[Evaluation of advanced medical simulation courses for training of paediatric residents in emergency situations].
OBJECTIVE
To analyse the usefulness of simulation courses in paediatric emergencies in a new training program for paediatrics residents.


METHODS
An advanced simulation course with practical cases of paediatric emergencies was designed. Assessment of each clinical case was rated from 1 to 5 in the following sections: organization and coordination of team work, physician orders, monitoring, clinical examination, treatments, interpretation of laboratory tests, parent information, and global evaluation. The results were compared by year of residency of the participants. Student satisfaction with the course was assessed through a survey.


RESULTS
There were six courses of simulation with 55 residents, of whom 29% were second-year residents (R2), 47% third year (R3), and 23% fourth year (R4). The median global score was 3.4 (IR: 3.2 to 3.7). The highest score was the initial monitoring (median: 4; IR: 4 to 4.3) and the initial medical examination (median: 4; IR: 3.4 to 4.2). The worst aspect was the information to the parents (median: 3; IR: 2.3 to 3.4). There were no significant differences in the global score according to the year of residency. The residents felt very positive about simulation courses, emphasizing the realism and practicality.


CONCLUSIONS
The inclusion of advanced simulation courses in paediatric emergencies in the training program of paediatric residents is a useful educational method, and is appreciated by residents.
Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria, Hospital Gregorio Marañón, Madrid, España. santiagomencia@gmail.com
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S
Mencía
J
J
López-Herce
M
M
Botrán
M J
MJ
Solana
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A
Sánchez
A
A
Rodríguez-Núñez
L
L
Sánchez
D003198:Computer Simulation; D003479:Curriculum; D004630:Emergencies; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008348:Manikins; D010372:Pediatrics / Q000193:education*