Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases

Introduction During the course of fellowship training, pediatric critical care fellows are expected to develop a broad and in-depth understanding of the pathophysiology of multiple disease processes. The simulation-based pediatric critical care pathophysiology curriculum we present uses scenarios cr...

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Autores principales:	Candace Mannarino, Erin Bradley, Amanda Puro, Deborah Sung, Katie Wolfe
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Pediatric Critical Care Medicine Simulation Pathophysiology Curriculum Development Evidence-Based Medicine Knowledge Translation Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/062cfbd9f2534fa9bb70a56092f2cbd1
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spelling	oai:doaj.org-article:062cfbd9f2534fa9bb70a56092f2cbd12021-11-19T13:46:41ZPathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases10.15766/mep_2374-8265.109312374-8265https://doaj.org/article/062cfbd9f2534fa9bb70a56092f2cbd12020-07-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10931https://doaj.org/toc/2374-8265Introduction During the course of fellowship training, pediatric critical care fellows are expected to develop a broad and in-depth understanding of the pathophysiology of multiple disease processes. The simulation-based pediatric critical care pathophysiology curriculum we present uses scenarios created by pediatric critical care fellows to teach complex pathophysiology. Methods Each of the three representative cases presented covered a specific pathophysiologic process and required participants to acutely manage (1) an 18-year-old patient with altered mental status in the setting of hepatic encephalopathy; (2) an 8-year-old patient with sepsis, coagulopathy, and acute kidney injury; or (3) a 12-year-old patient with status epilepticus. Each case could be conducted in a simulation suite or an acute care unit bed. We assessed learners' knowledge and attitudes at the end of these simulations with a structured debriefing session and via completion of an evaluation form. The simulations were then followed by a 30-minute interactive didactic session on the topic. Results Each scenario had six fellow participants who completed evaluations. After completing each of the three case scenarios presented, the majority of participating pediatric critical care fellows indicated that the content was relevant and sufficiently challenging. They also indicated that these simulation scenarios would improve their clinical practice. Discussion This fellow-developed simulation curriculum is novel, highlighting the relevance for critical care fellows' understanding of realistic clinical scenarios while promoting advanced management skills with a pathophysiology focus.Candace MannarinoErin BradleyAmanda PuroDeborah SungKatie WolfeAssociation of American Medical CollegesarticlePediatric Critical Care MedicineSimulationPathophysiologyCurriculum DevelopmentEvidence-Based MedicineKnowledge TranslationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatric Critical Care Medicine Simulation Pathophysiology Curriculum Development Evidence-Based Medicine Knowledge Translation Medicine (General) R5-920 Education L
spellingShingle	Pediatric Critical Care Medicine Simulation Pathophysiology Curriculum Development Evidence-Based Medicine Knowledge Translation Medicine (General) R5-920 Education L Candace Mannarino Erin Bradley Amanda Puro Deborah Sung Katie Wolfe Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases
description	Introduction During the course of fellowship training, pediatric critical care fellows are expected to develop a broad and in-depth understanding of the pathophysiology of multiple disease processes. The simulation-based pediatric critical care pathophysiology curriculum we present uses scenarios created by pediatric critical care fellows to teach complex pathophysiology. Methods Each of the three representative cases presented covered a specific pathophysiologic process and required participants to acutely manage (1) an 18-year-old patient with altered mental status in the setting of hepatic encephalopathy; (2) an 8-year-old patient with sepsis, coagulopathy, and acute kidney injury; or (3) a 12-year-old patient with status epilepticus. Each case could be conducted in a simulation suite or an acute care unit bed. We assessed learners' knowledge and attitudes at the end of these simulations with a structured debriefing session and via completion of an evaluation form. The simulations were then followed by a 30-minute interactive didactic session on the topic. Results Each scenario had six fellow participants who completed evaluations. After completing each of the three case scenarios presented, the majority of participating pediatric critical care fellows indicated that the content was relevant and sufficiently challenging. They also indicated that these simulation scenarios would improve their clinical practice. Discussion This fellow-developed simulation curriculum is novel, highlighting the relevance for critical care fellows' understanding of realistic clinical scenarios while promoting advanced management skills with a pathophysiology focus.
format	article
author	Candace Mannarino Erin Bradley Amanda Puro Deborah Sung Katie Wolfe
author_facet	Candace Mannarino Erin Bradley Amanda Puro Deborah Sung Katie Wolfe
author_sort	Candace Mannarino
title	Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases
title_short	Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases
title_full	Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases
title_fullStr	Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases
title_full_unstemmed	Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases
title_sort	pathophysiology for the pediatric critical care fellow: three representative simulation cases
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/062cfbd9f2534fa9bb70a56092f2cbd1
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Pathophysiology for the Pediatric Critical Care Fellow: Three Representative Simulation Cases

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