1. INSPIRE Procedures Working Group:
Development of a Standardized
Process for INSPIRE Procedure Kits
Taylor Sawyer DO, MEd1, Marjorie White MD, MPPM, MEd2, Pavan Zaveri MD3, Todd Chang
MD4, Anne Ades MD5, Heather French MD5, JoDee Anderson MD, MEd6, Lindsay Johnson MD7,
Marc Auerbach MD, MSCi7, David Kessler MD, MSCi8
1. Department of Pediatrics, University of Washington School of Medicine, Seattle WA. 2. Department of Pediatrics, University of
Alabama at Birmingham, Birmingham AL. 3. Division of Emergency Medicine, Children's National Medical Center, Washington, DC 4.
Division of Emergency Medicine & Transport, Children's Hospital Los Angeles, Los Angeles, CA. 5. Department of Pediatrics, Children‟s
Hospital of Philadelphia, Philadelphia, PA. 6. Department of Pediatrics, Oregon Health Sciences University, Portland, OR . 7.
Department of Pediatrics, Yale School of Medicine, New Haven, CT. 8 Department of Pediatrics, Columbia University College of
Physicians and Surgeons, New York, NY
IPSSW 2014: Wien
International Network for Simulation-based Pediatric Innovation, Research and Education

2. Aims
• Develop INSPIRE Procedure “Kits” for
pediatric procedural skills which could be
used by educators
– A „Kit‟ encompasses all required resources
(didactic, videos, simulation guides, performance
checklists, etc.) including train-the-trainer
materials
International Network for Simulation-based Pediatric Innovation, Research and Education

3. Aims
• Procedure Kit Development:
Training Materials:
• Procedural Checklist
• Checklist validation and reliability testing
• Training video production
• Didactic material production & cognitive test creation
• Procedural skills curriculum publication
Train-the-trainer (T-t-T) materials
• T-t-T didactics
• T-t-T video
International Network for Simulation-based Pediatric Innovation, Research and Education

4. • Evidenced-based framework for procedural skills training
developed
– The pedagogy will provide framework/support for INSPIRE
procedure kits
– Manuscript describing Learn-See-Practice-Prove-Do-
Maintain framework submitted to Academic Medicine
• Videography guidelines for training videos completed
• Guidelines for checklist development/validation completed
• Guidelines for standard setting completed
International Network for Simulation-based Pediatric Innovation, Research and Education
Progress since Jan 2013

5. Learn See Practice Prove Do Maintain
Learning about
procedure via
videos and online
Training
• Cognitive
skills test
Demonstration
by instructor
• Integrated
skills
• Individual
steps
Formative
assessment on
simulator
• Deliberate
practice
Summative
assessment
on simulator
• Mastery
learning
Performance
on human with
formative
assessment
• Structured
observation
and
feedback
• Procedure
logs
Cognitive Phase Psychomotor Phase
Maintenance of skill
through clinical practice
supplemented by
simulation as needed
INSPIRE: LSPPDM Process
International Network for Simulation-based Pediatric Innovation, Research and Education

6. • Jan 2014- July 2014
– Checklist development for Phase 1 procedures
• Neonatal intubation, BVM, LP, PIV
– Begin work on cognitive phase materials- training videos
• Obtain video footage – real patients, real procedures
• July 2014
– Utilize checklists during boot camps and obtain beta-test data
• Aug 2014- Dec 2014
– Revise checklists as needed
– Statistical analysis and mastery-level score development
– Continued work on Phase 1 videos- post-production editing
– Begin prep for Phase 2 procedures in 2015
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline

7. • Training video development
– High quality videos with professional editing
• Multi-center projects on standard setting for mastery-level skill
– Protocols & group IRB
• Distribution mechanism for completed kits
– Free and easily accessible to anyone, anywhere
International Network for Simulation-based Pediatric Innovation, Research and Education
Needs / Challenges

8. Marjorie Lee White, MD, MPPM, MEd,
University of Alabama at Birmingham/Children's of Alabama, USA
mlwhite@peds.uab.edu
Taylor Sawyer, DO, MEd
University of Washington School of Medicine/Seattle Children‟s
Hospital, USA
tlsawyer@uw.edu
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information