Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum
Introduction Acute bronchiolitis is a viral infection infecting 90% of children under the age of 2 years, with approximately 200,000 deaths per year. The current standard of care remains largely respiratory support and prevention. Therefore, understanding how to assess and escalate respiratory suppo...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2023-06-01
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| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11318 |
| _version_ | 1797805882324549632 |
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| author | Justin M. Jeffers Amit Pahwa Stacy Cooper Olivia Widger David W. Cooke Emily Frosch Rebekah Reisig Christopher Grybauskas Eric Balighian Lauren Kahl Edward L. Bartlett W. Christopher Golden |
| author_facet | Justin M. Jeffers Amit Pahwa Stacy Cooper Olivia Widger David W. Cooke Emily Frosch Rebekah Reisig Christopher Grybauskas Eric Balighian Lauren Kahl Edward L. Bartlett W. Christopher Golden |
| author_sort | Justin M. Jeffers |
| collection | DOAJ |
| description | Introduction Acute bronchiolitis is a viral infection infecting 90% of children under the age of 2 years, with approximately 200,000 deaths per year. The current standard of care remains largely respiratory support and prevention. Therefore, understanding how to assess and escalate respiratory supportive care is paramount for health care providers taking care of children. Methods We used a high-fidelity simulator to simulate an infant with progressing respiratory distress in the setting of acute bronchiolitis. The participants were pediatric clerkship medical students during their preclerkship educational exercises (PRECEDE). The students were asked to evaluate and treat the simulated patient. After debriefing, the students repeated the simulation. We assessed both performances via a weighted checklist specifically developed for this case to measure team performance. Students also completed an overall course evaluation. Results Ninety out of 121 pediatric clerkship students were enrolled. Performance improved from 57% to 86% ( p < .05). Donning appropriate personal protection equipment was the most missed item both pre- and postdebriefing. Overall, the course was well liked and received. Participants requested more simulation opportunities within PRECEDE as well as a summary document to reinforce learning. Discussion Pediatric clerkship students improved their performance managing progressing respiratory distress due to acute bronchiolitis via a performance-based assessment tool with sound validity evidence. Improvements going forward include improving faculty diversity and offering more simulation opportunities. |
| first_indexed | 2024-03-13T05:58:50Z |
| format | Article |
| id | doaj.art-46e44b0a99664a4abf9d19b8f40c7172 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-03-13T05:58:50Z |
| publishDate | 2023-06-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-46e44b0a99664a4abf9d19b8f40c71722023-06-13T04:00:06ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-06-011910.15766/mep_2374-8265.11318Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) CurriculumJustin M. Jeffers0Amit Pahwa1Stacy Cooper2Olivia Widger3David W. Cooke4Emily Frosch5Rebekah Reisig6Christopher Grybauskas7Eric Balighian8Lauren Kahl9Edward L. Bartlett10W. Christopher Golden11Assistant Professor, Department of Pediatrics, Johns Hopkins University School of Medicine; Adjunct Faculty, Johns Hopkins University School of EducationAssociate Professor, Department of Pediatrics, and Associate Professor, Division of General Internal Medicine, Johns Hopkins University School of MedicineAssistant Professor, Department of Pediatrics, Johns Hopkins University School of MedicineClinical Assistant Professor of Pediatrics, Perelman School of Medicine at the University of PennsylvaniaAssociate Professor, Department of Pediatrics, Johns Hopkins University School of MedicineAssociate Professor, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of MedicineProgram Coordinator, Department of Pediatrics, Johns Hopkins University School of MedicineClinical Associate of Pediatrics, Johns Hopkins University School of MedicineAssistant Professor, Department of Pediatrics, Johns Hopkins University School of MedicineAssistant Professor, Department of Pediatrics, Johns Hopkins University School of MedicineAssociate Professor, Department of Pediatrics, Johns Hopkins University School of MedicineAssociate Professor, Department of Pediatrics, Johns Hopkins University School of MedicineIntroduction Acute bronchiolitis is a viral infection infecting 90% of children under the age of 2 years, with approximately 200,000 deaths per year. The current standard of care remains largely respiratory support and prevention. Therefore, understanding how to assess and escalate respiratory supportive care is paramount for health care providers taking care of children. Methods We used a high-fidelity simulator to simulate an infant with progressing respiratory distress in the setting of acute bronchiolitis. The participants were pediatric clerkship medical students during their preclerkship educational exercises (PRECEDE). The students were asked to evaluate and treat the simulated patient. After debriefing, the students repeated the simulation. We assessed both performances via a weighted checklist specifically developed for this case to measure team performance. Students also completed an overall course evaluation. Results Ninety out of 121 pediatric clerkship students were enrolled. Performance improved from 57% to 86% ( p < .05). Donning appropriate personal protection equipment was the most missed item both pre- and postdebriefing. Overall, the course was well liked and received. Participants requested more simulation opportunities within PRECEDE as well as a summary document to reinforce learning. Discussion Pediatric clerkship students improved their performance managing progressing respiratory distress due to acute bronchiolitis via a performance-based assessment tool with sound validity evidence. Improvements going forward include improving faculty diversity and offering more simulation opportunities.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11318BronchiolitisPediatric Emergency MedicinePediatricsRespiratory TherapySimulation |
| spellingShingle | Justin M. Jeffers Amit Pahwa Stacy Cooper Olivia Widger David W. Cooke Emily Frosch Rebekah Reisig Christopher Grybauskas Eric Balighian Lauren Kahl Edward L. Bartlett W. Christopher Golden Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum MedEdPORTAL Bronchiolitis Pediatric Emergency Medicine Pediatrics Respiratory Therapy Simulation |
| title | Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum |
| title_full | Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum |
| title_fullStr | Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum |
| title_full_unstemmed | Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum |
| title_short | Bronchiolitis Simulation Module in the Pediatric Preclerkship Educational Exercises (PRECEDE) Curriculum |
| title_sort | bronchiolitis simulation module in the pediatric preclerkship educational exercises precede curriculum |
| topic | Bronchiolitis Pediatric Emergency Medicine Pediatrics Respiratory Therapy Simulation |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11318 |
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