{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:44:55Z","timestamp":1785433495930,"version":"3.56.0"},"reference-count":16,"publisher":"Canadian Society of Respiratory Therapists","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Introduction<\/jats:title>\n Simulation-based training is increasingly used to teach respiratory interventions, but limited studies have evaluated its impact on both non-invasive positive pressure ventilation (NIPPV) and supplemental oxygen delivery systems. We assessed changes in internal medicine residents\u2019 knowledge and attitudes before and after a simulation-based training program.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This is a retrospective study of a simulation-based training program. There were 78 internal medicine residents from postgraduate first year (PGY1), postgraduate second year (PGY2), and postgraduate third year (PGY3) who participated in a one-hour training session, including lecture and three simulation stations covering oxygen delivery devices, high-flow nasal cannula, and bi-level positive airway pressure\/continuous positive airway pressure (BIPAP\/CPAP). Pre- and post-training questionnaires assessed attitudes and knowledge.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Attitudes for comfort level or recognition increased after training (all\n p <<\/jats:italic>\n 0.001), and attitudes for needing more training decreased after training (all\n p <<\/jats:italic>\n 0.001). Specific knowledge increased after training with percentage-point differences ranging from 48.7% to 60.3% for all of the questions (all\n p <<\/jats:italic>\n 0.001). Case scenario knowledge increased after training with percentage-point differences ranging from 29.4% to 48.7% (all\n p <<\/jats:italic>\n 0.001). Knowledge differences between postgraduate years were mostly eliminated after training. All residents rated the training highly.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Simulation-based training improved attitudes and knowledge for both oxygen modalities and NIPPV. PGY1 and PGY2 residents achieved knowledge levels similar to PGY3 residents after the training. We recommend incorporating simulation-based respiratory training into residency programs to improve resident competency for both oxygen modalities and NIPPV.<\/jats:p>\n <\/jats:sec>","DOI":"10.29390\/001c.155174","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T13:33:53Z","timestamp":1768916033000},"source":"Crossref","is-referenced-by-count":0,"title":["Improving internal medicine resident proficiency in non-invasive positive pressure ventilation and oxygen modalities through simulation training"],"prefix":"10.29390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0676-103X","authenticated-orcid":true,"given":"James","family":"Kang","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03cc0mm23","id-type":"ROR","asserted-by":"publisher"}],"name":"Nassau University Medical Center","department":["Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3192-2992","authenticated-orcid":false,"given":"Jonathan","family":"Otero-Colon","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03cc0mm23","id-type":"ROR","asserted-by":"publisher"}],"name":"Nassau University Medical Center","department":["Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3686-5415","authenticated-orcid":false,"given":"Joshua","family":"Fogel","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/019k4jq75","id-type":"ROR","asserted-by":"publisher"}],"name":"Brooklyn College","department":["Management, Marketing and Entrepreneurship"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1163-6448","authenticated-orcid":false,"given":"Jagadish","family":"Akella","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03cc0mm23","id-type":"ROR","asserted-by":"publisher"}],"name":"Nassau University Medical Center","department":["Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11956","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"publisher","first-page":"279","DOI":"10.4300\/JGME-D-12-00156.1","article-title":"Using effect size-or why the P value is not enough","volume":"4","author":"G. 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Turner","year":"2021","journal-title":"Breathe (Sheff)"}],"container-title":["Canadian Journal of Respiratory Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/cjrt.ca\/article\/155174-improving-internal-medicine-resident-proficiency-in-non-invasive-positive-pressure-ventilation-and-oxygen-modalities-through-simulation-training","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:48:48Z","timestamp":1782496128000},"score":1,"resource":{"primary":{"URL":"https:\/\/cjrt.ca\/article\/155174-improving-internal-medicine-resident-proficiency-in-non-invasive-positive-pressure-ventilation-and-oxygen-modalities-through-simulation-training"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,20]]},"references-count":16,"URL":"https:\/\/doi.org\/10.29390\/001c.155174","relation":{},"ISSN":["2368-6820"],"issn-type":[{"value":"2368-6820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,20]]}}}