Development and evaluation of a learning intervention targeting first-year resident defibrillation skills

Justin Jeffers*, Walter J Eppich, Jennifer L Trainor, Bonnie Mobley, Mark D Adler

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Objectives: The aimof the study was to evaluate an educational intervention targeting the acquisition and retention of critical core skills of defibrillation in first-year pediatric residents using simulation-based training and deliberate practice. Methods: From January 2011 to April 2012, a total of 23 first-year pediatric residents participated in a pretest-posttest study. An initial survey evaluated previous experience, training, and comfort. The scoring tool was designed and validated using a standard setting procedure and 60%was determined to be the minimum passing score. The 1-hour educational intervention included a brief video describing the defibrillator, 10 to 15 minutes of hands-on time with the defibrillator, and 30 minutes of simulation-based scenarios using deliberate practice with real-time feedback. Results: The number of subjects who achieved competency in defibrillation skills increased from 8 to 16 of 23 (35%vs 70%, P > 0.05), pretest versus posttest, with the posttest occurring 4 months after the intervention. There was a significant improvement in checklist score (53% vs 68%, P > 0.05) and time to defibrillation (282-189 s, P > 0.05). For those who initiated chest compressions, there was a nonsignificant improvement in time to compressions (50 vs 33 s, P = 0.08). Previous Pediatric Advanced Life Support training was not associated with performance on pretest or posttest. Conclusions: This brief educational intervention was shown to be effective 4 months after instruction in achieving and retaining competency of defibrillation skills by first-year pediatric residents. In the process, we uncovered educational gaps in cardiopulmonary resuscitation and other resuscitation skills that need to be addressed in future educational interventions and training.

Original languageEnglish (US)
Pages (from-to)210-216
Number of pages7
JournalPediatric Emergency Care
Volume32
Issue number4
DOIs
StatePublished - Jan 1 2016

Keywords

  • Defibrillation
  • Educational intervention
  • Resuscitation
  • Simulation-based training

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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