Simulation in Neonatal-Perinatal Medicine Fellowship Programs

Taylor Sawyer; Theodora A Stavroudis; Anne Ades; Rita Dadiz; Christiane E L Dammann; Louis P Halamek; Ahmed Moussa; Lamia Soghier; Arika Gupta; Sofia Aliaga; Rachel Umoren; Heather French; Organization of Neonatal-Perinatal Training Program Directors Task Force on Simulation

doi:10.1055/s-0039-1693465

Simulation in Neonatal-Perinatal Medicine Fellowship Programs

Am J Perinatol. 2020 Oct;37(12):1258-1263. doi: 10.1055/s-0039-1693465. Epub 2019 Jul 15.

Affiliations

¹ Division of Neonatology, Department of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington.
² Division of Neonatology, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, Fetal and Neonatal Institute, University of Southern California, Los Angeles, California.
³ Division of Neonatology, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
⁴ Division of Neonatology, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York.
⁵ Division of Newborn Medicine, Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts.
⁶ Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California.
⁷ Division of Neonatology, Department of Pediatrics, Sainte-Justine Hospital University Center, University of Montreal, Montreal, Canada.
⁸ Department of Neonatology, Children's National Health System, Washington, District of Columbia.
⁹ Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
¹⁰ Department of Pediatrics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

PMID: 31307105
DOI: 10.1055/s-0039-1693465

Abstract

Objective: This study aimed to investigate the use of simulation in neonatal-perinatal medicine (NPM) fellowship programs.

Study design: This was a cross-sectional survey of program directors (PDs) and simulation educators in Accreditation Council for Graduate Medical Education (ACGME) accredited NPM fellowship programs.

Results: Responses were received from 59 PDs and 52 simulation educators, representing 60% of accredited programs. Of responding programs, 97% used simulation, which most commonly included neonatal resuscitation (94%) and procedural skills (94%) training. The time and scope of simulation use varied significantly. The majority of fellows (51%) received ≤20 hours of simulation during training. The majority of PDs (63%) wanted fellows to receive >20 hours of simulation. Barriers to simulation included lack of faculty time, experience, funding, and curriculum.

Conclusion: While the majority of fellowship programs use simulation, the time and scope of fellow exposure to simulation experiences are limited. The creation of a standardized simulation curriculum may address identified barriers to simulation.

MeSH terms

Cross-Sectional Studies
Education, Medical, Graduate / methods*
Fellowships and Scholarships
Humans
Neonatology / education*
Perinatology / education*
Simulation Training / methods
Surveys and Questionnaires
Training Support