Enhancing residents' neonatal resuscitation competency through team-based simulation training: an intervention educational study.

BACKGROUND: Neonatal resuscitation training in a simulated delivery room environment is a new paradigm in pediatric medical education. The purpose of this research is to highlight team-based simulation as an effective method of teaching neonatal resuscitation to senior pediatric residents. METHODS: In an intervention educational study, we evaluated the impact of team-based simulation training in the development of neonatal resuscitation. A team consisting of a three-person group of senior pediatric residents performed neonatal resuscitation on a low-fidelity newborn simulator based on the stated scenario. Video-based structured debriefing was performed and followed by the second cycle of scenario and debriefing to evaluate the feasibility of conducting team-based simulation training in a lesser-resourced environment. Evaluation criteria included megacode scores which is a simulation performance checklist, pre-and post-test scores to evaluate residents' knowledge and confidence, the survey checklist as a previously developed questionnaire assessing residents' satisfaction, and debriefing from live and videotaped performances. Four months after the end of the training course, we measured the behavioral changes of the residents by conducting an OSCE test to evaluate post-training knowledge retention. Mean ± SD was calculated for megacode, satisfaction (survey checklist), and OSCE scores. Pre- and post-program gains were statistically compared. The first three levels of Kirkpatrick's training effectiveness model were used to evaluate the progress of the program. RESULTS: Twenty-one senior residents participated in the team-based simulation. The mean ± SD of the megacode score was 35.6 ± 2.2. The mean ± SD of the overall satisfaction score for the evaluation of the first level of the Kirkpatrick model was 96.3 ± 3.7. For the evaluation of the second level of the Kirkpatrick model, the pre-posttest gain in overall confidence score had a statistically significant difference (P = 0.001). All residents obtained a passing grade in OSCE as an evaluation of the third level. CONCLUSIONS: Team-based simulation training in neonatal resuscitation improves the knowledge, skills, and performance of pediatric residents and has a positive effect on their self-confidence and leadership skills. There is still a need to investigate the transfer of learning and abilities to real-life practice, and further research on cost-effectiveness and impact on patient outcomes is warranted.

Compare the Performance of Counselors with the Students' Expectations at Mazandaran University of Medical Sciences in 2015.

INTRODUCTION: Universities and academic environments are tackling challenges and transformation. Thus, mentally, spiritually and socially supporting students and academics and interacting with them seems necessary. This study aimed to compare the performance of counselors with the students' expectations at Mazandaran University of Medical Sciences in 2015. METHODS: In this cross-sectional study, 359 students of Mazandaran University of Medical Sciences were selected by using stratified random sampling. Cochran formula was used to determine the sample size. Two questionnaires have been employed to collect the data in order to assess the students' perspective on the consultants' performance's current and optimum status. To determine the validity, content and face validity have been used and the reliability was defined through Alpha-Cronbach coefficient and that of the current status was calculated as 0.925 and the optimum condition as 0.925. To analyze the data from the non-parametric binomial test, Wilcoxon and Kruskal-Wallis tests were applied. RESULTS: a meaningful difference has been found between the optimum stats of the consultants' performance. So that, 15 % has been considered inappropriate and 85% appropriate. Given the performance of the consultants, there is a critical difference. There is a meaningful difference between the current and optimum performance of the consultants, so that the mean rating status (178.43) is higher than that of the current status (90.69). No critical difference has been observed between the current and optimum condition in ANS at significance level 0.278 and RPA Cat significance level 0.879.