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660 Evaluating the Lasting Effects of Teaching Sudden Unexpected Death in Infancy and Childhood (SUDIC) Through Simulation
  1. Shoshana Layman1,
  2. Catherine Beatty1,
  3. Catherine Williams1,
  4. Alison Belfitt2,
  5. Annabel Copeman1
  1. 1The Royal Wolverhampton NHS Trust
  2. 2Shrewsbury and Telford Hospitals NHS Trust

Abstract

Objectives Paediatricians play a vital role in managing and facilitating investigations in sudden unexpected death in infancy or childhood (SUDIC). SUDIC is a rare occurrence, and many paediatric trainees and consultants have very little experience of the process.

The SUDIC simulation course was created due to recommendations by The Kennedy Report. The aim of the course was to bridge the gap between knowledge and clinical experience for senior paediatric trainees and consultants in the West Midlands in managing SUDIC.

To assess the longevity of learning from the course, a survey was disseminated to all previous candidates. Its aim was to understand how important the simulation course had been in improving paediatricians’ confidence and understanding of the SUDIC process when they were involved in a SUDIC after attending the course.

Methods Candidate sign-in sheets were retrospectively reviewed for the 17 SUDIC courses run since January 2016. 195 previous candidates were invited to complete a survey via email. Our aim was to evaluate how the course had impacted subsequent experience of the SUDIC process.

Specific questions were included to assess how confident candidates had been in various roles in the SUDIC process using a combination of multiple-choice, free-text, and Likert scales.

Results 43% of respondents had been a senior paediatric registrar when they attended. Other candidates were consultants, nurses, or more junior paediatricians. 43% had attended between 1–5 SUDIC events since the course, with 4% having attended more than 10. 47% had been involved in examining the body. 40% involved in an unsuccessful resuscitation and SUDIC investigations, and 43% explained the SUDIC process to bereaved parents.

100% agreed that the course had improved their confidence in explaining the SUDIC process, taking a SUDIC history and performing SUDIC investigations. 94% felt confident in contributing to the child death process with 89% feeling confident in examining the body.

Candidates particularly valued the multi-professional approach to the course, especially working with police officers. With further thematic analysis of free text responses, candidates most often reported lasting benefits to supporting and communicating with the family, and understanding the practicalities of the SUDIC process.

Conclusion Participation in a SUDIC simulation course is an important educational experience, which continues to be relevant to participants and their clinical practice many years after they have attended. Our survey suggests that simulation-based education is an excellent modality to facilitate learning around the SUDIC process for paediatricians and other health professionals involved.

References

  1. Belfitt A, Holt AD, Copeman A, Sudden Unexpected Death in Infancy and Childhood – simulation training to improve confidence and Understanding of the SUDIC investigation 2018.

  2. Kennedy H, Sudden Unexpected Death in Infancy and Childhood – Multi-agency guidelines for care and investigation, 2nd Edition, November 2016, The Royal College of Pathologists, London.

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