Simulation-Based Training in Intraosseous Access: Improving Procedural Skills in Pediatric Residents

Intraosseous (IO) access is vital for pediatric resuscitation when intravenous access is challenging. This study aimed at developing and evaluating a simulation-based procedural training curriculum for pediatric residents to improve IO access knowledge and skills. Residents across different training years participated in an online didactic module coupled with a hands-on simulation session practicing the use of IO drills. Skills and knowledge were assessed at baseline and post-intervention at an average of 4.8 months. Of the 68 participants, 72% completed both assessments, and results showed a significant improvement in skills (median score increased from 0 to 5, P < .001) and knowledge (median score increased from 19 to 25, P < .001) at post-intervention. These findings support the integration of simulation-based curricula into residency programs to enhance procedural competency and skill retention. Further research is needed to assess translation of learned skills into clinical practice.