Pediatric Simulation education in healthcare is most commonly implemented to teach new skills and concepts. Numerous publications support clinical simulation’s effectiveness among trainees, such as medical students, residents, and nursing students. However, published literature on clinical simulation training among practicing healthcare providers is less common.
Community hospitals with pediatric and pediatric intensive care units have a unique need for healthcare simulation education. These units rarely have trainees, and patient acuity is generally low. They may have a relatively lower volume of patients compared to children’s hospitals and, therefore, fewer staff at any given time. During rare pediatric emergencies, the limited number of pediatric staff may not allow for the formation of a complete resuscitation team, and non-pediatric team members are required. The majority of personnel in community hospitals are typically not trained in pediatrics or Pediatric Advanced Life Support (PALS). While pediatric emergencies, including cardiac arrest, among children are rare in community hospitals, they require expertise in PALS.
An in situ multidisciplinary, high-fidelity simulation curriculum was implemented at a community hospital. The primary participants of this curriculum were pediatric staff and physicians, though non-pediatric staff were also included. Despite the limited education time, with the incorporation of deliberate practice, knowledge in PALS guidelines and team dynamics improved, as evidenced by a 3-part survey. Despite limitations in patient volume, experience with high acuity patients, and number of pediatric healthcare providers, simulation education can be a valuable tool for increasing team efficiency in pediatric care in community settings.
Dr. Azadeh Fayazi is a member of the faculty at Stanford University in the Division of Pediatric Critical Care Medicine. She works at both Lucile Packard Children’s Hospital and John Muir Medical Center, a community hospital where she is co-director of pediatric simulation. She completed her training in Pediatrics and Pediatric Critical Care Medicine at Virginia Commonwealth University, where her involvement with simulation education started. She has been teaching trainees and staff through simulation for over 10 years. She has co-created the pediatric simulation curriculum at John Muir Medical Center, where she facilitates continued pediatric education for nurses, respiratory therapists, physicians, and pharmacists.
Dr. Siobhan Hopkins is a pediatric hospitalist at John Muir Medical Center. She graduated from the Royal College of Surgeons in Ireland and completed her residency at Jackson Memorial Hospital. As Co-Director of Pediatric Simulation at John Muir Medical Center. Dr. Hopkins designs multidisciplinary simulation training to improve clinical skills teamwork and patient safety. In her previous career as a pediatric emergency room physician, she developed a passion for simulation-based education recognizing its power to enhance outcomes in high-stakes scenarios. Reinventing herself as a pediatric hospitalist (a role she deeply loves) she seamlessly transitioned these skills to elevate the training of pediatricians in community hospital settings fostering excellence in patient care and team collaboration. She continues to bring her passion for education innovation and collaboration to every aspect of her work.
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