Pediatric ventricular assist device simulation: Constructing an in situ simulation training program to facilitate education and competency

The last decade has seen a significant increase in ventricular assist device (VAD) utilization in children. Challenges remain in acquiring adequate hands-on training for trainees and clinical staff and maintaining device competency given the number of different devices in use and the relatively small number of patients in a given center. Medical simulation provides a mechanism to establish and maintain VAD experience as the field grows. Herein, we describe the creation of a VAD simulation program and knowledge gained to date.