The sedation research study began in May 2013 with a pilot study of 10 senior residents. The full cohort study began in December 2013, and currently 28 Emergency Medicine residents have enrolled to date.
Emergency Medicine residents with one to three years of training are presented with an emergency pediatric simulated scenario in which the patient requires sedation in order to repair, or otherwise treat his/her condition. After every simulation, participants are randomized to either standard debriefing or video self-assessment to determine how they responded to the situation. A standardized assessment checklist is used by both the participant and facilitator. The checklist contains every stage of the procedure.
Residents randomized to standard debriefing are then debriefed with the facilitator and standardized participants involved in the case. Those randomized to undergo video self-assessment are immediately taken to a private room to watch themselves on video replay, and identify errors of their performances using a checklist.