title: A delivery room-focused education and deliberate practice can improve pediatric resident resuscitation training.
abstract: OBJECTIVE
  To determine if deliberate practice and simulation would improve pediatric residents' neonatal resuscitation abilities.
  
  
  METHODS
  Prospective cohort with pre-post-intervention design. Senior residents from 2008 to 2009 were evaluated and served as controls (C-Senior, N=23). Interns (PL-1, N=28) from 2008 to 2009 received the education and evaluation at the beginning (I-Pre) and end of their NICU rotation (I-Post) and again when they were seniors (I-Senior, N=24). The education, based on deliberate practice, included scored assessments of a resident's ability to assemble delivery room equipment and lead a simulated resuscitation.
  
  
  RESULTS
  PL-1 equipment score increased by 30% (I-Pre; 53%, I-Post; 83%) and was not different 1 to 2 years later (I-Senior; 87%). I-Senior equipment score was 22% higher than the C-Senior group (C-Senior; 65%). The PL-1's ability to lead a resuscitation improved after the education (I-Pre; 76%, I-Post; 85%) and was maintained as senior residents (I-Senior; 85%), but was not superior to the C-Senior group (C-Senior; 81%).
  
  
  CONCLUSIONS
  The use of deliberate practice and simulation can improve a residents' resuscitation training, particularly for equipment.
authors.affiliation: Department of Pediatrics, University of Colorado, Aurora, CO 80045, USA. james.barry@ucdenver.edu
authors.forename: J S
authors.initials: JS
authors.lastname: Barry
authors.forename: M D
authors.initials: MD
authors.lastname: Gibbs
authors.forename: A A
authors.initials: AA
authors.lastname: Rosenberg
mesh_terms: D022561:Advanced Cardiac Life Support / Q000193:education; D002983:Clinical Competence; D015331:Cohort Studies; D003162:Competency-Based Education / Q000379:methods; D003198:Computer Simulation; D003479:Curriculum; D003696:Delivery Rooms; D004503:Education, Medical, Graduate / Q000379:methods; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010372:Pediatrics / Q000193:education*; D011446:Prospective Studies; D012151:Resuscitation / Q000193:education*