Table 1 Scores (mean, SD) for the 13 items of the evaluation questionnaire, comparison between pediatrics and emergency medicine residents (by Mann-Withney U test)

1. This case presented during the simulation is relevant to my work

4.72

0.47

4.77

0.45

4.55

0.51

0.12

2. The simulation case was realistic

4.37

0.68

4.41

0.67

4.20

0.70

0.25

3. This simulation case was effective in teaching basic resuscitation skills

3.27

1.16

3.43

1.11

2.65

1.18

0.009*

4. The debrief promoted reflection and team discussion

4.49

0.74

4.53

0.76

4.33

0.62

0.19

5. The group discussion helped me develop and prioritize evaluation and management options for a child found to have new onset diabetes and DKA

4.41

0.67

4.46

0.64

4.19

0.75

0.20

6. The facilitators created a safe environment for discussion and exploration

4.34

0.82

4.56

0.53

3.35

1.11

< 0.0001*

7. Demonstrate ability to assess and emergently manage airway, breathing and circulation

2.88

0.92

3.00

0.87

2.40

0.99

0.03*

8. Formulate a list of possible diagnoses and prioritize elements of evaluation

3.24

0.76

3.36

0.74

2.80

0.70

0.007*

9. Identify laboratory abnormalities diagnostic of DKA

3.97

0.65

4.01

0.73

3.80

0.70

0.28

10. Manage fluid resuscitation and insulin administration in a pediatric patient with new onset diabetes in DKA

3.46

0.92

3.51

0.89

3.25

1.02

0.36

11. Identify risks, signs and symptoms of cerebral edema associated with DKA

3.12

0.97

3.19

0.90

3.85

1.18

0.18

12. Construct a disposition plan after stabilization in the emergency department for a pediatric patient in DKA

2.91

1.06

3.12

0.97

2.10

1.02

0.0004*

13. Utilize effective team leadership, roles and communication strategies

3.49

0.94

3.64

0.77

2.90

1.29

0.01*