{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T01:13:51Z","timestamp":1773018831092,"version":"3.50.1"},"reference-count":58,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000303","name":"Inspire Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000303","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AEM Education and Training"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric critical resuscitations are high\u2010acuity, low\u2010occurrence events for emergency medicine (EM) providers in the United States (US). Concerns exist regarding graduating US EM resident preparedness due to limited exposure to critically ill children and variability of pediatric EM (PEM) curricula. This study sought to benchmark EM resident performance during simulated pediatric resuscitations, correlate performance and self\u2010efficacy, and compare differences between three\u2010 and four\u2010year EM residencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective, cross\u2010sectional, cohort study (2019\u20132024) across eight US EM residencies. Participants were graduating residents leading pediatric resuscitation simulations (septic shock, status epilepticus, and cardiac arrest) and completed a self\u2010efficacy survey before participating. Simulations were scored using case\u2010specific checklists. Primary outcome was Total Performance Score (TPS), percent compliance with established guidelines, for combined performance data. Secondary outcomes included the correlation between TPS and self\u2010efficacy and the comparison between 3\u2010 and 4\u2010year programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 103 eligible residents, 69 (67%) participated (56% PGY3, 44% PGY4). Performance gaps were consistent across cohorts. For the sepsis case, 9% delivered 60\u2009mL\/kg fluid within 15\u2009min, and 9% initiated vasopressors afterward. For the seizure case, 73% checked glucose appropriately and 61% dosed dextrose correctly. For cardiac arrest, the compression rate was correct in 48%, a backboard was used in 25%, and correct epinephrine dosing approximated 60% of simulations. Mean TPS was 60.5 (\u00b19.8), with no difference between 3\u2010 and 4\u2010year programs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.956). Self\u2010efficacy scores reflected moderate confidence, with 3\u2010year residents reporting higher confidence in trauma (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.031) and respiratory failure (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008). Correlations between self\u2010efficacy and performance did not meet statistical significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Graduating US EM residents demonstrated moderate pediatric resuscitation performance with critical deficits in basic life support, medication dosing, and hemodynamic management. Program length did not impact outcomes. Findings underscore the need for structured, simulation\u2010based PEM curricula to improve pediatric education during EM training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/aet2.70139","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T04:42:12Z","timestamp":1771476132000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Benchmark Performance of Emergency Medicine Residents in Pediatric Resuscitation: Are We Optimizing Education and Does Length of Training Matter?"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6274-0640","authenticated-orcid":false,"given":"Kyle","family":"Schoppel","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine American Family Children's Hospital\/University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Stapleton","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Boston University School of Medicine, Boston Medical Center  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robyn","family":"Wing","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Hasbro Children's Hospital Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sparrow Hospital\/Michigan State University  Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marleny","family":"Franco","sequence":"additional","affiliation":[{"name":"Division of Emergency Medicine, Children's Hospital of Philadelphia Perelman School of Medicine at the University of Pennsylvania  Phildelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0851-7234","authenticated-orcid":false,"given":"Mariju","family":"Baluyot","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Indiana University School of Medicine\/Riley Hospital for Children  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Croft","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Washington University School of Medicine  St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Novotny","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Ochsner Health, New Orleans  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maybelle","family":"Kou","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Inova Fairfax Medical Campus  Woodburn Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3277-4380","authenticated-orcid":false,"given":"Travis","family":"Whitfill","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale University  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Boston University School of Medicine, Boston Medical Center  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Improving Pediatric Acute Care Through Simulation (ImPACTS)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"S. 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