@Article{chd.12483,
AUTHOR = {Tyler H. Harris, Mark Adler, Sharon M. Unti, Mary E. McBride},
TITLE = {Pediatric heart disease simulation curriculum: Educating the pediatrician},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {12},
YEAR = {2017},
NUMBER = {4},
PAGES = {546--553},
URL = {http://www.techscience.com/schd/v12n4/39188},
ISSN = {3071-1738},
ABSTRACT = {<b>Background:</b> Training guidelines state that pediatricians should be able to diagnose, manage, and
triage patients with heart disease. Acutely ill cardiac patients present infrequently and with high
acuity, yet residents receive less exposure to acute cardiac conditions than previous generations.
Trainees must learn to manage these situations despite this gap. Simulation has been used successfully to train learners to provide acute care. We hypothesized that a simulation-based cardiac
curriculum would improve residents’ ability to manage cardiac patients.<br/>
<b>Methods:</b> Pediatric residents completed 4 simulation cases followed by debriefing and a computer
presentation reviewing the learning objectives. Subjects returned at 1 month for postintervention
cases and again at 4–6 months to measure knowledge retention. Cases were scored by 2 raters
using a dichotomous checklist. We used repeated measure ANOVA and effect size to compare
groups and intra-class correlation (ICC) to assess inter-rater reliability.<br/>
<b>Results:</b> Twenty-five participants were enrolled. Scores were low on pretesting but showed significant improvement (P < .05) in all 4 cases. No decay was noted on late testing. Pre-post effect
sizes ranged from 1.1 to 2.1, demonstrating meaningful improvement. Inter-rater reliability (ICC)
ranged from 0.61 to 0.93 across cases.<br/>
<b>Conclusions:</b> This novel simulation-based curriculum targets a gap in pediatric training and offers
an effective way to train pediatricians. We plan to expand this curriculum to new populations of
participants and have integrated it into our resident cardiology rotation.},
DOI = {10.1111/chd.12483}
}