BACKGROUND

1. SIMULATOR TRAINING"practice makes perfect" (try LP until successful) SIMULATOR TRAINING"practice makes perfect" (try LP until successful) (6-12months later) “Sim One, Do One”Infant Lumbar Puncture Simulator Improves Resident Confidence and SkillsDavid Kessler, Marc Auerbach, Dennis Heon, Michael Tunik, Jessica FoltinNYU Langone Medical Center / Bellevue Hospital Center, Departments of Pediatrics and Emergency Medicine BACKGROUND PRELIMINARY RESULTS CONCLUSIONS Infant Lumbar Puncture (LP) is a skill pediatric residents should achieveResident confidence in skills is less for LP than for other proceduresMost programs currently train residents using the apprenticeship model Simulators that replicate the experience of an infant LP exist for training KNOWLEDGE Both groups had short-term improvements in knowledge & confidenceLP simulator training improves knowledge, confidence and skillsLP simulator training promotes success with next clinical LPLP simulators could provide a safe environment for skill development and the demonstration of provider competency P=.018 P=.001 OBJECTIVES We hypothesize that “practice makes perfect” interactive skill training on an LP simulator improves resident LP knowledge, confidence & skillsWe hypothesize that competence on the simulator will lead to improved clinical performance (success with next clinical LP) FUTURE DIRECTIONS After data collection is completed we will analyze groups to compare:improvement rates in knowledge, confidence & skillsclinical success rates & confidence with next clinical ILP skill retention in the intervention groupIs competence on manikin associated with clinical success? (independent of group)Planning underway to expand trial to multiple sites and to start including emergency medicine residents N=51 METHODS Clinical Outcomes CONFIDENCE This is a randomized clinical trial of a simulation educational interventionPediatric Residents are randomized to EARLY or LATE simulator training P=.005 P=.014 CONTROL(LATE SIM TRAINING) RANDOMIZED INTERVENTION(EARLY SIM TRAINING) P=.026 BASELINE PRE-ASSESSMENT KNOWLEDGE: 6 item quiz of infant LP questions CONFIDENCE: 4 point Likert scale “I feel confident in my ability to perform an LP on an infant” N=16 SKILLS: LP on simulator videotaped for blind rater& scored on 16 item “critica LPl steps” checklist ACKNOWLEDGEMENTS VIDEO TRAINING: Both groups watch LP and infant LP training video Thank you to the Pediatric House Staff, Dr. Rhonda Graves, Dr. Steve Paik, Karl Santiago, the division of Pediatric Emergency Medicine & the Pediatric Simulation Center at Bellevue Hospital for all of their supportResearch supported by Rbabyfoundation.org and KiDS of NYU N=51 BASELINE POST ASSESSMENT KNOWLEDGE SKILLS (Simulator) CONFIDENCE (Intervention Only) P=.00004 P=.005 SKILLS (on simulator) Clinical outcomes self-reported after next LP Current progress in timeline FINAL ASSESSMENT: KNOWLEDGE, CONFIDENCE, SKILLS & CLINICAL OUTCOMES N=24