Reflective practice of nurse residents in the teaching-learning process in teaching hospitals.

OBJECTIVE: To analyze reflective practice in the teaching-learning process of nurses in residency programs in teaching hospitals in Minas Gerais, Brazil. METHODS: Case study, based on the reflective practice framework, conducted in two teaching hospitals. Observation and interviews were conducted with first and second-year residents, and five participants were included for in-depth analysis, with their data subjected to frequency distribution analysis and Critical Discourse Analysis. RESULTS: In 519 observed activities, elements of reflection were identified in 22.2%, especially active listening and expression of doubts. Discourses indicated practice as the best moment for teaching-learning due to its potential to generate reflections. Learning by doing and case discussion were considered potential strategies for reflective learning. CONCLUSION: Know-in-action reflection was evidenced as the predominant formative aspect for residents, with few opportunities for reflection on reflection-in-action.

Educational research on medical residency programs in Chile: a scoping review and analysis of the impact of the new accreditation policy.

BACKGROUND: Accrediting medical specialties programs are expected to influence and standardize training program quality, align curriculum with population needs, and improve learning environments. Despite global agreement on its necessity, methods vary widely. In the Chilean context, a recent new accreditation criteria includes research productivity in relation to educational research on resident programs, so we aimed to define it. What is the profile of publications in educational research produced by Chilean medical specialty residency programs in the last five years? Based on these results, we intend to analyze the potential impact of the new accreditation policy on medical specialty programs in Chile. METHODS: We performed a preliminary bibliometric search to identify the use of the term "resident" in literature. After that, we conducted a literature search, using a six-step approach to scoping reviews, including the appraisal of the methodological quality of the articles. RESULTS: Between 2019 and 2023, an average of 6.2 articles were published yearly (19%). The bibliometric analysis revealed that the dominant thematic area of the journals was clinical, accounting for 78.1%. Most articles focused on residents (84.38%), with only two articles including graduates as participants. One university was responsible for 62.50% of the articles and participated in all multicenter studies (9.38%). Surgical specialties produced 15 research articles focused on procedural training using simulation. Psychiatry was the second most productive specialty, with 5 articles (15.63%) covering standardized patients, well-being, and mental health assessment. The most frequent research focus within residency programs over the five-year period was teaching and learning methodologies, with 19 articles representing almost 60% of the total analyzed. CONCLUSIONS: Research on medical education in Chile's postgraduate residency programs is limited, with most studies concentrated in a few universities. The new accreditation criteria emphasize educational research, posing challenges for many institutions to meet higher standards. Understanding unexplored areas in educational research and learning from successful programs can enhance research productivity and align efforts with accreditation expectations. Continuous evaluation and new research on residents' satisfaction, skills acquisition, and well-being are needed to ensure training quality and accountability.

Simulators in urology resident's training in retrograde intrarenal surgery.

PURPOSE: To evaluate the impact of simulators on the training of urology residents in retrograde intrarenal surgery (RIRS). METHODS: The study involved training eight urology residents, using two artificial simulators; one developed by the Universidade Estadual do Pará, using three-dimensional printing technology, and the other one patented by the medical equipment manufacturer Boston Scientific The qualification of residents took place through a training course, consisting of an adaptation phase (S0), followed by three training sessions, with weekly breaks between them (S1, S2 and S3). Study members should carry out a RIRS in a standardized way, with step-by-step supervision by the evaluator using a checklist. The participants' individual performance was verified through a theoretical assessment, before and after training (pre- and post-training), as well as by the score achieved in each session on a scale called global psychomotor skill score. In S3, residents performed an analysis of the performance and quality of the simulation, by completing the scale of student satisfaction and self confidence in learning (SSSCL). RESULTS: At the end of the course, everyone was able to perform the procedure in accordance with the standard. The training provided a learning gain and a considerable improvement in skills and competencies in RIRS, with p < 0.05. SSSCL demonstrated positive feedback, with an overall approval rating of 96%. CONCLUSIONS: Artificial simulators proved to be excellent auxiliary tools in the training of urology residents in RIRS.

Rapid cycle deliberate practice versus postsimulation debriefing in pediatric cardiopulmonary resuscitation training: a randomized controlled study.

OBJECTIVE: Simulation plays an important role in cardiopulmonary resuscitation training. Comparing postsimulation debriefing with rapid cycle deliberate practice could help determine the best simulation strategy for pediatric cardiopulmonary resuscitation training among pediatric residents. METHODS: This is a single-blind, prospective, randomized controlled study. First- and second year pediatric residents were enrolled and randomized into two groups (1:1 ratio): rapid cycle deliberate practice group (intervention) or postsimulation debriefing group (control). They participated in two rounds of simulated pediatric cardiopulmonary arrest to assess the simulated pediatric cardiopulmonary resuscitation performance gain (round 1) and retention after a 5-6 week washout period (round 2). Scenarios were video-recorded and analyzed by blinded evaluators. The main outcome was the time to initiation of chest compressions. Secondary outcomes included time to recognize a cardiopulmonary arrest, time to recognize a shockable rhythm, time to defibrillation, time to initiation of chest compressions after defibrillation, and chest compression fraction. RESULTS: Sixteen groups participated in the first round and fifteen groups in the second one. Time to intiation of chest compressions decreased from preintervention scenario to the round 1 testing scenario and increased from round 1 to round 2 testing scenario. However, no interaction effects nor group effects were observed (p=0.885 and p=0.329, respectively). There were no significant differences between the two groups regarding the secondary outcomes. CONCLUSION: Despite an overall improvement in simulated pediatric cardiopulmonary resuscitation performance, we did not observe significant differences between the two groups regarding the analyzed variables. The decline in simulated pediatric cardiopulmonary resuscitation performance after 5 weeks suggests the need for shorter time intervals between training sessions.

From FUSE to a hands-on electrosurgery course using a cadaveric model.

INTRODUCTION: Surgical procedures in contemporary practice frequently employ energy-based devices, yet comprehensive education surrounding their safety and effectiveness remains deficient. We propose an innovative course for residents that aims to provide basic electrosurgery knowledge and promote the safe use of these devices. METHODS: We developed a simulated training course for first-year general surgery and orthopedic residents. First, a survey was conducted regarding their knowledge perception about energy devices. The course consisted of two online theoretical sessions, followed by three in-person practical sessions. First-year residents performed three video-recorded attempts using a cadaveric model and were assessed through a digital platform using the Objective Structured Assessment of Technical Skill (OSATS), a Specific Rating Scale (SRS), and a surgical energy-based devices scale (SEBS). Third-year residents were recruited as a control group. RESULTS: The study included 20 first-year residents and 5 third-year residents. First-year residents perceived a knowledge gap regarding energy devices. Regarding practical performance, both OSATS and checklist scores were statistically different between novices at their first attempt and the control group. When we analyzed the novice's performance, we found a significant increase in OSATS (13 vs 21), SRS (13 vs 17.5), and SEBS (5 vs 7) pre- and post-training scores. The amount of feedback referred to skin burns with the electro-scalpel reduced from 18 feedbacks in the first attempt to 2 in the third attempt (p-value = 0.0002). When comparing the final session of novices with the control group, no differences were found in the SRS (p = 0.22) or SEBS (p = 0.97), but differences remained in OSATS (p = 0.017). CONCLUSION: This study supports the implementation of structured education in electrosurgery among surgical trainees. By teaching first-year residents about electrosurgery, they can acquire a skill set equivalent to that of third-year residents. The integration of such courses can mitigate complications associated with energy device misuse, ultimately enhancing patient safety.

Simulation in pediatric minimally invasive surgery: adaptation of a simple series of exercises as part of the process of an initial implementation of a resident training program.

INTRODUCTION: the simulation in minimally invasive surgery is fundamental for surgeon in training to learning and training skills, especially in pediatrics, due to the particularities, reduced spaces, specific and rare procedures. The aim of this study was to propose an adapted series of exercises and to simply evaluate the performance of pediatric surgery residents in the initial implementation of a training program. METHOD: seven basic skills exercises in video surgery, based on series and programs already published and using low-cost materials, were performed by six residents in 2 moments, with an interval of 15 days and evaluated by simple instrument. RESULTS: there was no difficulty with models. Considering the individual averages of the seven exercises together in the two moments, five of the six residents increased the score in the second moment. The average score per exercise increased in five of the seven tasks. Despite the small number of participants and repetition, it has already been possible to observe a trend of better performance with decreased time of all residents after a single repetition. All considered the exercises capable of training essential skills of the specialty, with simple and inexpensive materials. CONCLUSION: given the challenges of simulated training in pediatric video surgery, it is known the benefit of a continuous program, with exercises that can simulate real situations. A pre-established schedule, more participants and repetitions, supervision of experienced surgeons and validated instruments are fundamental to evaluate surgeons in training and show statistical benefits of simulated exercises in this series.

Enhancing the Microneurosurgical Training: Development of the Folded Placenta Model for Simulation of the Deep Operative Field Challenges of Cranial Procedures.

BACKGROUND AND OBJECTIVE: Neurosurgery relies heavily on advanced manual skills, necessitating effective training models for skill development. While various models have been utilized, the human placenta has emerged as a promising candidate for microneurosurgical training due to its anatomical similarities with cerebral vasculature. However, existing placenta models have primarily focused on simulating superficial procedures, often neglecting the complexities encountered in deep operative fields during cranial surgeries. METHODS: This study obtained ethical approval and implemented a modified placenta model to address the limitations of existing training models. The key modification involved folding the placenta and placing it within a rigid container, closely mimicking the structural challenges of cranial procedures. The placenta preparation followed a standardized protocol, including the use of specialized equipment for documentation. RESULTS: The primary feature of the modified model is the folded placenta within the rigid container, which replicates cranial anatomy. This innovative approach enables trainees to engage in a comprehensive range of microsurgical exercises, encompassing vessel dissection, aneurysm clipping, tumor resection, and more. The model successfully mirrors the complexities of real cranial procedures, providing a realistic training experience. CONCLUSIONS: The presented modified placenta model serves as an effective tool for simulating the conditions encountered in deep cranial surgeries. By accurately replicating the challenges of deep operative fields, the model significantly enhances the training of neurosurgical residents. It successfully prepares trainees to navigate the intricacies and difficulties inherent in real cranial surgeries, thus contributing to improved surgical skills and readiness for neurosurgical practice.

Guía de elaboración de preguntas de examen múltiple choice

Esta guía es un instrumento para la elaboración de preguntas de opción múltiple. Se trata de un documento para orientar la tarea de construcción de los exámenes de ingreso al Sistema de Residencias del Sistema de Salud del Gobierno de la Ciudad Autónoma de Buenos Aires. Este examen tiene como función principal permitir la confección de un ranking u orden de mérito de postulantes en base a su nivel de conocimientos disciplinares y transversales a todas la profesiones que se desarrollan en el sistema sanitario. La confiabilidad del examen como instrumento evaluador y ordenador depende de la calidad de las preguntas que se utilicen. Preguntas "demasiado fáciles" o, por el contrario, "muy difíciles", discriminan deficientemente entre un mayor y menor nivel de conocimientos. A fin de aportar a la confiabilidad y calidad del examen, esta guía presenta pautas de armado de las preguntas que se consideran son puntos clave para construir un producto de calidad que aporte a cumplir con la función del examen de ingreso al Sistema de formación en servicio. (AU)

Desarrollo de la ciencia y la tecnología en las habilidades del internado rotatorio de Cirugía General / Development of science and technology in the skills of a General Surgery rotatory internship

Introducción: El desarrollo científico técnico mundial impone nuevos retos sociales y económicos, y responde a una educación de calidad, que permita la aplicación de este avance en las nuevas tecnologías. Objetivo: Exponer el desarrollo de la ciencia y la tecnología en el mejoramiento de la enseñanza de las habilidades teórico-prácticas en los estudiantes de medicina del internado rotatorio de Cirugía General. Métodos: El estudio empleó la contrastación de métodos teóricos como el histórico-lógico, el análisis documental y la sistematización teórica, para la recolección de información, la construcción, el desarrollo y la conformación final del producto. Conclusiones: Se actualizaron los fundamentos filosóficos, y los conocimientos teóricos del aprendizaje y las nuevas tecnologías para el mejoramiento de la enseñanza de las habilidades teórico-prácticas en los estudiantes de medicina del internado rotatorio de Cirugía General. El desarrollo tecnológico, la enseñanza y la práctica de la ética médica permiten solucionar los problemas de salud de la población en los distintos niveles de atención, lo cual contribuye con la formación integral del futuro médico general(AU)

Introduction: The global scientific-technical development imposes new social and economic challenges, as well as it responds to a quality education, which allows for the application of this advance to new technologies. Objective: To expose the development of science and technology for improving the theoretical-practical skills of medical students during a general surgery rotatory internship. Methods: The study used the opposition of theoretical methods such as the historical-logical, document analysis and theoretical systematization, for the collection of information, construction, development and final conformation of the product. Conclusions: The philosophical foundations were updated, together with the theoretical knowledge about learning and new technologies for improving the teaching of theoretical-practical skills among medical students during a general surgery rotatory internship. Technological development, teaching and practice of medical ethics allow solving the health problems of the population at different levels of care, which contributes to the integral formation of the future general physician(AU)

Atenção secundária em Odontologia e a articulação no processo de referência na Rede de Atenção em Saúde Bucal / Secondary care in Dentistry and the articulation of the referral process in the Oral Health Care Network

Os residentes do Programa de Residência Multiprofissional em Saúde da Família (PRMSF) da Universidade Federal do Paraná (UFPR) atuam em um município da região Sul, sendo a Odontologia uma das áreas que compõem o programa. Esses possuem campo prático diversificado, estando inseridos tanto na Atenção Primária à Saúde (APS), primeiro nível de atenção e coordenadora do cuidado, quanto na atenção secundária, atuando no serviço de cirurgia oral menor, inserido no Centro de Especialidades de Piraquara (CESP) no Paraná, uma vez que não há possibilidade de estruturação de um Centro de Especialidades Odontológicas (CEO). Dessa forma, é possível acompanhar o processo de referência e contra referência dos pacientes no serviço. Essa realidade também é observada em outras regiões do Brasil, consequência da falta de condições logísticas, estruturais e de recursos humanos, o que demanda aprimoramento do planejamento, orientação e consolidação de políticas públicas em saúde bucal. O objetivo desse estudo é relatar a experiência dos residentes cirurgiões-dentistas do PRMSF da UFPR em um Centro de Especialidades de um município da região metropolitana de Curitiba, capital do estado do Paraná, que mesmo não se qualificando nos parâmetros propostos pelo Ministério da Saúde brasileiro para implementação do CEO, apresentou a iniciativa de incorporar especialidades odontológicas mais urgentes para a população. Portanto, é importante o enfrentamento de problemas específicos, como ausência de levantamento epidemiológico municipal, tempo de espera, distância geográfica entre os serviços e comunicação entre profissionais da atenção básica e especializada (AU).

Residents of the Multiprofessional Residency Program in Family Health (MRPFH) at the Federal University of Paraná (UFPR) work in a city in the South region, where Dentistry is one of the areas included in the program. These have a diversified practical field, inserted both in Primary Health Care (PHC), first level of care and care coordinator;and in secondary care, working in the minor oral surgery serviceat the Piraquara Specialty Center (CESP) in Paraná, since there is no possibility of structuring a Center of Dental Specialties (CEO). Thus, it is possible to monitor the referral and counter-referral process of patients in the service. This reality is also observed in other Brazilian regions, as a result of the lack of logisticalandstructural conditions and human resources, which demands improvement in planning, guidance and consolidation of public policies in oral health. This study aimed to report the experience of dental professionals, residents of MRPFHat UFPR in a Specialty Center in a city in the metropolitan region of Curitiba, capital of the state of Paraná, which, despite not qualifying in the parameters proposed by the Brazilian Ministry of Healthfor the implementation of CEO, presented the initiative to incorporate the most urgent dental specialties for the population. Therefore, it is important to consider specific problems, such as the absence of a municipal epidemiological survey, waiting time, geographical distance between services and communication between primary and specialized care professionals (AU).

Standardized Vaccine-Hesitant Patients in the Assessment of the Effectiveness of Vaccine Communication Training.

OBJECTIVES: To determine if training residents in a structured communication method elicits specific behaviors in a laboratory model of interaction with vaccine-hesitant parents. STUDY DESIGN: Standardized patients portraying vaccine-hesitant parents were used to assess the effectiveness of training in the Announce, Inquire, Mirror, Secure (AIMS) Method for Healthy Conversations. Blinded pediatric residents were pseudorandomized to receive AIMS or control training and underwent pre- and post-training encounters with blinded standardized patients. Encounters were assessed by blinded raters using a novel tool. Participant confidence and standardized patient evaluations of the participants' general communication skills were assessed. RESULTS: Ratings were available for 27 AIMS and 26 control participants. Statistically significant increases in post-training scores (maximum = 30) were detected in AIMS, but not in control, participants (median, 21.3 [IQR, 19.8-24.8] vs 18.8 [IQR, 16.9-20.9]; P < .001). Elements (maximum score = 6) with significant increases were Inquire (0.67 [IQR, 0-1.76] vs -0.33 [IQR, -0.67 to 0.33]; P < .001); Mirror (1.33 [IQR, 0 to 2] vs -0.33 [IQR, -0.92 to 0]; P < .001) and Secure (0.33 [IQR, 0 to 1.67] vs -0.17 [IQR, -0.67 to 0.33]; P = .017). Self-confidence increased equally in both groups. Standardized patients did not detect a difference in communication skills after training and between groups. Internal consistency and inter-rater reliability of the assessment tool were modest. CONCLUSIONS: Standardized patients proved useful in studying the effectiveness of structured communication training, but may have been limited in their ability to perceive a difference between groups owing to the predetermined encounter outcome of vaccine refusal. AIMS training should be studied in real-world scenarios to determine if it impacts vaccine acceptance.

A Odontologia em Programas de Residência Multiprofissional hospitalares no Brasil / Dentistry in Hospital Multiprofessional Residency Programs in Brazil

O objetivo do presente estudo foi avaliar a presença do cirurgião-dentista (CD) em Programas de Residência Multiprofissionalhospitalares(PRMH)do Brasil.Trata-se de um estudo de caráter exploratório, descritivo,com abordagem quantitativa. Foi realizada análise documental de editais de PRMHem saúde,vigentes no ano de 2019,vinculados ahospitais de universidade federais do Brasil, coletando as variáveismacrorregião, áreas de concentraçãoepresença do núcleo profissional Odontologia.A análise constou de correlação de Spearman para associação do índice de desenvolvimento humano, índice de Gini, equipes de saúde bucal, cobertura populacional e cursos de Odontologia e a presença de CDs nos PRMH. Dos 41 PRMH, 5(12%)encontram-se no Centro-Oeste;6(15%)no Norte;12(29%)no Sudeste;14 (34%) no Nordeste,e 4(10%)no Sul. Das 93 áreas de concentração, 27(29%)possuem o CD na equipe multiprofissional. AsregiõesNordeste(n=26, 27,9%)e Sudeste(n=32,34,4%)apresentam a maior diversidade de áreas de concentração, sendoa presença do CD de10(38,4%)e 9(28,1%), respectivamente,em cada região. A área de concentração mais predominante noseditais é saúde da criança e materno-infantil(n=26,27,9%), estandoo CD presente em 7(26,9%) delas. O CD encontra-seem muitos programas de residência, embora se perceba a necessidade de ampliação do número de vagas ofertadas (AU).

The aim of the study was to evaluate the presence of dental surgeons (DS) in Hospital Multiprofessional Residency Programs (HMRPs) in Brazil. This is an exploratory, descriptive study, with a quantitative approach.Documentary analysis was performed of health HMRPs edicts, in effect during the year of 2019, linked to federal university hospitals in Brazil, collecting the macroregion variables, areas of concentration, and presence of a dentistry professional core. The analysis consisted of Spearman's correlation for the association of the Human Development Index, Gini index, oral health teams, population coverage, and dental courses with the presence of DSs in HMRPs. Of the 41 HMRPs, 5 (12%) are in the Midwest; 6 (15%) in the North; 12 (29%) in the Southeast; 14 (34%) in the Northeast, and 4 (10%) in the South. Of the 93 areas of concentration, 27 (29%) have a DS on the multiprofessional team. The Northeast (n=26, 27.9%) and Southeast (n=32, 34.4%) have the greatest diversity of areas of concentration, with the presence of a DS in 10 (38.4%) and 9 (28.1%), respectively, in each region. The most predominant area of concentration in the public notices is child and maternal-infant health (n=26, a 27.9%), and the DS is present in 7 (26.9%) of them. The DS is in many residency programs, although it is noticed the need to expand the number of vacancies offered (AU).

Ateneo General de la Residencia de Psicopedagogía: Huellas de las promesas incumplidas: el devenir del aprendizaje en contextos violentos / Atheneaum Psychopedagogic Residence: Traces of unfulfilled promises: the evolution of learning in violent contexts

Ateneo del Equipo de Psicopedagogía del Centro de Salud Nº 13, del Área Programática del Hospital General de Agudos P. Piñero, de la Ciudad de Buenos Aires, centrado en la problemática de la violencia en la clínica psicopedagógica con niños/as, y en cómo se verán atravesados los procesos de aprendizaje de los/as niños/as víctimas o testigos de violencia con los/as que trabaja el Equipo. Se realiza un breve recorrido histórico del concepto de violencia, para intentar una posible conceptualización de la misma, y se analiza la dimensión socio-cultural e histórica de la violencia, enmarcada en el sistema patriarcal e influida por las relaciones de poder. Se hace hincapié en la violencia familiar y, más particularmente en la violencia de género y se profundiza en las distintas formas de maltrato infantil.

Simulación de intubación pediátrica con videolaringoscopio de bajo costo en contexto de pandemia por COVID-19 / Simulation of pediatric intubation using a low-cost videolaryngoscope in the setting of the COVID-19 pandemic

En pacientes con infección por SARS-CoV-2 la intubación endotraqueal es un procedimiento con riesgo elevado de contagio. La videolaringoscopia complementa la protección del profesional, pero los videolaringoscopios comerciales son caros y no siempre están disponibles en las terapias intensivas pediátricas argentinas. El objetivo fue describir la práctica de intubación en un modelo de cabeza de simulación de lactante con un videolaringoscopio artesanal de bajo costo.Quince pediatras sin experiencia previa con el dispositivo participaron de una práctica de intubación en una cabeza de simulación con un videolaringoscopio artesanal. El tiempo promedio del primer intento fue de 116,4 segundos (intervalo de confianza del 95 % [IC95 %]: 84,8-148,0) y, el del siguiente fue de 44,2 segundos (IC95 %: 27,7­60,6). El tiempo disminuyó de forma significativa en el segundo intento (p : 0,0001). El dispositivo permitió la intubación exitosa en todos los intentos acortando la duración del procedimiento en la segunda práctica

In patients with SARS-CoV-2 infection, endotracheal intubation is a procedure with a high risk for transmission. A videolaryngoscopy is a supplementary level of health care provider protection, but commercial videolaryngoscopes are expensive and not always available in pediatric intensive care units in Argentina. Our objective was to describe intubation practice using an infant head mannequin with a low-cost, handcrafted videolaryngoscope.Fifteen pediatricians with no prior experience using the device participated in an intubation practice in a head mannequin with a handcrafted videolaryngoscope. The average time for the first attempt was 116.4 seconds (95 % confidence interval [CI]: 84.8-148.0) and, for the second one, 44.2 seconds (95 % CI: 27.7-60.6). Time decreased significantly for the second attempt (p: 0.0001).A successful intubation was achieved with the device in all attempts, and the procedure duration decreased with the second practice

Simulation of pediatric intubation using a low-cost videolaryngoscope in the setting of the COVID-19 pandemic. / Simulación de intubación pediátrica con videolaringoscopio de bajo costo en contexto de pandemia por COVID-19.

In patients with SARS-CoV-2 infection, endotracheal intubation is a procedure with a high risk for transmission. A videolaryngoscopy is a supplementary level of health care provider protection, but commercial videolaryngoscopes are expensive and not always available in pediatric intensive care units in Argentina. Our objective was to describe intubation practice using an infant head mannequin with a low-cost, handcrafted videolaryngoscope. Fifteen pediatricians with no prior experience using the device participated in an intubation practice in a head mannequin with a handcrafted videolaryngoscope. The average time for the first attempt was 116.4 seconds (95 % confidence interval [CI]: 84.8- 148.0) and, for the second one, 44.2 seconds (95 % CI: 27.7-60.6). Time decreased significantly for the second attempt (p: 0.0001). A successful intubation was achieved with the device in all attempts, and the procedure duration decreased with the second practice.

En pacientes con infección por SARS-CoV-2 la intubación endotraqueal es un procedimiento con riesgo elevado de contagio. La videolaringoscopia complementa la protección del profesional, pero los videolaringoscopios comerciales son caros y no siempre están disponibles en las terapias intensivas pediátricas argentinas. El objetivo fue describir la práctica de intubación en un modelo de cabeza de simulación de lactante con un videolaringoscopio artesanal de bajo costo. Quince pediatras sin experiencia previa con el dispositivo participaron de una práctica de intubación en una cabeza de simulación con un videolaringoscopio artesanal. El tiempo promedio del primer intento fue de 116,4 segundos (intervalo de confianza del 95 % [IC95 %]: 84,8-148,0) y, el del siguiente fue de 44,2 segundos (IC95 %: 27,7­60,6). El tiempo disminuyó de forma significativa en el segundo intento (p : 0,0001). El dispositivo permitió la intubación exitosa en todos los intentos acortando la duración del procedimiento en la segunda práctica.