Pediatric heart disease simulation curriculum: Educating the pediatrician
Corresponding Author
Tyler H. Harris MD
Division of Cardiology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh Medical School, Pittsburgh, Pennsylvania, USA
Correspondence Tyler H. Harris, MD, Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224. Email: [email protected]Search for more papers by this authorMark Adler MD
Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Search for more papers by this authorSharon M. Unti MD
Division of Academic General Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Search for more papers by this authorMary E. McBride MD, MEd
Divisions of Cardiology and Critical Care Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Search for more papers by this authorCorresponding Author
Tyler H. Harris MD
Division of Cardiology, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh Medical School, Pittsburgh, Pennsylvania, USA
Correspondence Tyler H. Harris, MD, Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224. Email: [email protected]Search for more papers by this authorMark Adler MD
Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Search for more papers by this authorSharon M. Unti MD
Division of Academic General Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Search for more papers by this authorMary E. McBride MD, MEd
Divisions of Cardiology and Critical Care Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
Search for more papers by this authorAbstract
Background
Training guidelines state that pediatricians should be able to diagnose, manage, and triage patients with heart disease. Acutely ill cardiac patients present infrequently and with high acuity, yet residents receive less exposure to acute cardiac conditions than previous generations. Trainees must learn to manage these situations despite this gap. Simulation has been used successfully to train learners to provide acute care. We hypothesized that a simulation-based cardiac curriculum would improve residents' ability to manage cardiac patients.
Methods
Pediatric residents completed 4 simulation cases followed by debriefing and a computer presentation reviewing the learning objectives. Subjects returned at 1 month for postintervention cases and again at 4–6 months to measure knowledge retention. Cases were scored by 2 raters using a dichotomous checklist. We used repeated measure ANOVA and effect size to compare groups and intra-class correlation (ICC) to assess inter-rater reliability.
Results
Twenty-five participants were enrolled. Scores were low on pretesting but showed significant improvement (P < .05) in all 4 cases. No decay was noted on late testing. Pre-post effect sizes ranged from 1.1 to 2.1, demonstrating meaningful improvement. Inter-rater reliability (ICC) ranged from 0.61 to 0.93 across cases.
Conclusions
This novel simulation-based curriculum targets a gap in pediatric training and offers an effective way to train pediatricians. We plan to expand this curriculum to new populations of participants and have integrated it into our resident cardiology rotation.
Supporting Information
Additional Supporting Information may be found online in the supporting information tab for this article.
| Filename | Description |
|---|---|
| chd12483-sup-0001-suppinfo1.pdf104.9 KB |
APPENDIX S1 Learning objectives for narrated computer presentation |
| chd12483-sup-0002-suppinfo2.pdf31.6 KB |
APPENDIX S2 Detailed curriculum scenarios and scoring items |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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