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Simulator-based training in paediatric anaesthesia and emergency medicine – Thrills, skills and attitudes
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Paediatric anaesthesia and emergency medicine are clinically demanding fields, presenting the practitioner with unique challenges, particularly when caring for neonates, infants, and small toddlers. They have been described as clinical environments with high-risk and low-error tolerance.1 In many countries, tertiary paediatric services are becoming increasingly centralized, while medical working hours have been reduced, leading to a situation where the non-specialist's exposure to difficult cases and emergencies is fading. Nevertheless, a significant proportion of paediatric surgical procedures will continue to be performed outside tertiary centres, and paediatric emergencies still have to be managed locally.2 Several studies demonstrate a close inverse correlation between the level of specialization, perioperative morbidity, and mortality associated with paediatric anaesthesia.3–6 However, clinical circumstances and the relatively small number of paediatric cases admitted to most hospitals impede the establishment of an optimal training environment.
The question then arises as to how best to address this discrepancy
Centre for Education and Simulation and Department of Anaesthesiology, Emergency and Intensive Care Medicine, Georg-August University, Robert-Koch-Strasse 40, 37075 Göttingen, Germany
Department of Anaesthesia and Critical Care, Royal Hospital for Sick Children, Sciennes Rd, Edinburgh EH9 1LF, UK
Department of Anesthesiology, Pharmacology and Therapeutics, The University of British Columbia, St Pauls's Hospital, 1081 Burrard St, Vancouver BC, Canada V6Z 1Y6
* E-mail: ceich@zari.de
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