Simulation-Based Training to Improve Pediatric Residents’ Communication With Patients and Families About Diagnostic Ambiguity (Descriptive Abstract).pdfVIP

e12 ABSTRACTS ACADEMIC PEDIATRICS 26. ENGAGING RESIDENTS IN DIAGNOSTIC nostic uncertainty in order to improve their skills in engaging REASONING BY CREATING A CHIEF families in the diagnostic process. RESIDENT CLINICAL PATHOLOGIC METHODS: After a small pilot for validation, second year pedi- CONFERENCE (DESCRIPTIVE ABSTRACT) atric residents will participate in a simulation-based training. We Daniel J. Sklansky, MD, Brittney J. Allen, MD, will evaluate residents’ performance using an initial simulation Sabrina M. Butteris, MD, University of Wisconsin, Madison, workshop. Residents will be rated using a modification of Kala- WI mazoo Communication Checklist as well as 3 pediatric mile- stones (ICS 1, ICS 2, and PROF 6). Residents will receive BACKGROUND : Increasing emphasis on guidelines and consul- immediate feedback after each simulation as well as a debriefing tants to inform clinical decisions may discourage learner engage- session for reflection and skill-building. A second workshop will ment in diagnostic reasoning. Clinical Pathologic Conference occur 6 months later. (CPC), a case-based teaching conference, was developed to RESULTS: We piloted our simulation cases with six residents to demonstrate diagnostic reasoning. test the feasibility and validate our modifications to the rati