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

BMC Medical Education

Marco Binotti¹  Marco De Luca²  Giulia Genoni³  Alice Monzani³  Stefano Rizzollo³  Luca Carenzo⁴  Pier Luigi Ingrassia⁴ 

[1] 0000 0004 1756 8161, grid.412824.9, Neonatal and Paediatric Intensive Care Unit, Maggiore della Carità Hospital, Novara, Italy;0000000121663741, grid.16563.37, SIMNOVA, Interdepartmental Centre for Innovative Didactics and Simulation in Medicine and Health Professions, University of Piemonte Orientale, Novara, Italy;0000 0004 1759 0844, grid.411477.0, SIMMeyer, Anna Meyer Children’s University Hospital, Florence, Italy;0000000121663741, grid.16563.37, Division of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, Via Solaroli 17, 28100, Novara, Italy;0000000121663741, grid.16563.37, SIMNOVA, Interdepartmental Centre for Innovative Didactics and Simulation in Medicine and Health Professions, University of Piemonte Orientale, Novara, Italy;

关键词: Simulation;    Simulation-based medical training;    Survey;    Paediatrics;    Residents;   

DOI  :  10.1186/s12909-019-1581-3

来源: publisher

【 摘 要 】

BackgroundA 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.MethodsA 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.ResultsThe response rate was 14.4%, covering the 71% of Italian paediatric residency programmes. Among them, 88% stated that 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%).ConclusionsThis 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.

【 授权许可】

CC BY