Pediatric resident resuscitation skills improve after "rapid cycle deliberate practice" training

Hunt EA 1 , Duval-Arnould JM 2 , Nelson-McMillan KL 3 , Bradshaw JH 4 , Diener-West M 5 , Perretta JS 6 Show all authors , Shilkofski NA 7

Affiliations 

  • 1 Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Anesthesiology and Critical Care Medicine, USA; Department of Pediatrics, USA; Division of Health Sciences Informatics, USA; Johns Hopkins Medicine Simulation Center, Baltimore, MD, USA. Electronic address: ehunt@jhmi.edu
  • 2 Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Anesthesiology and Critical Care Medicine, USA; Division of Health Sciences Informatics, USA; Johns Hopkins Medicine Simulation Center, Baltimore, MD, USA
  • 3 Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Anesthesiology and Critical Care Medicine, USA; Department of Pediatrics, USA; Johns Hopkins Medicine Simulation Center, Baltimore, MD, USA
  • 4 Uniformed Services of the Health Sciences, Bethesda, MD, USA
  • 5 Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Department of Biostatistics, USA
  • 6 Johns Hopkins Medicine Simulation Center, Baltimore, MD, USA
  • 7 Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Anesthesiology and Critical Care Medicine, USA; Department of Pediatrics, USA; Johns Hopkins Medicine Simulation Center, Baltimore, MD, USA; Perdana University Graduate School of Medicine, Kuala Lumpur, Malaysia
Resuscitation, 2014 Jul;85(7):945-51.
PMID: 24607871 DOI: 10.1016/j.resuscitation.2014.02.025

Abstract

Previous studies reveal pediatric resident resuscitation skills are inadequate, with little improvement during residency. The Accreditation Council for Graduate Medical Education highlights the need for documenting incremental acquisition of skills, i.e., "Milestones". We developed a simulation-based teaching approach "Rapid Cycle Deliberate Practice" (RCDP) focused on rapid acquisition of procedural and teamwork skills (i.e., "first-five minutes" (FFM) resuscitation skills). This novel method utilizes direct feedback and prioritizes opportunities for learners to "try again" over lengthy debriefing.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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