Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment.

Abstract:

OBJECTIVES:Acquisition and maintenance of the skills necessary for successful resuscitation of the neonate are typically accomplished by a combination of completion of standardized training courses using textbooks, videotape, and manikins together with active participation in the resuscitation of human neonates in the real delivery room. We developed a simulation-based training program in neonatal resuscitation (NeoSim) to bridge the gap between textbook and real life and to assess trainee satisfaction with the elements of this program. METHODS:Thirty-eight subjects (physicians and nurses) participated in 1 of 9 full-day NeoSim programs combining didactic instruction with active, hands-on participation in intensive scenarios involving life-like neonatal and maternal manikins and real medical equipment. Subjects were asked to complete an extensive evaluation of all elements of the program on its conclusion. RESULTS:The subjects expressed high levels of satisfaction with nearly all aspects of this novel program. Responses to open-ended questions were especially enthusiastic in describing the realistic nature of simulation-based training. The major limitation of the program was the lack of fidelity of the neonatal manikin to a human neonate. CONCLUSION:Realistic simulation-based training in neonatal resuscitation is possible using current technology, is well received by trainees, and offers benefits not inherent in traditional paradigms of medical education.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Halamek LP,Kaegi DM,Gaba DM,Sowb YA,Smith BC,Smith BE,Howard SK

doi

10.1542/peds.106.4.e45

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

E45

issue

4

eissn

0031-4005

issn

1098-4275

journal_volume

106

pub_type

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