Abstract
BackgroundMaintaining acute care physician competence is critically important. Current maintenance of certification (MOC) programs has started to incorporate simulation-based education (SBE). However, competency expectations have not been defined. This article describes the development of a mandatory annual SBE, competency-based simulation program for technical and resuscitation skills for pediatric emergency medicine (PEM) physicians.MethodsThe competency-based medical education (CBME) program was introduced in 2016. Procedural skill requirements were based on a needs assessment derived from Royal College PEM training guidelines. Resuscitation scenarios were modified versions of pre-existing in-situ mock codes or critical incident cases. All full-time faculty were required to participate annually in both sessions. Delivery of educational content included a flipped classroom website, deliberate practice, and stop-pause debriefing. All stations required competency checklists and global rating scales.ResultsBetween 2016 and 2018, 40 physicians and 48 registered nurses attended these courses. Overall course evaluations in 2018 were 4.92/5 and 4.93/5. Barriers to implementation include the need for many simulation education experts, time commitment, and clinical scheduling during course events.ConclusionWe have developed a mandatory simulation-based, technical, and resuscitation CBME program for PEM faculty. This simulation-based CBME program could be adapted to other acute care disciplines. Further research is required to determine if these skills are enhanced both in a simulated and real environment and if there is an impact on patient outcomes.
Highlights
Maintaining acute care physician competence is critically important
Efforts to incorporate simulation into maintenance of certification (MOC) for practicing physicians have recently been introduced in some disciplines; performance is not linked to competency expectations [1, 2]
Annual requirements for competency in simulationbased procedural and resuscitation skills would ensure that physicians in acute care settings maintain their competency in critical lifesaving skills
Summary
Maintaining acute care physician competence is critically important. Current maintenance of certification (MOC) programs has started to incorporate simulation-based education (SBE). This article describes the development of a mandatory annual SBE, competency-based simulation program for technical and resuscitation skills for pediatric emergency medicine (PEM) physicians. Maintaining physician competence is critically important in acute care settings in order to deliver high-quality, evidence-based care. Current maintenance of certification (MOC) programs require mostly passive learning strategies. Annual requirements for competency in simulationbased procedural and resuscitation skills would ensure that physicians in acute care settings maintain their competency in critical lifesaving skills. Emergency physicians need to participate in continuing medical education to ensure updated medical knowledge and skill acquisition especially for critical procedures [9]. Participants receive MOCA credits after completion of the program; they are not required to pass the simulation cases in order to complete the process
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