Journal of Hospital Medicine (02/17/26) Goldstein, Laura; Feudtner, Chris; Ades, Anne; et al.

Researchers aimed to guide a national simulation-based medical education curriculum for pediatric hospitalists by identifying high-priority training topics across cognitive, psychomotor and affective domains. Experts initially generated 57 topics (19 cognitive, 26 psychomotor, 12 affective), which were then ranked by 52 of 99 surveyed pediatric hospitalists from the PRIS Network. Using mean priority scores and natural breaks analysis, the investigators identified 15 high-priority topics: five cognitive (respiratory distress/failure, shock, behavioral escalation, medical technology failure, sepsis), five psychomotor (lumbar puncture, bag-valve-mask ventilation, tracheostomy management, enteral tube management, chest compressions) and five affective (patient/family communication, de-escalation, interprofessional collaboration, handoffs, diagnostic error avoidance strategies). Subgroup analyses showed only minor demographic differences across rater demographic characteristics. The resulting topic set provides a foundation for a comprehensive, adaptable pediatric hospital medicine simulation curriculum to support more standardized care for hospitalized children.

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