Videoconferencing can be used to assess neonatal resuscitation skills

Objective To examine the hypothesis that an instructor in a remote site can accurately assess the practical skills of a provider performing a simulate d neonatal resuscitation (megacode) using videoconferencing. Methods Using volunteer NRP providers and instructors, two local telemedici ne sites were linked using six telephone lines. Camera angles, sound settin gs and equipment placement were optimized. Instructors tested providers at the other site. Instructors recorded their observations on checklists based on those of the Neonatal Resuscitation Program (NRP), and all participants completed feedback forms and gave verbal feedback. Based on the results of the pilot study, the protocol and recording tools were developed, and prov iders at a rural centre were tested. Tests were carried out with local and remote instructors. Observations of local and remote instructors were colle cted independently, and compared. Opinions of providers were also collected . Results Observations of the local and remote instructors on the performance s of the providers were consistent; 15 of 18 megacodes reached the required standard. Six telephone lines were required for transmission without notic eable delay in sound transmission. Viewing quality was sufficient for remot e instructors to provide feedback on ventilation technique. Providers indic ated that videoconferencing did not interfere with their performance and wo uld willingly repeat the experience. Cronbach's alpha for assessment of the technical features was 0.80 or greater for all groups. Conclusions Videoconferencing can be used to test resuscitation providers i n remote centres. It can enhance neonatal resuscitation education in areas where experienced instructors are in short supply.