WIP 9 - Improving pediatric resident performance and comfort in pediatric trauma resuscitations by developing and incorporating a standardized simulation-based pediatric trauma orientation and curriculum

Poster Number: WIP 9
Publication Number: WIP 9.2416

Background: While pediatric residents are required to learn resuscitation skills during training, studies have shown that trauma resuscitation experience is limited. We aimed to address this gap by introducing a simulation(sim)-based orientation curriculum.

Objective: To develop and implement a novel Pediatric Trauma Simulation Orientation and Curriculum to enhance pediatric trauma education and training amongst the pediatric residents at a quaternary-level children’s hospital and assess its effectiveness in increasing performance and comfort for trauma resuscitations.

Design/Methods: This prospective study integrated the curriculum, which is based on the Pediatric Trauma Resuscitation checklist, developed, and validated at Children’s National Medical Center, to enhance performance and comfort in residents conducting these resuscitations. We included pediatric residents rotating through our emergency department in the 22-‘23 academic year. The study was IRB exempt as it was curriculum-based. They started with a pre-test covering trauma knowledge and comfort, then individually participated in a video-recorded blunt trauma simulation and attended a lecture, including a video of primary and secondary survey. A group sim followed to practice their skills. At the month’s end, residents did a post-test and another blunt trauma sim, allowing us to compare pre- and post-intervention knowledge. The checklist assessed the completed survey components and compared times of completing primary/secondary surveys and pre/post-test scores between the two assessments. Sims are done, and analysis is expected by December ‘23. Categorical variables to be defined using counts and percentages, while continuous variables will use medians with Inter Quartile Range. Likert scales to be analyzed using both chi-squared tests. Chi-squared tests of independence and Wilcoxon signed-rank tests will be used for categorical and continuous variables, respectively to compare pre/post-tests. Inter- and intra-rater reliability/agreement assessments will be performed to address potential bias in the video reviewers.