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Training of Pediatric Critical Care Providers in Developing Countries in Evidence Based Medicine Utilizing Remote Simulation Sessions

Authors
  • Padhya, Dipti1
  • Tripathi, Sandeep2
  • Kashyap, Rahul3
  • Alsawas, Mouaz4
  • Murthy, Srinivas5
  • Arteaga, Grace M.3
  • Dong, Yue3
  • 1 Cedars-Sinai Medical Center, West Hollywood, CA, USA
  • 2 OSF HealthCare System, Peoria, IL, USA
  • 3 Mayo Clinic, Rochester, MN, USA
  • 4 University of Iowa Hospitals and Clinics Pathology, Iowa City, IA, USA
  • 5 The University of British Columbia, Vancouver, BC, Canada
Type
Published Article
Journal
Global Pediatric Health
Publisher
SAGE Publications
Publication Date
Apr 23, 2021
Volume
8
Identifiers
DOI: 10.1177/2333794X211007473
PMID: 33997121
PMCID: PMC8072099
Source
PubMed Central
Keywords
Disciplines
  • Original Article
License
Unknown

Abstract

Background. Remote simulation training provides a unique opportunity to captivate providers despite language, distance, and cultural barriers. Previously we developed a novel electronic decision support and rounding tool, the Checklist for Early Recognition and Treatment of Acute Illness in Pediatrics (CERTAINp). This study was conducted to determine the feasibility and impact of remote simulation training of international PICU providers using CERTAINp. Methods. We conducted train-the-trainer sessions in 7 hospitals based in 5 countries (China, Congo, Croatia, India, and Turkey) between 11/2015 and 11/2016. Providers first took part in a base line simulation session to assess their clinical performance. They had structured hands-on training using CERTAINp, which was done remotely using video conference with recording capabilities. Performance in PICU “admission” and “rounding” scenarios was assessed by their adherence to standard of care guidelines using CERTAINp. After this training, the providers were re-evaluated for performance using a validated instrument by 2 independent trained reviewers. Results. A total of 7 hospitals completed both baseline and post simulation sessions. We observed improved critical task (total 14) completion in the admission scenarios where pre training task completion was 8.2 ± 2.6, while after remote training was 11.2 ± 1.8, P = .01. In rounding scenarios, compliance to standard of care guidelines improved overall from 45% to 95% ( P < .01). Conclusion. We observed an improvement in compliance for measures determined as best practice guidelines in simulation rounding and overall improvement in critical tasks for simulated admission cases after remote training.

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