Transfer of a Novel Pediatric Simulation Program

描述（应用后）：传统的医疗模式 培训将受训者置于特定环境中一段时间， 期望这种活动将导致临床能力。 传统上，新生儿复苏的培训是由 承担起照顾真实的病人的责任， 参加标准化课程，如新生儿复苏 美国儿科学会项目。虽然历史上被公认 医生和护理培训计划普遍使用， 很少有客观数据描述这种培训模式对 实际操作。 申请人开发了一种新的新生儿复苏培训模式， NeoSim，体现了真实的在职培训的许多优势 产房和标准化课程（利用教科书，讲座，技能 站和客观测试），同时最大限度地减少相关限制 这种传统的培训模式。申请人希望回答一个 关于这种高保真模拟医疗的基本问题 培训计划：在模拟产房内获得的技能 改善人类的表现和提高病人的安全 在真实的产房里首先，基线数据将收集在 我们的新生儿复苏团队的表现和错误率， 在真实的产房里的人类新生儿。接下来， 研究者团队将在模拟产房接受NeoSim培训 环境随后将评估这一举措的影响。 在真实的产房中进行基于模拟的培训计划。 仅在美国，每年就有大约400万人出生;其中， 很大一部分需要一个熟练的新生儿护理团队在场， 复苏术这项工作有可能影响 每年为数十万新生儿及其母亲提供医疗保健。 这不仅代表了第一次尝试批判性地评估 在真实的医疗领域中， 但它也是唯一一个全面的高保真模拟训练， 儿科医学的最高水平。

DESCRIPTION (after the application): The traditional model of medical training places trainees in a particular environment for a period of time with the expectation that such activity will lead to clinical competence. Traditionally, training in neonatal resuscitation has been accomplished by assuming graduated responsibility in caring for real patients and participation in standardized courses such as the Neonatal Resuscitation Program of the American Academy of Pediatrics. Although historically accepted and universally utilized by physician and nursing training programs, there is little objective data that describes the impact of this training model upon actual practice. The applicant has developed a new model of training in neonatal resuscitation, NeoSim, that embodies many of the strengths of on-the-job training in the real delivery room and standardized courses (utilizing textbooks, lectures, skill stations, and objective tests) while minimizing the limitations associated with this traditional training model. The applicant seeks to answer a fundamental question regarding this high-fidelity simulation-based medical training program: Do the skills acquired within the simulated delivery room environment result in improved human performance and enhanced patient safety in the real delivery room? First, baseline data will be gathered on the performance and error rate of our neonatal resuscitation teams as they care for human neonates in the real delivery room. Next, all members of investigator teams will undergo NeoSim training in the simulated delivery room environment. This will be followed by evaluating the impact of this simulation-based training program upon practice in the real delivery room. Approximately four million births occur annually in the U.S. alone; of these, a large percentage require the presence of a team skilled in neonatal resuscitation. This work has the potential to impact the delivery of healthcare to hundreds of thousands of newborns and their mothers each year. Not only does this represent the first attempt to critically assess the impact of simulation-based training on human performance in a real medical domain, but it is also the only comprehensive high-fidelity simulation-based training program in pediatric medicine in the world.