Pediatric resident resuscitation skills improve after "Rapid Cycle Deliberate Practice" training

Elizabeth Hunt, Jordan Duval-Arnould, Kristen L. Nelson-McMillan, Jamie Haggerty Bradshaw, Marie Diener-West, Julianne S. Perretta, Nicole Shilkofski

Research output: Contribution to journalArticle

Abstract

Introduction: 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. Participants: Pediatric residents from an academic medical center. Methods: Prospective pre-post interventional study of residents managing a simulated cardiopulmonary arrest. Main outcome measures include: (1) interval between onset of pulseless ventricular tachycardia to initiation of compressions and (2) defibrillation. Results: Seventy pediatric residents participated in the pre-intervention and fifty-one in the post-intervention period. Baseline characteristics were similar. The RCDP-FFM intervention was associated with a decrease in: no-flow fraction: [pre: 74% (5-100%) vs. post: 34% (26-53%); p

Original languageEnglish (US)
Pages (from-to)945-951
Number of pages7
JournalResuscitation
Volume85
Issue number7
DOIs
StatePublished - 2014

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Resuscitation
Pediatrics
Graduate Medical Education
Accreditation
Ventricular Tachycardia
Internship and Residency
Heart Arrest
Teaching
Outcome Assessment (Health Care)

Keywords

  • Cardiopulmonary resuscitation
  • Clinical competence
  • Defibrillator
  • Internship and residency
  • Medical education
  • Time-to-Treatment

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine
  • Medicine(all)

Cite this

Pediatric resident resuscitation skills improve after "Rapid Cycle Deliberate Practice" training. / Hunt, Elizabeth; Duval-Arnould, Jordan; Nelson-McMillan, Kristen L.; Bradshaw, Jamie Haggerty; Diener-West, Marie; Perretta, Julianne S.; Shilkofski, Nicole.

In: Resuscitation, Vol. 85, No. 7, 2014, p. 945-951.

Research output: Contribution to journalArticle

Hunt, Elizabeth ; Duval-Arnould, Jordan ; Nelson-McMillan, Kristen L. ; Bradshaw, Jamie Haggerty ; Diener-West, Marie ; Perretta, Julianne S. ; Shilkofski, Nicole. / Pediatric resident resuscitation skills improve after "Rapid Cycle Deliberate Practice" training. In: Resuscitation. 2014 ; Vol. 85, No. 7. pp. 945-951.
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