Resident Physician New York University Long Island School of Medicine Mineola, New York, United States
Background: Up to 10% of term deliveries in the hospital may require neonatal resuscitation to assist the transition from fetus to newborn, with 1% of deliveries requiring extensive resuscitation. The ACGME requires all pediatric residents to receive NRP certification at the beginning of residency. After NRP certification, there is no further formal training in delivery room (DR) setup. Just-in-Time Training originated in the manufacturing industry and has been implemented in various settings in the hospital. Given the involvement of residents in DR resuscitation, we recognized the opportunity to apply this method to DR preparedness for our trainees. To address the expected decline in knowledge and skills between NRP training and the application of practices in the DR, we developed a formal curriculum aimed at familiarizing residents with setting up and utilizing the Panda Warmer. Familiarity with its setup and use in resuscitation can bolster successful neonatal resuscitation. Objective: Our objective is to enhance resident proficiency in successful DR setup of the Panda Warmer through the implementation of a comprehensive and standardized curriculum spanning from September 2021 to September 2023. Design/Methods: This study employed a one-group pretest-posttest design. Using NRP guidelines, we created a curriculum and checklist for DR preparedness. Each resident was evaluated at the beginning of their NICU rotation via a baseline questionnaire and an in-person demonstration of how to set up the Panda Warmer. The questionnaire included statements regarding confidence and comfort in setting up the Panda Warmer. This was scored using a checklist consisting of 5 categories (power up, warming, auscultate, clear airway, oxygenation/ventilation) followed by providing educational materials and teaching correct setup by the study team. At the end of each rotation, residents were re-evaluated using the same process. Residents provided real-time feedback through a QR code survey after each delivery to address any gaps experienced during DR resuscitation.
