Pediatric Acute Care Simulator Case: Shock (Sepsis)

Abstract

Abstract This module is one of a series of four pediatric simulation cases developed as part of a performance evaluation research project. The case consists of a case scenario in which a 5-year-old male presents with a 2-day history of fever and malaise. This material would be useful for formative evaluation of pediatric residents or as part of a larger set of cases for medium-stakes summative evaluation (e.g., end-of-year performance assessment in a residency program). The publication reviews the validation data. The instruments proved both reliable and valid for our subject audience of pediatric residents. Checklist rating instruments are a commonly used approach for simulation-based assessment, in part because they can produce highly reliable ratings if the raters are well trained and the instrument is fine-tuned. However, checklists are time-insensitive and may not match a more general/global assessment of a subject's performance. For example, a very slow, methodical subject would achieve and identical checklist score to a highly efficient performance using these tools.

Keywords

• Sepsis
• Shock
• Septic