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Background. Simulation in pediatrics is described often in more procedurally-heavy areas, such as in intensive care, emergency medicine, and neonatology. However, there is a paucity of literature related to simulation in general pediatrics. We sought to improve students’ comfort with and knowledge about selected procedures using simulation mannequins during their pediatric rotation. Methods. During a workshop, third year medical students received a lecture on male circumcisions, lumbar punctures, the Ortolani and Barlow maneuvers, and ear examinations. Following the lecture, the students were given hands-on instruction and feedback on the techniques for performing ear and hip exams, lumbar punctures, and circumcisions. Students took a pre- and post-encounter assessment regarding their confidence level, procedural knowledge, and perceived usefulness of the training. Wilcoxon Signed Rank tests were used to determine changes in the students’ confidence levels and knowledge. Alpha was set at 0.05 for all comparisons. Results. Sixty medical students (100%) participated in the study during the 2012/2013 academic year. Confidence and knowledge increased significantly on all procedures following the simulation experience (p < 0.001). Perception of usefulness of the training also increased significantly at post-test (p = 0.019). Conclusion. Medical students benefited from using simulation to demonstrate and practice common pediatric procedures, both in their confidence and knowledge. The use of simulation for general pediatric procedures should improve patient safety, as well as remove some of the anxiety of performing procedures in actual clinical scenarios. KS J Med 2015; 8(2):72-79.

Background: Many studies have assessed the ability of mothers to identify their child’s Body Mass Index (BMI) category and the vast majority of mothers are unable to do so accurately. This suggested a need for physicians to inform parents about their child’s weight status. However, many physicians do not chart BMI-for-age, even though it is recommended. Instead they rely on their visual perception of the patient’s weight status. This study determined the number of medical students, resident physicians, and community physicians who correctly categorize preschool children into their appropriate weight class by visual cues alone. Methods: Fourth-year medical students, family medicine and pediatric resident physicians, and family medicine and pediatric community physicians completed a brief on-line survey. Pictures of three preschool children were shown and respondents described each child’s BMI-for-age category. Results: A 43% (134/312) response rate was achieved. Only 15% of respondents correctly identified a 3-year-old boy, whose BMI was >95 th percentile for his age, as obese. Nearly 86% correctly identified a 4-year-old girl with normal BMI-for-age, but only 21% correctly identified another girl who was overweight at the 90-95 th percentile BMI-for-age. No significant difference was found in total accuracy between medical students, resident physicians, or community physicians (F(2,123)=0.743, p=0.478) or between family medicine physicians and pediatricians (F(1,107)=2.269, p=0.135) when predicting the BMI-for-age categories. Conclusions: Medical professionals and trainees have difficulty visually assessing a child’s BMI-for-age weight status. This underscores the importance of calculating and plotting BMI at healthy check-ups. KJM 2010; 3(5):7-14.