Le deuxième cycle des études médicales prépare-t-il les étudiants hospitaliers à leurs fonctions d’internes ? Exemple de l’arrêt cardiaque de l’enfant

Abstract

Medical schools aim to prepare medical students for their residency responsibilities. However, in France, there is no assessment of medical students' skills when they start their residency. The objective of this study was to assess the quality of basic life support delivered by first-year residents in pediatrics during a simulated pediatric cardiopulmonary arrest. First-year residents in pediatrics were assessed during a simulated pediatric cardiopulmonary arrest. Their performance score (based on adherence to international guidelines) and no-flow and no-blow fractions were recorded. Forty-two first-year residents were evaluated. Their median performance score was 4out of 13. No-blow and no-flow fractions were 55and 81%, respectively. There was no correlation between their skills and their knowledge assessed during the national ranking exam at the end of the 6th year of medical school. At the beginning of their residency, pediatric residents are not able to properly provide basic life support. The introduction of simulation in French medical schools may be an effective way to improve their skills.