TY - CHAP M1 - Book, Section TI - Procedural Competency and Simulation A1 - Cheng, Adam A1 - Auerbach, Marc A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - Simulation provides a safe, risk-free, experiential learning environment where emergency department (ED) practitioners can develop their skills with no potential for adverse consequences to real patients.The acquisition and retention of skills requires hands-on practice complemented by feedback and robust assessments. This has been described in the learn, see, practice, prove, do, maintain framework. However, external forces and intolerance for medical errors, have significantly reduced the number of opportunities to practice procedures in the ED. Simulation can be used to provide these experiences “on-demand” and guide decisions about when a provider can be entrusted to safely perform a procedure on a patient.Effective simulation-based training interventions have a range of difficulty customized to the individual practitioner’s skill level.Postgraduate medical education systems are combining competency-based educational frameworks involving focused and rigorous evaluations to entrustable professional activity (EPA) frameworks that involve global assessments of performance.The extended duration between performance of many pediatric emergency medicine (PEM) skills leads to deterioration in even the most expert providers. Just-in-time (JIT) training is a training scheme in which the required knowledge and skills are imparted for immediate application to avoid loss of retention due to a time gap. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1155750760 ER -