Does simulation booster impact retention of resuscitation procedural skills and teamwork?
OBJECTIVE
The Neonatal Resuscitation Program (NRP) has transitioned to a simulation-based format. We hypothesized that immersive simulation differentially impacts similar trainee populations' resuscitation knowledge, procedural skill and teamwork behavior.


METHODS
Residents from NICU and non-NICU programs were randomized to either control or a booster simulation 7 to 10 months after NRP. Procedural skill and teamwork behavior instruments were validated. Individual resident's resuscitation performance was assessed at 15 to 18 months. Three reviewers rated videos.


RESULTS
Fifty residents were assessed. Inter-rater reliability was good for procedural skills (0.78) and team behavior (0.74) instruments. The intervention group demonstrated better procedural skills (71.6 versus 64.4) and teamwork behaviors (18.8 versus 16.2). The NICU program demonstrated better teamwork behaviors (18.6 versus 15.5) compared with non-NICU program.


CONCLUSIONS
A simulation-enhanced booster session 9 months after NRP differentiates procedural skill and teamwork behavior at 15 months. Deliberate practice with simulation enhances teamwork behaviors additively with residents' clinical resuscitation exposure.
1] Department of Pediatrics, Women & Infants' Hospital, Providence, RI, USA [2] Warren Alpert School of Medicine at Brown University, Providence, RI, USA.
J
J
Bender
Department of Pediatrics, Women & Infants' Hospital, Providence, RI, USA.
K
K
Kennally
Department of Pediatrics, Women & Infants' Hospital, Providence, RI, USA.
R
R
Shields
1] Warren Alpert School of Medicine at Brown University, Providence, RI, USA [2] Lifespan Medical Simulation Center, Rhode Island Hospital, Providence, RI, USA.
F
F
Overly
D004521:Educational Measurement; D006126:Group Processes; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D007396:Internship and Residency; D010348:Patient Care Team; D015203:Reproducibility of Results; D012151:Resuscitation / Q000193:education*; D014741:Video Recording