Improving internal medicine resident proficiency in non-invasive positive pressure ventilation and oxygen modalities through simulation training.

Introduction: Simulation-based training is increasingly used to teach respiratory interventions, but limited studies have evaluated its impact on both non-invasive positive pressure ventilation (NIPPV) and supplemental oxygen delivery systems. We assessed changes in internal medicine residents' knowledge and attitudes before and after a simulation-based training program. Methods: This is a retrospective study of a simulation-based training program. There were 78 internal medicine residents from postgraduate first year (PGY1), postgraduate second year (PGY2), and postgraduate third year (PGY3) who participated in a one-hour training session, including lecture and three simulation stations covering oxygen delivery devices, high-flow nasal cannula, and bi-level positive airway pressure/continuous positive airway pressure (BIPAP/CPAP). Pre- and post-training questionnaires assessed attitudes and knowledge. Results: Attitudes for comfort level or recognition increased after training (all Conclusion: Simulation-based training improved attitudes and knowledge for both oxygen modalities and NIPPV. PGY1 and PGY2 residents achieved knowledge levels similar to PGY3 residents after the training. We recommend incorporating simulation-based respiratory training into residency programs to improve resident competency for both oxygen modalities and NIPPV.