B38-12 Intern Code Blue and Rapid Response Leadership: A Pre-post Evaluation of a Micro-Module Curriculum

Abstract Rationale Residents often lead rapid response and code teams despite variable prior exposure. Traditional teaching emphasizes algorithms and technical steps, with less focus on leadership and team dynamics. Building on prior year feedback and event safety analyses, we created a concise web-based seminar and simulation series focusing on leadership, communication, and critical decision points (available at https://reblocke.github.io/U-of-U-IM-Codes-and-Rapid-Responses/). We evaluated its impact on trainee confidence using pre- and post-session surveys. Methods Interns completed pre- and post-seminar surveys assessing self-rated confidence on five 1-10 items (1 = almost never; 10 = almost always): leading codes to meet the standard of care, leading rapid responses, correctly interpreting cardiac rhythms, managing team-dynamic problems, and likelihood of calling for attending assistance. Post-seminar surveys additionally rated the perceived helpfulness of seminar modules, case discussions, and group debriefing. Responses were analyzed by counts of prior code blue, rapid response, and simulation experiences. Results 31 interns completed the pre-survey and 23 interns fully completed both the pre- and post- survey (74%). Interns had attended a median of 1 simulation, 15 rapid responses and 3 code blues. The number of rapid responses attended was associated with decreased confidence in teammanagement (-0.07 out of 10 change per event attended) while simulation exposure and codes attendance was associated with the opposite (+0.47 and +0.49, respectively).Interns reported no significant change post-lecture in confidence in managing team dynamics (mean change -0.41 out of 10) or tendency to call an attending (+0.05 out of 10) but did report an increase in confidence recognizing and managing a shockable rhythm (+1.63 out of 10). Modules, clinical cases and group discussion were all rated equally useful. Conclusion We observed divergent associations between prior exposure and pre-seminar confidence in leading teams to the standard of care—suggesting that repeated rapid response experience may highlight, rather than resolve, the complexity of these events. The micro-modules were most effective in improving confidence interpreting cardiac rhythms. Future iterations will emphasize strategies to navigate the variability and unpredictability inherent to rapid response situations. This abstract is funded by: None