ESPN 50th Annual Meeting

ESPN 2017


 
ACUTE PEDIATRIC NEPHROLOGY SIMULATION


1- Hamad Medical Corporation
2- Weill Cornell Medical College in Qatar
 
Introduction:

Simulation-based education is considered one of the best training strategies to enhance the performance of healthcare professionals. Simulation is used intensively now for the training purpose and for the assessment of residents performance. Inter-professional education is the strategy used to boost the collaborative practice among multidisciplinary team for the best quality of care. Using different types of simulation-based education in pediatric nephrology field is limited in the research body. We conducted multiple simulation sessions to improve the training in the acute pediatric nephrology among the residents.The individual and inter-professional performances of the residents in all the simulation scenarios were objectively assessed. 

Material and methods:

Three acute pediatric nephrology simulation scenarios were conducted over different days to evaluate the residents’ performance. The participants included residents, faculties in pediatric nephrology, faculties in different specialties, nurse and some allied health professionals. All the participants were working together in each scenario as a multidisciplinary team while the target population was the residents of different levels. The scenarios were designed by an expert in pediatric nephrology and simulation as well. The learning outcome is measured by two different tools. The first was a post sessions survey (self-assessment). The second tool was direct observation by high quality performance check list (Expert assessment). The simulation station was 15 minutes followed by 30 minutes debriefing. The stations were; acute kidney injury secondary to renal hypoperfusion, renal failure with critical hyperkalemia and neonatal hyperammonemia required CRRT. Student t-test was used to evaluate the quantitative portion of the data expressed by the Likert scale of the post simulation surveys. Manual coding by three independent researchers was done to evaluate the text portion of the questionnaire

Results:

The result showed a significant learning outcome from the simulation sessions. The residents were quite interested in the simulation learning compared to the traditional lectures in the same topics. The hands-on practice and rapid effective actions were observed in all of the simulation scenarios. Most of the residents worked collaboratively and effectively within the multidisciplinary team.   

Conclusions:

 This inter-professional simulation demonstrated an effective learning outcome among the residents on the short term. The long term retention and the performance in real life events need to be evaluated in another study to evaluate the simulation effect on the real residents practice and in hence the patients’ outcome. It is recommended to implement the inter-professional simulation-based acute and non-acute training to the residents in the pediatric nephrology curriculum and to disseminate this learning strategy to the other pediatric sub-specialties.