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{
    "pk": 12787,
    "title": "Difficult Delivery and Neonatal Resuscitation: A Novel Simulation for Emergency Medicine Residents",
    "subtitle": null,
    "abstract": "Introduction:\n Newborn delivery and resuscitation are rare, but essential, emergency medicine (EM) skills. We evaluated the effect of simulation on EM residents’ knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation.\nMethods: \nWe developed a novel simulation that integrates a shoulder dystocia with neonatal resuscitation and studied a convenience sample of EM residents. Each 15-minute simulation was run with one learner, a simulated nurse, and a standardized patient in situ in the emergency department. The learner was required to reduce a shoulder dystocia and then perform neonatal resuscitation. We debriefed with plus/delta format, standardized teaching points, and individualized feedback. We assessed knowledge with a nine-question multiple choice test, confidence with five-point Likert scales, and clinical performance using a checklist of critical actions. Residents repeated all measures one year after the simulation.\nResults:\n A total of 23 residents completed all measures. At one-year post-intervention, residents scored 15% higher on the knowledge test. All residents increased confidence in managing shoulder dystocia on a five-point Likert scale (1.4 vs 2.8) and 80% increased confidence in performing neonatal resuscitation (1.8 vs 3.0). Mean scores on the checklist of critical actions improved by 19% for shoulder dystocia and by 27% for neonatal resuscitation.\nConclusion: \nImplementing simulation may improve EM residents’ knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "simulation, shoulder dystocia, neonatal resuscitation, emergency medicine, medical education"
        }
    ],
    "section": "Educational Advances",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6q2828h1",
    "frozenauthors": [
        {
            "first_name": "Jillian",
            "middle_name": "Elizabeth",
            "last_name": "Nickerson",
            "name_suffix": "",
            "institution": "Children’s National Medical Center, Department of Emergency Medicine and Trauma Services, Washington, District of Colombia",
            "department": "None"
        },
        {
            "first_name": "Taryn",
            "middle_name": "",
            "last_name": "Webb",
            "name_suffix": "",
            "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Lorraine",
            "middle_name": "",
            "last_name": "Boehm",
            "name_suffix": "",
            "institution": "Elmhurst Hospital Center, Simulation Center, Elmhurst, New York",
            "department": "None"
        },
        {
            "first_name": "Hayley",
            "middle_name": "",
            "last_name": "Neher",
            "name_suffix": "",
            "institution": "Elmhurst Hospital Center, Simulation Center, Elmhurst, New York",
            "department": "None"
        },
        {
            "first_name": "Lillian",
            "middle_name": "",
            "last_name": "Wong",
            "name_suffix": "",
            "institution": "Elmhurst Hospital Center, Department of Emergency Medicine, Elmhurst, New York",
            "department": "None"
        },
        {
            "first_name": "Julia",
            "middle_name": "",
            "last_name": "LaMonica",
            "name_suffix": "",
            "institution": "Elmhurst Hospital Center, Department of Emergency Medicine, Elmhurst, New York",
            "department": "None"
        },
        {
            "first_name": "Suzanne",
            "middle_name": "",
            "last_name": "Bentley",
            "name_suffix": "",
            "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York\n\nElmhurst Hospital Center, Department of Emergency Medicine, Elmhurst, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2019-05-30T22:07:56Z",
    "date_accepted": "2019-05-30T22:07:56Z",
    "date_published": "2019-12-09T23:04:16Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/12787/galley/6740/download/"
        }
    ]
}