title: Development and Evaluation of a Learning Intervention Targeting First-Year Resident Defibrillation Skills.
abstract: OBJECTIVE
  The aim of the study was to evaluate an educational intervention targeting the acquisition and retention of critical core skills of defibrillation in first-year pediatric residents using simulation-based training and deliberate practice.
  
  
  METHODS
  From January 2011 to April 2012, a total of 23 first-year pediatric residents participated in a pretest-posttest study. An initial survey evaluated previous experience, training, and comfort. The scoring tool was designed and validated using a standard setting procedure and 60% was determined to be the minimum passing score. The 1-hour educational intervention included a brief video describing the defibrillator, 10 to 15 minutes of hands-on time with the defibrillator, and 30 minutes of simulation-based scenarios using deliberate practice with real-time feedback.
  
  
  RESULTS
  The number of subjects who achieved competency in defibrillation skills increased from 8 to 16 of 23 (35% vs 70%, P < 0.05), pretest versus posttest, with the posttest occurring 4 months after the intervention. There was a significant improvement in checklist score (53% vs 68%, P < 0.05) and time to defibrillation (282-189 s, P < 0.05). For those who initiated chest compressions, there was a nonsignificant improvement in time to compressions (50 vs 33 s, P = 0.08). Previous Pediatric Advanced Life Support training was not associated with performance on pretest or posttest.
  
  
  CONCLUSIONS
  This brief educational intervention was shown to be effective 4 months after instruction in achieving and retaining competency of defibrillation skills by first-year pediatric residents. In the process, we uncovered educational gaps in cardiopulmonary resuscitation and other resuscitation skills that need to be addressed in future educational interventions and training.
authors.affiliation: From the *Department of Pediatrics, Johns Hopkins University, Baltimore, MD; Departments of †Pediatrics and ‡Medical Education, Northwestern University; and §kidSTAR Medical Education Program, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
authors.forename: Justin
authors.initials: J
authors.lastname: Jeffers
authors.forename: Walter
authors.initials: W
authors.lastname: Eppich
authors.forename: Jennifer
authors.initials: J
authors.lastname: Trainor
authors.forename: Bonnie
authors.initials: B
authors.lastname: Mobley
authors.forename: Mark
authors.initials: M
authors.lastname: Adler
mesh_terms: D002983:Clinical Competence / Q000706:statistics & numerical data*; D004503:Education, Medical, Graduate / Q000379:methods*; D004521:Educational Measurement / Q000379:methods; D004554:Electric Countershock / Q000379:methods*; D006801:Humans; D007396:Internship and Residency; D053208:Kaplan-Meier Estimate; D010372:Pediatrics / Q000193:education*; D015397:Program Evaluation / Q000379:methods; D011446:Prospective Studies; D000066908:Simulation Training / Q000379:methods