Status Quo in Pediatric and Neonatal Simulation in Four Central European Regions: The DACHS Survey

Wagner, Michael; Heimberg, Ellen; Mileder, Lukas P.; Staffler, Alex; Paulun, Annika; Löllgen, Ruth

doi:10.1097/sih.0000000000000296

Cited by 19 publications

(10 citation statements)

References 15 publications

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“…Two thirds of respondents did not participate in any kind of simulation activity during the previous academic year, and the majority of programmes did not implement neonatal and paediatric emergency training with SBMT. These data contrast with the current situation in other developed countries, such as the U.S., Canada, Switzerland, Germany, Austria, and South Tyrol, where SBMT has been implemented into educational curricula [14] and offered by the majority of paediatric residency programmes, even though great differences between various countries in terms of SBMT’s accreditation, frequency and timing are still reported [9–11, 13, 15].…”

Section: Discussionmentioning

confidence: 73%

Simulation-based medical training for paediatric residents in Italy: a nationwide survey

et al. 2019

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Background A prompt start to an appropriate neonatal and paediatric resuscitation is critical to reduce mortality and morbidity. However, residents are rarely exposed to real emergency situations. Simulation-based medical training (SBMT) offers the opportunity to improve medical and non-technical skills in a controlled setting. This survey describes the availability and current use of SBMT by paediatric residents in Italy with the purpose of understanding residents’ expectations regarding neonatal and paediatric emergency training, and identifying gaps and potential areas for future implementation. Methods A survey was developed and distributed to Italian residents. SBMT was defined as any kind of training with a mannequin in a contextualised clinically realistic scenario. Results The response rate was 14.4%, covering the 71% of Italian paediatric residency programmes. Out of the 274 residents, 88% stated that they received less than 5 h of SBMT during the past training year, with 66% not participating in any kind of simulation activity. In 62% of the programmes no simulation training facility was available to residents. Among those who received SBMT, 46% used it for procedures and skills, 30% for clinical scenarios, but only 24% of them reported a regular use for debriefing. Of the overall respondents, 93% were interested in receiving SBMT to improve decision-making abilities in complex medical situations, to improve technical/procedural skills, and to improve overall competency in neonatal and paediatric emergencies, including non-technical skills. The main barriers to the implementation of SBMT programmes in Italian paediatric residencies were: the lack of experts (57%), the lack of support from the school director (56%), the lack of organisation in planning simulation centre courses (42%) and the lack of teaching materials (42%). Conclusions This survey shows the scarce use of SBMT during paediatric training programmes in Italy and points out the main limitations to its diffusion. This is a call to action to develop organised SBMT during paediatric residency programs, to train qualified personnel, and to improve the quality of education and care in this field. Electronic supplementary material The online version of this article (10.1186/s12909-019-1581-3) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 73%

Simulation-based medical training for paediatric residents in Italy: a nationwide survey

et al. 2019

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“…Although most participants in the Anglo-American/Anglo-Saxon region (79.3%) and in India (82.6%) initiated educational activities for the care of COVID-19 patients, this was only true for 47.1% of European respondents. This could reflect heterogeneity in HCP willingness to adopt and promote such training modalities and/or a potential lack of support from institutions or superiors across these regions ( 8 – 10 ). In situ simulation was the most prevalent training mode for COVID-19 simulations.…”

Section: Discussionmentioning

confidence: 99%

Readiness for and Response to Coronavirus Disease 2019 Among Pediatric Healthcare Providers: The Role of Simulation for Pandemics and Other Disasters*

Wagner¹,

Jaki²,

Löllgen³

et al. 2020

Pediatric Critical Care Medicine

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“…Kritisch sei hier angemerkt, dass, obwohl Teamtraining als sinnvoll eingeschätzt wird, vor allem im deutschsprachigen Raum kein formalisierter Prozess zur Trainerausbildung, Durchführung von Trainings oder deren Evaluation besteht und die entsprechenden Ressourcen für ein adäquates Teamtraining im Rahmen der Krankenhausfinanzierung auch nicht vorgesehen sind [32].…”

Section: Merkeunclassified

Aktuelles in der Neonatologie

Rüdiger¹,

Röhr²

2019

Intensivmed.up2date

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Status Quo in Pediatric and Neonatal Simulation in Four Central European Regions: The DACHS Survey

Cited by 19 publications

References 15 publications

Simulation-based medical training for paediatric residents in Italy: a nationwide survey

Simulation-based medical training for paediatric residents in Italy: a nationwide survey

Readiness for and Response to Coronavirus Disease 2019 Among Pediatric Healthcare Providers: The Role of Simulation for Pandemics and Other Disasters*

Aktuelles in der Neonatologie

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