“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children

Introduction Caring for technology-dependent children, such as those with tracheostomy and ventilator dependence, can be new and frightening for pediatric residents. Education about emergencies in this patient population is important because these children are at risk for in-hospital complications....

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Autores principales:	Erin K. Khan, Tai M. Lockspeiser, Deborah R. Liptzin, Maxene Meier, Christopher D. Baker
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Tracheostomy Simulation Pediatrics Low Fidelity Pulmonology Clinical Reasoning/Diagnostic Reasoning Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/c914fc5d88e742f8a93803850e386370
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spelling	oai:doaj.org-article:c914fc5d88e742f8a93803850e3863702021-11-19T14:49:47Z“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children10.15766/mep_2374-8265.109942374-8265https://doaj.org/article/c914fc5d88e742f8a93803850e3863702020-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10994https://doaj.org/toc/2374-8265Introduction Caring for technology-dependent children, such as those with tracheostomy and ventilator dependence, can be new and frightening for pediatric residents. Education about emergencies in this patient population is important because these children are at risk for in-hospital complications. Safe care of the tracheostomy-dependent child requires the ability to recognize common complications, such as tracheostomy tube obstruction or decannulation, and intervene appropriately by suctioning and/or replacing the tracheostomy tube. This simulation-based curriculum teaches learners to identify and practice the management of these tracheostomy tube complications through low-fidelity simulation exercises. Methods We created a simulation session with three cases reflecting in-hospital scenarios encountered by resident physicians caring for tracheostomy-dependent children in the inpatient setting. The simulation scenario, simulation environment preparation, materials list, and debriefing outline are provided for the instructor for each simulation case. Validity evidence for the assessment tool was obtained by calculating the interrater reliability of two different raters. Resident feedback was obtained through anonymous surveys. Results Twelve pediatric senior residents completed the experience. It received overwhelmingly positive feedback on learner evaluation forms, with 90% finding the experience very or extremely helpful. The intraclass correlation coefficient of interrater reliability for our assessment tool was 0.93. Discussion The simulation was well received by residents. The interrater reliability was acceptable. This low-fidelity simulation exercise can easily be executed with minimal materials or instructor training. High-yield, just-in-time training with postcase debriefing is key to the simulation's success.Erin K. KhanTai M. LockspeiserDeborah R. LiptzinMaxene MeierChristopher D. BakerAssociation of American Medical CollegesarticleTracheostomySimulationPediatricsLow FidelityPulmonologyClinical Reasoning/Diagnostic ReasoningMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tracheostomy Simulation Pediatrics Low Fidelity Pulmonology Clinical Reasoning/Diagnostic Reasoning Medicine (General) R5-920 Education L
spellingShingle	Tracheostomy Simulation Pediatrics Low Fidelity Pulmonology Clinical Reasoning/Diagnostic Reasoning Medicine (General) R5-920 Education L Erin K. Khan Tai M. Lockspeiser Deborah R. Liptzin Maxene Meier Christopher D. Baker “When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children
description	Introduction Caring for technology-dependent children, such as those with tracheostomy and ventilator dependence, can be new and frightening for pediatric residents. Education about emergencies in this patient population is important because these children are at risk for in-hospital complications. Safe care of the tracheostomy-dependent child requires the ability to recognize common complications, such as tracheostomy tube obstruction or decannulation, and intervene appropriately by suctioning and/or replacing the tracheostomy tube. This simulation-based curriculum teaches learners to identify and practice the management of these tracheostomy tube complications through low-fidelity simulation exercises. Methods We created a simulation session with three cases reflecting in-hospital scenarios encountered by resident physicians caring for tracheostomy-dependent children in the inpatient setting. The simulation scenario, simulation environment preparation, materials list, and debriefing outline are provided for the instructor for each simulation case. Validity evidence for the assessment tool was obtained by calculating the interrater reliability of two different raters. Resident feedback was obtained through anonymous surveys. Results Twelve pediatric senior residents completed the experience. It received overwhelmingly positive feedback on learner evaluation forms, with 90% finding the experience very or extremely helpful. The intraclass correlation coefficient of interrater reliability for our assessment tool was 0.93. Discussion The simulation was well received by residents. The interrater reliability was acceptable. This low-fidelity simulation exercise can easily be executed with minimal materials or instructor training. High-yield, just-in-time training with postcase debriefing is key to the simulation's success.
format	article
author	Erin K. Khan Tai M. Lockspeiser Deborah R. Liptzin Maxene Meier Christopher D. Baker
author_facet	Erin K. Khan Tai M. Lockspeiser Deborah R. Liptzin Maxene Meier Christopher D. Baker
author_sort	Erin K. Khan
title	“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children
title_short	“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children
title_full	“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children
title_fullStr	“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children
title_full_unstemmed	“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children
title_sort	“when in doubt, change it out”: a case-based simulation for pediatric residents caring for hospitalized tracheostomy-dependent children
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/c914fc5d88e742f8a93803850e386370
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“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children

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