A Novel Approach to Neonatal Resuscitation Education for Senior Emergency Medicine Residents.

Taylor Mccormick,Richard Byyny,Genie Roosevelt,Christy Angerhofer,Maria Moreira,Patricia Hagan,Gannon Sungar,Jennie Buchanan

doi:10.5811/westjem.2020.10.48623

Abstract

The majority of pediatric visits occur in general emergency departments. Caring for critically ill neonates is a low-frequency but high-stakes event for emergency physicians, which requires specialized knowledge and hands-on training. We describe a novel clinical rotation for emergency medicine (EM) residents that specifically augments skills in neonatal resuscitation through direct participation as a member of the neonatal resuscitation team. The neonatal resuscitation rotation evaluation median score of 4 (interquartile range [IQR] 3,4) was higher compared to all other off-service senior resident rotations combined (median 3, IQR 3,4) for the academic year 2018–2019. Ninety-two percent of residents evaluated the curriculum change as beneficial (median 4, IQR 4,4). The neonatal resuscitation rotation was rated more favorably than the pediatric intensive care rotation (median 4 IQR 3,4 vs median 3, IQR 2, 3) at a tertiary care children’s hospital during the third year. Residency programs may want to consider implementing a directed neonatal resuscitation experience as part of a comprehensive pediatric curriculum for EM residents.

Highlights

Children account for ~25% of emergency department (ED)visits in the United States.[1]
We describe a novel clinical rotation for emergency medicine (EM) residents that augments skills in neonatal resuscitation through direct participation as a member of the neonatal resuscitation team
In 2009, the major emergency medicine (EM) and pediatric societies jointly published guidelines for pediatric readiness of all EDs, which include proficiency in neonatal resuscitation, stating: “It is essential that hospital ED staff and administrators and EMS systems’ administrators and medical directors seek to meet or exceed these guidelines in efforts to optimize the emergency care of children they serve.”[4]

Summary

Brief Educational Advances

A Novel Approach to Neonatal Resuscitation Education for Senior Emergency Medicine Residents. We describe a novel clinical rotation for emergency medicine (EM) residents that augments skills in neonatal resuscitation through direct participation as a member of the neonatal resuscitation team. The neonatal resuscitation rotation evaluation median score of 4 (interquartile range [IQR] 3,4) was higher compared to all other off-service senior resident rotations combined (median 3, IQR 3,4) for the academic year 2018-2019. The neonatal resuscitation rotation was rated more favorably than the pediatric intensive care rotation (median 4 IQR 3,4 vs median 3, IQR 2, 3) at a tertiary care children’s hospital during the third year. Residency programs may want to consider implementing a directed neonatal resuscitation experience as part of a comprehensive pediatric curriculum for EM residents. Residency programs may want to consider implementing a directed neonatal resuscitation experience as part of a comprehensive pediatric curriculum for EM residents. [West J Emerg Med. 2021;22(1)74-76.]

BACKGROUND

Findings

Our educational objective was to design a rotation focused