self-reported knowledge and skills. The RPS group reported more positive attitudes toward simulation than the STN group.
authors.affiliation: Pediatric Emergency Medicine, Yale University School of Medicine, New Haven, CT 06511, USA. marc.auerbach@yale.edu
authors.forename: Marc
authors.initials: M
authors.lastname: Auerbach
authors.forename: David
authors.initials: D
authors.lastname: Kessler
authors.forename: Jessica Cooper
authors.initials: JC
authors.lastname: Foltin
mesh_terms: D002648:Child; D002983:Clinical Competence; D003198:Computer Simulation; D004635:Emergency Medicine / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010372:Pediatrics / Q000193:education*; D011446:Prospective Studies; D015203:Reproducibility of Results; D012151:Resuscitation / Q000193:education*; D014481:United States