Abstract
IntroductionNon-pediatric trainees working in pediatrics in the UK are expected to attend newborn deliveries and provide initial newborn life support if needed. In Swindon, new junior doctors receive a 90-minute teaching session at the start of their pediatrics rotation, but the content has not previously been standardized, and it may be several weeks before a doctor attends a newborn delivery. Thus, the confidence and competence in newborn resuscitation of doctors attending deliveries can vastly vary.MethodsA standardized teaching package was developed as part of the pediatrics induction program. This includes an interactive lecture on the physiology of the newborn, skills stations, and mini-simulations to consolidate skills. This is accompanied by a program of regular neonatal mini-simulations as part of the departmental morning teaching program. These sessions allow junior doctors to practice their skills in a safe, simulated environment and reinforce the newborn life support pathway.ResultsQualitative and quantitative feedback was sought following delivery of the induction training session. Junior doctors were asked to rate their confidence before and after the induction session using Likert scales from 1 (least confident) to 5 (most confident). Median confidence in attending term deliveries increased from 2 (range 1 - 4) to 4 (2 - 5), P=0.008. There was evidence that confidence was maintained at one month following induction.ConclusionsA simulation program has been successful at improving confidence among junior doctors in attending newborn deliveries. This has the potential to improve patient care and trainees’ experiences of their pediatrics placement.
Highlights
MethodsA standardized teaching package was developed as part of the pediatrics induction program
Non-pediatric trainees working in pediatrics in the UK are expected to attend newborn deliveries and provide initial newborn life support if needed
In the UK, junior doctors rotate through pediatric clinical posts as part of the generic
Summary
A standardized teaching package was developed as part of the pediatrics induction program This includes an interactive lecture on the physiology of the newborn, skills stations, and minisimulations to consolidate skills. The program includes a brief, interactive lecture on newborn physiology, skills stations using low-fidelity manikins (airway management, delivering inflation/ventilation breaths, chest compressions), and minisimulations to consolidate learning. Ongoing mini-simulation sessions are approximately 20 minutes in length (2-minute pre-brief, 5-10-minute scenario, 10-minute debrief) and have been incorporated into the pre-existing departmental teaching program. This has enabled trainees to attend without an additional pressure on their time. The importance of confidentiality and a safe learning space are emphasized to encourage participant involvement
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