Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows

Introduction Although care for neonates with cardiac disease is frequently provided by neonatologists and pediatric cardiologists, training in the multidisciplinary management of neonatal cardiac emergencies is not often included in fellowship training. We created a multidisciplinary simulation curr...

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Autores principales:	M. Abigail Simmons, Andrea Otero-Luna, Brooke Redmond, John Fahey, Cheyenne Beach, Christie Bruno, Lindsay Johnston
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Neonatal Cyanosis Neonatal Cardiogenic Shock Neonatal Arrhythmia Simulation Interdisciplinary Care Physician Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/505efa2e3ee64d5eac8cebeb5c0b996e
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spelling	oai:doaj.org-article:505efa2e3ee64d5eac8cebeb5c0b996e2021-11-19T15:20:31ZNeonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows10.15766/mep_2374-8265.110452374-8265https://doaj.org/article/505efa2e3ee64d5eac8cebeb5c0b996e2020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11045https://doaj.org/toc/2374-8265Introduction Although care for neonates with cardiac disease is frequently provided by neonatologists and pediatric cardiologists, training in the multidisciplinary management of neonatal cardiac emergencies is not often included in fellowship training. We created a multidisciplinary simulation curriculum to address the skills needed for neonatal cardiac care. Methods Neonatology and pediatric cardiology fellows participated in 1-hour simulations on 3 different days. They managed a neonate with: (1) cyanosis, (2) cardiogenic shock, and (3) an unstable arrhythmia. Using both remote consultation and bedside evaluation, the participants diagnosed and jointly established a management plan for the infant. During the debrief, facilitators reviewed the clinical decisions and multidisciplinary management skills of the participants. Participants completed pre- and postparticipation surveys to evaluate the curriculum's effect on their confidence in the management of neonatal cardiac disease. Results Thirty-three paired survey responses from 20 participants (11 neonatology and 9 pediatric cardiology) reported a mean overall satisfaction score of 4.6 (SD = 0.7) based on a 5-point Likert scale. Postparticipation confidence scores improved significantly in: (1) the recognition of the signs of congenital heart disease (pre = 4.1, post = 4.5, p = .01), (2) differentiation of cardiac cyanosis from noncardiac cyanosis (pre = 3.9, post = 4.2, p = .05), and (3) confidence in discussing cardiac concerns with consultants (pre = 3.3, post = 4.1, p = .02). Discussion This multidisciplinary simulation improved fellows’ confidence in the management of neonates with cardiac disease and provided an opportunity to practice team work, remote consultation, and cross-disciplinary communication.M. Abigail SimmonsAndrea Otero-LunaBrooke RedmondJohn FaheyCheyenne BeachChristie BrunoLindsay JohnstonAssociation of American Medical CollegesarticleNeonatal CyanosisNeonatal Cardiogenic ShockNeonatal ArrhythmiaSimulationInterdisciplinary CarePhysicianMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neonatal Cyanosis Neonatal Cardiogenic Shock Neonatal Arrhythmia Simulation Interdisciplinary Care Physician Medicine (General) R5-920 Education L
spellingShingle	Neonatal Cyanosis Neonatal Cardiogenic Shock Neonatal Arrhythmia Simulation Interdisciplinary Care Physician Medicine (General) R5-920 Education L M. Abigail Simmons Andrea Otero-Luna Brooke Redmond John Fahey Cheyenne Beach Christie Bruno Lindsay Johnston Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
description	Introduction Although care for neonates with cardiac disease is frequently provided by neonatologists and pediatric cardiologists, training in the multidisciplinary management of neonatal cardiac emergencies is not often included in fellowship training. We created a multidisciplinary simulation curriculum to address the skills needed for neonatal cardiac care. Methods Neonatology and pediatric cardiology fellows participated in 1-hour simulations on 3 different days. They managed a neonate with: (1) cyanosis, (2) cardiogenic shock, and (3) an unstable arrhythmia. Using both remote consultation and bedside evaluation, the participants diagnosed and jointly established a management plan for the infant. During the debrief, facilitators reviewed the clinical decisions and multidisciplinary management skills of the participants. Participants completed pre- and postparticipation surveys to evaluate the curriculum's effect on their confidence in the management of neonatal cardiac disease. Results Thirty-three paired survey responses from 20 participants (11 neonatology and 9 pediatric cardiology) reported a mean overall satisfaction score of 4.6 (SD = 0.7) based on a 5-point Likert scale. Postparticipation confidence scores improved significantly in: (1) the recognition of the signs of congenital heart disease (pre = 4.1, post = 4.5, p = .01), (2) differentiation of cardiac cyanosis from noncardiac cyanosis (pre = 3.9, post = 4.2, p = .05), and (3) confidence in discussing cardiac concerns with consultants (pre = 3.3, post = 4.1, p = .02). Discussion This multidisciplinary simulation improved fellows’ confidence in the management of neonates with cardiac disease and provided an opportunity to practice team work, remote consultation, and cross-disciplinary communication.
format	article
author	M. Abigail Simmons Andrea Otero-Luna Brooke Redmond John Fahey Cheyenne Beach Christie Bruno Lindsay Johnston
author_facet	M. Abigail Simmons Andrea Otero-Luna Brooke Redmond John Fahey Cheyenne Beach Christie Bruno Lindsay Johnston
author_sort	M. Abigail Simmons
title	Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
title_short	Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
title_full	Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
title_fullStr	Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
title_full_unstemmed	Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows
title_sort	neonatal cardiac emergencies: a multidisciplinary simulation curriculum for neonatology and pediatric cardiology fellows
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/505efa2e3ee64d5eac8cebeb5c0b996e
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Neonatal Cardiac Emergencies: A Multidisciplinary Simulation Curriculum for Neonatology and Pediatric Cardiology Fellows

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