“Sim One, Do One” Infant Lumbar Puncture Simulator Builds Confidence and Skills David Kessler, Marc Auerbach, Dennis Heon, Michael Tunik, Jessica Foltin Bellevue Hospital Center and NYU School of Medicine Departments of Pediatrics and Emergency Medicine

1
Sim One, Do One Infant Lumbar Puncture
Simulator Improves Resident Confidence and Skills
David Kessler, Marc Auerbach, Dennis Heon,
Michael Tunik, Jessica Foltin NYU 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
N51
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

INTERVENTION(EARLY SIM TRAINING)
CONTROL(LATE SIM TRAINING)
RANDOMIZED
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
N16
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
N51
BASELINE POST ASSESSMENT
SKILLS (Simulator)
KNOWLEDGE
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
N24