Evidence map›Paper›PMID 31113417›Full record

ArticleBMC medical education2019

Simulation-based medical training for paediatric residents in Italy: a nationwide survey.

Marco Binotti, Giulia Genoni, Stefano Rizzollo, Marco De Luca, Luca Carenzo, Alice Monzani, Pier Luigi Ingrassia

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Marco BinottiNeonatal and Paediatric Intensive Care Unit, Maggiore della Carità Hospital, Novara, Italy.
Giulia GenoniDivision of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, Via Solaroli 17, 28100, Novara, Italy.
Stefano RizzolloDivision of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, Via Solaroli 17, 28100, Novara, Italy.
Marco De LucaSIMMeyer, Anna Meyer Children's University Hospital, Florence, Italy.
Luca CarenzoSIMNOVA, Interdepartmental Centre for Innovative Didactics and Simulation in Medicine and Health Professions, University of Piemonte Orientale, Novara, Italy.
Alice MonzaniDivision of Paediatrics, Department of Health Sciences, University of Piemonte Orientale, Via Solaroli 17, 28100, Novara, Italy. alice.monzani@med.uniupo.it.ORCID http://orcid.org/0000-0002-6676-5773
Pier Luigi IngrassiaSIMNOVA, Interdepartmental Centre for Innovative Didactics and Simulation in Medicine and Health Professions, University of Piemonte Orientale, Novara, Italy.
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITMeyer Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA prompt start to an appropriate neonatal and paediatric resuscitation is critical to reduce mortality and morbidity. However, residents are rarely exposed to real emergency situations. Simulation-based medical training (SBMT) offers the opportunity to improve medical and non-technical skills in a controlled setting. This survey describes the availability and current use of SBMT by paediatric residents in Italy with the purpose of understanding residents' expectations regarding neonatal and paediatric emergency training, and identifying gaps and potential areas for future implementation.

methodsA survey was developed and distributed to Italian residents. SBMT was defined as any kind of training with a mannequin in a contextualised clinically realistic scenario.

resultsThe response rate was 14.4%, covering the 71% of Italian paediatric residency programmes. Among them, 88% stated that Out of the 274 residents, 88% stated that they received less than 5 h of SBMT during the past training year, with 66% not participating in any kind of simulation activity. In 62% of the programmes no simulation training facility was available to residents. Among those who received SBMT, 46% used it for procedures and skills, 30% for clinical scenarios, but only 24% of them reported a regular use for debriefing. Of the overall respondents, 93% were interested in receiving SBMT to improve decision-making abilities in complex medical situations, to improve technical/procedural skills, and to improve overall competency in neonatal and paediatric emergencies, including non-technical skills. The main barriers to the implementation of SBMT programmes in Italian paediatric residencies were: the lack of experts (57%), the lack of support from the school director (56%), the lack of organisation in planning simulation centre courses (42%) and the lack of teaching materials (42%).

conclusionsThis survey shows the scarce use of SBMT during paediatric training programmes in Italy and points out the main limitations to its diffusion. This is a call to action to develop organised SBMT during paediatric residency programs, to train qualified personnel, and to improve the quality of education and care in this field.

Indexed as

Internship and ResidencySimulation TrainingChildClinical CompetenceCurriculumEducational MeasurementEmergenciesHealth Knowledge, Attitudes, PracticeHumansItalyManikinsProgram EvaluationResuscitationPaediatricsResidentsSimulationSimulation-based medical trainingSurvey

Identifiers

PMID31113417
PMCPMC6529987
OpenAlexW2947401807

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.