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New ALERT - Rapid Cycle Deliberate Practice for airway management in pediatric residents

Gross I (USF), Noether J, Powell M, Bahar-Posey L

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New ALERT - Rapid Cycle Deliberate Practice for airway management in pediatric residents

  1. 1. RCDP as a method to improve airway management skills in pediatric residents Isabel Gross, MD PhD1,3, Julia Noether, MD2,3, Melissa Powell, BSN, MHPE, RN-BC3 , Laleh Bahar-Posey, MD3 1University of South Florida, 2Johns Hopkins University, 3All Children’s Hospital Johns Hopkins Medicine INSPIRE @ IMSH 2016 – San Diego, CA / USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. • Methods need to be identified to optimize instructional simulation design to achieve goals of the simulation and learners • Rapid Cycle Deliberate Practice (RCDP) as a method of simulation debriefing has been shown to improve pediatric resident resuscitation skills (Hunt et al, 2014) • Micro-debrief with reflection-on-action “pause and discuss/rewind” as a form of post-event debriefing may be differentiated from micro-debriefing within the event with reflection-in-action (Eppich et al, 2015) International Network for Simulation-based Pediatric Innovation, Research and Education Background
  3. 3. Is feedback with reflection “on action” with “rewind” (allowing learners to repeat action) superior to reflection “in action” without “rewind”? • Population: PGY-1, 2, 3 pediatric residents • Intervention: reflection on action +rewind • Comparison: reflection in action, no rewind • Outcome: airway management skills International Network for Simulation-based Pediatric Innovation, Research and Education PICO / Research Question
  4. 4. International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design Reflection in action Standardized introduction Reflection “in action”, no “rewind” Assessment intubation skills (video taped), check list & global assessment scale Reflection on action (RCDP) Standardized introduction Reflection “on action”, +“rewind” Assessment intubation skills (video taped), check list & global assessment scale
  5. 5. International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design Reflection in action Standardized introduction Reflection “in action”, no “rewind” Assessment intubation skills (video taped), check list & global assessment scale Reflection on action (RCDP) Standardized introduction Reflection “on action”, +“rewind” Assessment intubation skills (video taped), check list & global assessment scale “Traditional” simulation Standardized introduction Reflection “on action”, no interruption Assessment intubation skills (video taped), check list & global assessment scale
  6. 6. • ALERT Presentation: January 2016 • Grant Proposal: Not applicable • Expedited IRB Submission: January 2016 • Recruitment / Data Collection: Spring 2016 • Data Analysis: Summer 2016 • Abstract Presentation: Fall 2016 • Manuscript Preparation: Winter 2016 International Network for Simulation-based Pediatric Innovation, Research and Education Timeline
  7. 7. 1. Ideas to optimize study design 1. Should there be sub-groups for different learner levels? 2. Should a third group be added using traditional simulation with no feedback during simulation? 3. What primary/secondary outcome should we look at? International Network for Simulation-based Pediatric Innovation, Research and Education 3 questions to improve study
  8. 8. • At INSPIRE @ IMSH 2016 - Obtain feedback • By February 2016 - Finish IRB process and start study International Network for Simulation-based Pediatric Innovation, Research and Education Goals to accomplish
  9. 9. Isabel T Gross, MD, PhD Pediatric Chief Resident, University of South Florida Email: Isabel.t.gross@gmail.com Phone: (727) 692-4728 International Network for Simulation-based Pediatric Innovation, Research and Education Contact Information
  10. 10. Hunt EA, Duval-Arnould JM, Nelson-McMillan KL, et al. Pediatric resident resuscitation skills improve after “Rapid Cycle Deliberate Practice” Training. Resuscitation. 2014;85:945-951 Eppich WJ, Hunt EA, Duval-Arnould JM, et al. Structuring Feedback and Debriefing to Achieve Mastery Learning Goals. 2015;90:00-00 International Network for Simulation-based Pediatric Innovation, Research and Education References

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Gross I (USF), Noether J, Powell M, Bahar-Posey L

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