Deliberate practice improves pediatric residents' skills and team behaviors during simulated neonatal resuscitation

Clin Pediatr (Phila). 2013 Aug;52(8):747-52. doi: 10.1177/0009922813488646. Epub 2013 May 13.


Objective: To evaluate the skills and team behavior of pediatric residents during resuscitation with a high-fidelity mannequin before and after a deliberate practice intervention.

Methods: Each month residents participate in two 90-minute videorecorded sessions (2-3 weeks apart) in an "off-site" delivery room during their neonatal ICU rotation. Teams responded to a scenario that required 5 skills (positive pressure ventilation, chest compressions, endotracheal intubation, umbilical vein catheterization, and epinephrine administration). Skills were scored for technique and timeliness and team behaviors for communication, management, and leadership. A 2-hour focused intervention was given between sessions.

Results: In all, 33 residents (11 teams) completed the sessions. Gaps in procedural skills noted during the first session were corrected. Timeliness for completion of skills remained below expectations. Improvements in team behaviors were noted.

Conclusions: Deliberate practice improved procedural skills and team performance. Lack of improvement in timeliness suggests that a different educational paradigm is required.

Keywords: deliberate practice; neonatal resuscitation; simulation.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Clinical Competence*
  • Communication
  • Education, Medical, Graduate / methods*
  • Educational Measurement
  • Female
  • Humans
  • Intensive Care Units, Neonatal
  • Internship and Residency*
  • Interprofessional Relations
  • Male
  • Manikins
  • Patient Care Team / organization & administration
  • Pediatrics / education
  • Quality Improvement
  • Resuscitation / education*