Cicero, M., Auerbach, M., Zigmont, J., et al. (2012). Simulation Training with Structured Debriefing Improves Residents’ Pediatric Disaster Triage Performance. (Free registration required.) Prehospital and Disaster Medicine. 27(3):239-44.
Pediatric residents received a didactic training in preparation for participation in a series of simulation exercises using actors and low- and high-fidelity patient simulators as part of a multi-victim school shooting scenario. A group structured debriefing followed the first simulation, and new 10-victim simulation exercises were presented 1 week later, and again 5 months later. Participants demonstrated significant improvement of triage skills during the second simulation, and retained that improvement during the third simulation.