6464 Incorporating simulation in structured procedural skills training for paediatric residents in a regional hospital in Hong Kong

Objectives Procedural skills are an essential part of training in postgraduate paediatric training.1 2 The Paediatric Essenital Skills Workshop has been organized regularly by the Department of Paediatrics of Queen Elizabeth Hospital, a tertiary regional hospital in Hong Kong equipped with paediatric and neonatal intensive care units, with the Multi- disciplinary Simulation and Skills Centre (MDSSC) of the hospital. The aim of theworkshop is to provide a structured simulation-based training program on common paediatric procedures for the paediatric residents. Methods Half day simulation workshops were held annually at the MDSSC since 2021. The curriculum of the course was carefully designed to cover important procedures that were less frequently performed clinically. They included ultrasound-guided central venous line insertion, neonatal exchange transfusion, thoracocentesis, intraosseous access and paediatric endotracheal intubation. Pre-course study materials were provided to the participants in advance for self-study. The materials covered basic knowledge on the indications, steps of procedures, potential risks and complications of each procedure. The participants were divided into small groups and rotated into different stations during the course as shown in figure 1. Demonstration was given by the instructors and the participants would be given time for hands-on practice on the manikins. The participants were asked to complete an anomoymous questionnaire online after the course. Results A total of 38 participants have joined the workshops since 2021. Of which 32 participants have returned the post course questionnaire. The participants were doctors in their Paediatric resident training. Table 1 showed the results of some of the feedback questions in the questionnaire. The overall satisfaction score was 4.84 out of 5. All respondents agreed or strongly agreed that the course enhanced quality of care and patient safety. They reported that simulation is an effective mode to achieve the learning objective of the workshop. They rated the course 9.63 out of 10 in recommendation to other colleagues to attend. Conclusion Our data illustrated that the paediatric residents valued highly on the simulation based procedural skill workshops run by the department. Certain procedures are important for patient care but are less frequently encountered clinically by trainees in their training. Simulation training has provided an opportunity for residents to acquire those procedural skills. Further studies to assess trainees' performance in clinical practice would be valuable to evaluate this mode of learning. References Guidelines on postgraduate training and accreditation, Hong Kong College of Paediatricians, March 2007. RCPCH Progress+, The Royal College of Paediatrics and Child Health, 2023.