| Summary: | Abstract This simulation functions as a tool for training, evaluating, and reinforcing material learned in the classroom and operating room. Trainees with different backgrounds and experiences can utilize this simulation module for further learning about the handling of difficult pediatric IV access, and use it as a opportunity to become aware of the condition before diagnosing and treating a real patient in a way that is observable and repeatable, and allows for the freedom to make mistakes and reflect upon different actions in the future. This scenario may be implemented in Maintenance of Certification in Anesthesiology and continuing medical education programs as well. It can be used as a source of performance improvement and continued learning in faculty, but was not ever conceived to be a summative assessment tool. We did a pilot study with this project after we did a department-wide, in-service on intraosseous access. We found that learners, in particular the novice trainee, did not have a good grasp on the myriad of options for obtaining access. We then began to use this simulation to teach about the challenges of difficult IV access as well as the potential ways to circumvent it. One far-reaching goal for this work is to help trainees become adaptable and flexible in their approach to patient care—two key attributes for a successful board certified anesthesiologist. After having an entire resident class go through this simulation, they not only performed better on repeat simulation, but they performed better on other simulations where IV access is difficult.
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