Abstract
Pediatric advanced life support (PALS) training is critical for pediatric residents.
It is unclear how well PALS skills are developed during this course or maintained
overtime. This study evaluated PALS skills of pediatric interns using a validated
PALS performance score following their initial PALS certification. All pediatric interns
were invited to a 45-minute rapid cycle deliberate practice (RCDP) training session
following their initial PALS certification from July 2017 to June 2019. The PALS score
and times for key events were recorded for participants prior to RCDP training. We
then compared performance scores for those who took PALS ≥3 months, between 3 days
to 3 months and 3 days after PALS. There were 72 participants, 30 (of 30) in 3 days,
18 in 3 days to 3 months, and 24 in ≥3 months groups (42 total of 52 residents, 81%).
The average PALS performance score was 53 ± 20%. There was no significant difference
between the groups (3 days, 53 ± 15%; 3 days–3 months, 51 ± 19%; ≥3 months, 54 ± 26%,
p = 0.922). Chest compressions started later in the ≥3 months groups compared with
the 3 days or ≤3 months groups (p = 0.036). Time to defibrillation was longer in the 3 days group than the other groups
(p = 0.008). Defibrillation was asked for in 3 days group at 97%, 73% in 3 days to 3
months and 68% in ≥3 months groups. PALS performance skills were poor in pediatric
interns after PALS certification and was unchanged regardless of when training occurred.
Our study supports the importance of supplemental resuscitation training in addition
to the traditional PALS course.
Keywords rapid cycle deliberate practice - PALS - pediatrics - resident - simulation
