Deliberate practice improves pediatric residents' skills and team behaviors during simulated neonatal resuscitation.

Abstract:

OBJECTIVE:To evaluate the skills and team behavior of pediatric residents during resuscitation with a high-fidelity mannequin before and after a deliberate practice intervention. METHODS:Each month residents participate in two 90-minute videorecorded sessions (2-3 weeks apart) in an "off-site" delivery room during their neonatal ICU rotation. Teams responded to a scenario that required 5 skills (positive pressure ventilation, chest compressions, endotracheal intubation, umbilical vein catheterization, and epinephrine administration). Skills were scored for technique and timeliness and team behaviors for communication, management, and leadership. A 2-hour focused intervention was given between sessions. RESULTS:In all, 33 residents (11 teams) completed the sessions. Gaps in procedural skills noted during the first session were corrected. Timeliness for completion of skills remained below expectations. Improvements in team behaviors were noted. CONCLUSIONS:Deliberate practice improved procedural skills and team performance. Lack of improvement in timeliness suggests that a different educational paradigm is required.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Cordero L,Hart BJ,Hardin R,Mahan JD,Nankervis CA

doi

10.1177/0009922813488646

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

747-52

issue

8

eissn

0009-9228

issn

1938-2707

pii

0009922813488646

journal_volume

52

pub_type

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