title: Implementation of a 2-Day Simulation-Based Course to Prepare Medical Graduates on Their First Year of Residency.
abstract: OBJECTIVE
  Residents beginning their specialization in pediatrics and emergency medicine (EM) are rapidly involved in oncall duties. Early acquisition of crisis resource management by novice residents is essential for patient safety, but traditional training may be insufficient. Our aim was to investigate the impact of a 2-day simulation-based course on residents to manage pediatric and neonatal patients.
  
  
  METHODS
  First year residents participated in the course. They completed two questionnaires concerning perceived stress and self-efficacy in technical skills (TSs) and non-TSs (NTSs) at 3 times: before (T0), after (T1), and 6 weeks after the course (T2).
  
  
  RESULTS
  Eleven pediatric and 5 EM residents participated. At T0, stress about "communicating with parents" (P = 0.022) and "coordinating the team" (P = .037) was significantly higher among pediatric compared with EM residents; self-efficacy was not different between the specialities. After training, perceived stress about "managing a critical ill child" and perceived stress total significantly decreased among EM residents, whereas it remained the same among pediatricians (respectively, P = 0.001 and P = 0.016). Regarding self-efficacy, it had significantly increased in both groups (P < 0.001). Specifically, the increase in TSs self-efficacy was significant after the training (p = .008) and after 6 weeks (p < .001), and the increase in NTs self-efficacy was only significant after 6 weeks (P = 0.014).
  
  
  CONCLUSIONS
  Our course improved perceived stress, TSs, and NTSs self-efficacy of residents. This encourages us to formalize this as a prerequisite for admission to the pediatric and EM residency.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Bragard
authors.affiliation: Paediatric Department, University Hospital of Liege, Liege, Belgium.
authors.forename: Marie-Christine
authors.initials: MC
authors.lastname: Seghaye
authors.affiliation: Paediatric Department, University Hospital of Liege, Liege, Belgium.
authors.forename: Nesrine
authors.initials: N
authors.lastname: Farhat
authors.affiliation: Paediatric Department, University Hospital of Liege, Liege, Belgium.
authors.forename: Marie
authors.initials: M
authors.lastname: Solowianiuk
authors.affiliation: Paediatric Department, University Hospital of Liege, Liege, Belgium.
authors.forename: Mariane
authors.initials: M
authors.lastname: Saliba
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Etienne
authors.affiliation: Paediatric Department, University Hospital of Liege, Liege, Belgium.
authors.forename: Katharina
authors.initials: K
authors.lastname: Schumacher
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000706:statistics & numerical data; D003479:Curriculum; D004635:Emergency Medicine / Q000193:education*; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D008137:Longitudinal Studies; D008297:Male; D010372:Pediatrics / Q000193:education*; D010549:Personal Satisfaction; D010865:Pilot Projects; D020377:Self Efficacy; D000066908:Simulation Training / Q000379:methods*; D013315:Stress, Psychological / Q000453:epidemiology; D011795:Surveys and Questionnaires