?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Pediatric+Resuscitation%3A+Evaluation+of+a+Clinical+Curriculum&rft.creator=Dobson+%2C+MD%2C+Joseph+V.&rft.creator=Brancati+%2C+DO%2C+David+S.&rft.creator=Nagel+%2C+PhD%2C+Rollin&rft.subject=MEO+Peer+Reviewed&rft.description=Objective%3A+To+assess+the+impact+of+a+6-hour+pediatric+resuscitation+curriculum+on+the+comfort+levels+of+resident+physicians%E2%80%99+evaluation+and+treatment+of+critically+ill+pediatric+patients.%0AMethods%3A+An+evaluation+instrument+assessed+resident+comfort+levels%2C+measured+on+a+seven+digit+Likert+scale+ranging+from+significantly+uncomfortable+to+significantly+comfortable%2C+in+13+areas+of+pediatric+resuscitation.+To+complete+the+curriculum%2C+residents+had+to+demonstrate+proficiency+in+knowledge+and+procedural+skills+during+mock+resuscitation+scenarios+and+on+both+written+and+oral+examinations.%0AResults%3A+Thirty-one+residents+participated+in+the+study%3A+51.6%25+were+pediatric%2C+12.9%25+were+medicine%2Fpediatric+and+35.5%25+were+emergency+medicine+residents.+Participants+in+the+curriculum+had+little+previous+experience+with+pediatric+resuscitation+(83%25+had+been+involved+in+five+or+fewer+pediatric+resuscitations).+In+all+13+areas+of+pediatric+resuscitation+tested%2C+residents+reported+improvement+in+comfort+levels+following+the+course+(p%3C0.002%3B+Wilcoxon+Signed+Rank+Tests).+The+most+significant+changes+were+observed+for+the+following+items%3A+resuscitation+of+pulseless+arrest%2C+performance+of+cardioversion+and+defibrillation%2C+performance+of+intraosseous+needle+insertion%2C+and+drug+selection+and+dosing+for+rapid+sequence+intubation.+Fewer+than+48%25+of+learners+rated+themselves+as+comfortable+in+these+areas+prior+to+training%2C+but+after+completion%2C+more+than+80%25+rated+themselves+in+the+comfortable+range.+All+residents+but+one+received+passing+scores+on+their+written+examinations+(97%25).+During+the+mock+resuscitation+scenarios+and+oral+examination%2C+100%25+of+the+residents+were+assessed+to+have+%E2%80%98completely%E2%80%99+met+the+learning+objectives+and+critical+actions%0AConclusion%3A+Implementation+of+a+pediatric+resuscitation+curriculum+improves+pediatric+and+emergency+medicine+residents%E2%80%99+comfort+with+the+evaluation+and+treatment+of+critically+ill+pediatric+patients.+This+curriculum+can+be+used+in+residency+training+to+document+the+acquisition+of+core+competencies%2C+knowledge+and+procedural+skills+needed+for+the+evaluation+and+treatment+of+the+critically+ill+child.+The+results+reported+in+this+study+support+using+this+model+of+instructional+design+to+implement+educational+strategies%2C+which+will+meet+the+requirements+of+graduate+education.&rft.date=2003-11&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F3360%2F1%2Fres00075.pdf&rft.identifier=++Dobson+%2C+MD%2C+Joseph+V.+and+Brancati+%2C+DO%2C+David+S.+and+Nagel+%2C+PhD%2C+Rollin++(2003)+Pediatric+Resuscitation%3A+Evaluation+of+a+Clinical+Curriculum.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F3360%2F