Dataset Information

Implementation and evaluation of a shock curriculum using simulation in Manila, Philippines: a prospective cohort study.

ABSTRACT:

Background

Shock causes significant morbidity and mortality in children living in resource-limited settings. Simulation has been successfully used as an educational tool for medical professionals internationally. We sought to improve comfort and knowledge regarding shock recognition and fluid management by implementing a pediatric shock curriculum using simulation as an assessment for trainees in Manila, Philippines.

Methods

We assessed a shock curriculum focused on patients with malnutrition in a prospective cohort study, using a written test and a videotaped simulation-based objective standardized clinical examination. Implementation occurred in March 2020 with 24 Filipino pediatric residents at a single institution in Manila. Outcomes included time to initiation of fluid resuscitation, improvement in confidence, knowledge on a written assessment, and performance in simulation. Results were compared pre- and post-intervention using Wilcoxon signed-rank test.

Results

The time to initiation of fluids did not change between the baseline simulation (median [interquartile range] = 71.5 seconds [52-116.5]) and the final simulation (68 seconds [52.5-89]; P = 0.42). Confidence in identifying shock and malnutrition, managing hypovolemic shock, managing septic shock, and placing intraosseous access all increased (P < 0.01) post-intervention. Written test scores showed no improvement, but performance in simulation, measured using a checklist, improved from a total score of 10 [8.5-11] to 15 [13-16] (P < 0.01).

Conclusion

In our study of a simulation-based shock education program, we showed improvement in confidence and knowledge as measured by a resuscitation checklist. It is feasible to establish a successful simulation-based education program in a low-resource setting.

SUBMITTER: Gardner Yelton SE

PROVIDER: S-EPMC9354294 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Implementation and evaluation of a shock curriculum using simulation in Manila, Philippines: a prospective cohort study.

Gardner Yelton Sarah E SE Ramos Lorelie Cañete LC Reuland Carolyn J CJ Evangelista Paula Pilar G PPG Shilkofski Nicole A NA

BMC medical education 20220805 1

<h4>Background</h4>Shock causes significant morbidity and mortality in children living in resource-limited settings. Simulation has been successfully used as an educational tool for medical professionals internationally. We sought to improve comfort and knowledge regarding shock recognition and fluid management by implementing a pediatric shock curriculum using simulation as an assessment for trainees in Manila, Philippines.<h4>Methods</h4>We assessed a shock curriculum focused on patients with ...[more]

PMID: 35932072

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Dataset Information

Implementation and evaluation of a shock curriculum using simulation in Manila, Philippines: a prospective cohort study.

Background

Methods

Results

Conclusion

Publications

Implementation and evaluation of a shock curriculum using simulation in Manila, Philippines: a prospective cohort study.

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