Interprofessional, Multiple Step Simulation Course Improves Pediatric Resident and Nursing Staff Management of Pediatric Patients with Diabetic Ketoacidosis
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Aim: To investigate the use of a multidisciplinary, longitudinal simulation to educate pediatric residents and nurses on management of pediatric diabetic ketoacidosis.
Methods: A multidisciplinary, multiple step simulation course was developed by faculty and staff using a modified Delphi method from the Pediatric Simulation Center and pediatric endocrinology department. Effectiveness of the simulation for the residents was measured with a pre- and post-test and a reference group not exposed to simulation. A follow up post-test was completed 3-6 mo after the simulation. Nurses completed a survey regarding the education activity.
Results: Pediatric and medicine-pediatric residents ( = 20) and pediatric nurses ( = 25) completed the simulation course. Graduating residents ( = 16) were used as reference group. Pretest results were similar in the control and intervention group (74% ± 10% 76% ± 15%, = 0.658). After completing the intervention, participants improved in the immediate post-test in comparison to themselves and the control group (84% ± 12% post study; < 0.05). The 3-6 mo follow up post-test results demonstrated knowledge decay when compared to their immediate post-test results (78% ± 14%, = 0.761). Residents and nurses felt the interdisciplinary and longitudinal nature of the simulation helped with learning.
Conclusion: Results suggest a multidisciplinary, longitudinal simulation improves immediate post-intervention knowledge but important knowledge decay occurs, future studies are needed to determine ways to decrease this decay.
Pediatric Endocrinology Education Among Trainees: A Scoping Review.
Alshammri F, Abdulshakour M, Chen L, Sheppard R, Kearney J, Petropoulos J Clin Teach. 2025; 22(1):e70011.
PMID: 39743233 PMC: 11693414. DOI: 10.1111/tct.70011.