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ALERT Presentation: Rapid
 Cycle Deliberate Practice for
     Resuscitation Teams

    Daniel Lemke, MD, Cara Doughty, MD MEd
Baylor College of Medicine, Texas Children’s Hospital
        IMSH 2013: Orlando, Florida / USA

          International Network for Simulation-based Pediatric Innovation, Research and Education
Background: RCDP &
Traditional Debriefing

 • Traditional Sim/Debriefing: Allows for facilitated self
   exploration of issues encountered in a simulated environment

 • Rapid Cycle Deliberate Practice: As Betsy Hunt described, a
   technique of bringing a team through a sequence of scenarios with
   directed feedback with repetitive practice.

 • We are conducting a pilot study with our PEM fellows
   and EC Nurses and RTs with PALS based scenarios.



      International Network for Simulation-based Pediatric Innovation, Research and Education
PICO Question

 • P: Resuscitation teams

 • I: RCDP scenario sequences

 • C: Traditional simulation scenarios with
  debriefing

 • O: Team Performance in Simulation


    International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design
                                 Introduction to study and consent


                                           Division of teams


                               Testing All Teams: Scenario 1, no debrief


                 Teams A&B: RCDP: Scenario                  Teams C&D: Traditional
                       Sequence 2&3                        Scenario 2&3 with Debrief


                            Testing all teams, scenario 1, wrap up the day


                                   3 Months Later
                               Testing all teams: Scenario 1, no debrief


                  Teams C&D: RCDP: Scenario                 Teams A&B: Traditional
                        Sequence 2&3                       Scenario 2&3 with Debrief


                            Testing all teams scenario 1, debrief the study



   International Network for Simulation-based Pediatric Innovation, Research and Education
2 Questions to improve study

 1. What’s next? Increased learners? Multicenter?
    Different groups? Different learning objectives?
    Other Sim Outcomes?

 2. Can this be linked to clinical
    outcomes?


     International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information

 Daniel Lemke

 Baylor College of Medicine

 dslemke@texaschildrens.org

 Phone: 713 256 1428



    International Network for Simulation-based Pediatric Innovation, Research and Education

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Rapid Cycle Deliberate Practice for Resuscitation Teams

  • 1. ALERT Presentation: Rapid Cycle Deliberate Practice for Resuscitation Teams Daniel Lemke, MD, Cara Doughty, MD MEd Baylor College of Medicine, Texas Children’s Hospital IMSH 2013: Orlando, Florida / USA International Network for Simulation-based Pediatric Innovation, Research and Education
  • 2. Background: RCDP & Traditional Debriefing • Traditional Sim/Debriefing: Allows for facilitated self exploration of issues encountered in a simulated environment • Rapid Cycle Deliberate Practice: As Betsy Hunt described, a technique of bringing a team through a sequence of scenarios with directed feedback with repetitive practice. • We are conducting a pilot study with our PEM fellows and EC Nurses and RTs with PALS based scenarios. International Network for Simulation-based Pediatric Innovation, Research and Education
  • 3. PICO Question • P: Resuscitation teams • I: RCDP scenario sequences • C: Traditional simulation scenarios with debriefing • O: Team Performance in Simulation International Network for Simulation-based Pediatric Innovation, Research and Education
  • 4. Approach / Design Introduction to study and consent Division of teams Testing All Teams: Scenario 1, no debrief Teams A&B: RCDP: Scenario Teams C&D: Traditional Sequence 2&3 Scenario 2&3 with Debrief Testing all teams, scenario 1, wrap up the day 3 Months Later Testing all teams: Scenario 1, no debrief Teams C&D: RCDP: Scenario Teams A&B: Traditional Sequence 2&3 Scenario 2&3 with Debrief Testing all teams scenario 1, debrief the study International Network for Simulation-based Pediatric Innovation, Research and Education
  • 5. 2 Questions to improve study 1. What’s next? Increased learners? Multicenter? Different groups? Different learning objectives? Other Sim Outcomes? 2. Can this be linked to clinical outcomes? International Network for Simulation-based Pediatric Innovation, Research and Education
  • 6. Contact Information Daniel Lemke Baylor College of Medicine dslemke@texaschildrens.org Phone: 713 256 1428 International Network for Simulation-based Pediatric Innovation, Research and Education