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{
    "pk": 9181,
    "title": "Simulation in Pre-departure Training for Residents  Planning Clinical Work in a Low-Income Country",
    "subtitle": null,
    "abstract": "Introduction: \nIncreasingly, pediatric and emergency medicine (EM) residents are pursuing clinical rotations in low-income countries. Optimal pre-departure preparation for such rotations has not yet been established. High-fidelity simulation represents a potentially effective modality for such preparation. This study was designed to assess whether a pre-departure high-fidelity medical simulation curriculum is effective in helping to prepare residents for clinical rotations in a low-income country. \nMethods: \n43 pediatric and EM residents planning clinical rotations in Liberia, West Africa, participated in a simulation-based curriculum focused on severe pediatric malaria and malnutrition and were then assessed by survey at three time points: pre-simulation, post-simulation, and after returning from work abroad.\nResults: \nPrior to simulation, 1/43 (2%) participants reported they were comfortable with the diagnosis and management of severe malnutrition; this increased to 30/42 (71%) after simulation and 24/31 (77%) after working abroad. Prior to simulation, 1/43 (2%) of residents reported comfort with the diagnosis and management of severe malaria; this increased to 26/42 (62%) after simulation and 28/31 (90%) after working abroad; 36/42 (86%) of residents agreed that a simulation-based global health curriculum is more useful than a didactic curriculum alone, and 41/42 (98%) felt a simulator-based curriculum should be offered to all residents planning a clinical trip to a low-income country.\nConclusion: \nHigh-fidelity simulation is effective in increasing residents’ self-rated comfort in management of pediatric malaria and malnutrition and a majority of participating residents feel it should be included as a component of pre-departure training for all residents rotating clinically to low-income countries.",
    "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": "Global Health"
        },
        {
            "word": "Simulation"
        },
        {
            "word": "malaria"
        },
        {
            "word": "Malnutrition"
        },
        {
            "word": "Pre-departure"
        }
    ],
    "section": "Education",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0c9933ns",
    "frozenauthors": [
        {
            "first_name": "Kevin",
            "middle_name": "R.",
            "last_name": "Schwartz",
            "name_suffix": "",
            "institution": "Massachusetts General Hospital, Harvard Medical School, Department of Pediatrics and Department of Emergency Medicine, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Kimball",
            "middle_name": "A.",
            "last_name": "Prentiss",
            "name_suffix": "",
            "institution": "Baystate Medical Center, Tufts University School of Medicine, Department of Emergency Medicine, Springfield, Massachusetts",
            "department": "None"
        }
    ],
    "date_submitted": "2015-07-17T15:55:54Z",
    "date_accepted": "2015-07-17T15:55:54Z",
    "date_published": "2015-11-19T01:02:56Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9181/galley/5166/download/"
        }
    ]
}