Simulation in Neonatal-Perinatal Medicine Fellowship Programs

Am J Perinatol. 2020 Oct;37(12):1258-1263. doi: 10.1055/s-0039-1693465. Epub 2019 Jul 15.


Objective: This study aimed to investigate the use of simulation in neonatal-perinatal medicine (NPM) fellowship programs.

Study design: This was a cross-sectional survey of program directors (PDs) and simulation educators in Accreditation Council for Graduate Medical Education (ACGME) accredited NPM fellowship programs.

Results: Responses were received from 59 PDs and 52 simulation educators, representing 60% of accredited programs. Of responding programs, 97% used simulation, which most commonly included neonatal resuscitation (94%) and procedural skills (94%) training. The time and scope of simulation use varied significantly. The majority of fellows (51%) received ≤20 hours of simulation during training. The majority of PDs (63%) wanted fellows to receive >20 hours of simulation. Barriers to simulation included lack of faculty time, experience, funding, and curriculum.

Conclusion: While the majority of fellowship programs use simulation, the time and scope of fellow exposure to simulation experiences are limited. The creation of a standardized simulation curriculum may address identified barriers to simulation.

MeSH terms

  • Cross-Sectional Studies
  • Education, Medical, Graduate / methods*
  • Fellowships and Scholarships
  • Humans
  • Neonatology / education*
  • Perinatology / education*
  • Simulation Training / methods
  • Surveys and Questionnaires
  • Training Support