• Leandro Cordero, Brandon J Hart, Rene Hardin, John D Mahan, and Craig A Nankervis.
• Department of Pediatrics, The Wexner Medical Center, Ohio State University, Columbus, OH 43210-1228, USA. leandro.cordero@osumc.edu
• Clin Pediatr (Phila). 2013 Aug 1;52(8):747-52.

ObjectiveTo evaluate the skills and team behavior of pediatric residents during resuscitation with a high-fidelity mannequin before and after a deliberate practice intervention.MethodsEach month residents participate in two 90-minute videorecorded sessions (2-3 weeks apart) in an "off-site" delivery room during their neonatal ICU rotation. Teams responded to a scenario that required 5 skills (positive pressure ventilation, chest compressions, endotracheal intubation, umbilical vein catheterization, and epinephrine administration). Skills were scored for technique and timeliness and team behaviors for communication, management, and leadership. A 2-hour focused intervention was given between sessions.ResultsIn all, 33 residents (11 teams) completed the sessions. Gaps in procedural skills noted during the first session were corrected. Timeliness for completion of skills remained below expectations. Improvements in team behaviors were noted.ConclusionsDeliberate practice improved procedural skills and team performance. Lack of improvement in timeliness suggests that a different educational paradigm is required.

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