Simulation in Neonatal-Perinatal Medicine Fellowship Programs

Taylor Sawyer; Theodora A. Stavroudis; Anne Ades; Rita Dadiz; Christiane E. L. Dammann; Louis P. Halamek; Ahmed Moussa; Lamia Soghier; Arika Gupta; Sofia Aliaga; Rachel Umoren; Heather French; for the Organization of Neonatal-Perinatal Training Program Directors Task Force on Simulation

doi:10.1055/s-0039-1693465

American Journal of Perinatology, Table of Contents

Am J Perinatol 2020; 37(12): 1258-1263
DOI: 10.1055/s-0039-1693465

Original Article

Simulation in Neonatal-Perinatal Medicine Fellowship Programs

Authors

Taylor Sawyer

¹Division of Neonatology, Department of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington
Theodora A. Stavroudis

²Division of Neonatology, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, Fetal and Neonatal Institute, University of Southern California, Los Angeles, California
Anne Ades

³Division of Neonatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
Rita Dadiz

⁴Division of Neonatology, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York
Christiane E. L. Dammann

⁵Division of Newborn Medicine, Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts
Louis P. Halamek

⁶Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California
Ahmed Moussa

⁷Division of Neonatology, Department of Pediatrics, Sainte-Justine Hospital University Center, University of Montreal, Montreal, Canada
Lamia Soghier

⁸Department of Neonatology, Children's National Health System, Washington, District of Columbia
Arika Gupta

⁹Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois
Sofia Aliaga

¹⁰Department of Pediatrics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Rachel Umoren

¹Division of Neonatology, Department of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington
Heather French

³Division of Neonatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

for the Organization of Neonatal-Perinatal Training Program Directors Task Force on Simulation

Abstract

Objective This study aimed to investigate the use of simulation in neonatal-perinatal medicine (NPM) fellowship programs.

Study Design This was a cross-sectional survey of program directors (PDs) and simulation educators in Accreditation Council for Graduate Medical Education (ACGME) accredited NPM fellowship programs.

Results Responses were received from 59 PDs and 52 simulation educators, representing 60% of accredited programs. Of responding programs, 97% used simulation, which most commonly included neonatal resuscitation (94%) and procedural skills (94%) training. The time and scope of simulation use varied significantly. The majority of fellows (51%) received ≤20 hours of simulation during training. The majority of PDs (63%) wanted fellows to receive >20 hours of simulation. Barriers to simulation included lack of faculty time, experience, funding, and curriculum.

Conclusion While the majority of fellowship programs use simulation, the time and scope of fellow exposure to simulation experiences are limited. The creation of a standardized simulation curriculum may address identified barriers to simulation.

Keywords

simulation - neonatal-perinatal medicine fellowship - neonatology - fellowship - medical education

Full Text

References

References
1 Halamek LP. The simulated delivery-room environment as the future modality for acquiring and maintaining skills in fetal and neonatal resuscitation. Semin Fetal Neonatal Med 2008; 13 (06) 448-453
2 Hamstra S, Philibert I. Simulation in graduate medical education: understanding uses and maximizing benefits. J Grad Med Educ 2012; 4 (04) 539-540
3 McLaughlin SA, Bond W, Promes S, Spillane L. The status of human simulation training in emergency medicine residency programs. Simul Healthc 2006; 1 (Spec no): 18-21
4 Eppich WJ, Nypaver MM, Mahajan P. , et al. The role of high-fidelity simulation in training pediatric emergency medicine fellows in the United States and Canada. Pediatr Emerg Care 2013; 29 (01) 1-7
5 Doughty CB, Kessler DO, Zuckerbraun NS. , et al. Simulation in pediatric emergency medicine fellowships. Pediatrics 2015; 136 (01) e152-e158
6 Johnson L, Mu T, Sawyer T. Use of medical simulation in neonatal-perinatal fellowship training programs. J Neonatal Perinatal Med 2012; 5 (04) 339-345
7 Irby DM, O'Sullivan PS. Developing and rewarding teachers as educators and scholars: remarkable progress and daunting challenges. Med Educ 2018; 52 (01) 58-67
8 Sawyer T, White M, Zaveri P. , et al. Learn, see, practice, prove, do, maintain: an evidence-based pedagogical framework for procedural skill training in medicine. Acad Med 2015; 90 (08) 1025-1033
9 Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 2005; 27 (01) 10-28
10 French H, Gray M, Gillam-Krakauer M. , et al. Flipping the classroom: a national pilot curriculum for physiology in neonatal-perinatal medicine. J Perinatol 2018; 38 (10) 1420-1427