Crisis resource management training for an anaesthesia faculty: a new approach to continuing education

Blum, Richard; Raemer, Daniel B.; Carroll, John S.; Sunder, N.; Felstein, David M; Cooper, Jeffrey B.

doi:10.1046/j.1365-2923.2004.01696.x

Cited by 156 publications

(88 citation statements)

References 14 publications

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“…Our findings should be further evaluated to pinpoint and define the learning deficiencies for trauma and for resuscitation. 18,19 Although simulation in anesthesia has become part of the teaching curricula, [19][20][21] only 14% of simulation centers use it for evaluation of competence. 22 Reasons for this include lack of standardized, valid, and reliable tests.…”

Section: Discussionmentioning

confidence: 99%

Construct Validity and Generalizability of Simulation-Based Objective Structured Clinical Examination Scenarios

Sidi¹,

Gravenstein²,

Lampotang³

2014

Journal of Graduate Medical Education

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Background It is not known if construct-related validity (progression of scores with different levels of training) and generalizability of Objective Structured Clinical Examination (OSCE) scenarios previously used with non-US graduating anesthesiology residents translate to a US training program. Objective We assessed for progression of scores with training for a validated high-stakes simulation-based anesthesiology examination. Methods Fifty US anesthesiology residents in postgraduate years (PGYs) 2 to 4 were evaluated in operating room, trauma, and resuscitation scenarios developed for and used in a high-stakes Israeli Anesthesiology Board examination, requiring a score of 70% on the checklist for passing (including all critical items). Results The OSCE error rate was lower for PGY-4 than PGY-2 residents in each field, and for most scenarios within each field. The critical item error rate was significantly lower for PGY-4 than PGY-3 residents in operating room scenarios, and for PGY-4 than PGY-2 residents in resuscitation scenarios. The final pass rate was significantly higher for PGY-3 and PGY-4 than PGY-2 residents in operating room scenarios, and also was significantly higher for PGY-4 than PGY-2 residents overall. PGY-4 residents had a better error rate, total scenarios score, general evaluation score, critical items error rate, and final pass rate than PGY-2 residents. Conclusions The comparable error rates, performance grades, and pass rates for US PGY-4 and non-US (Israeli) graduating (PGY-4 equivalent) residents, and the progression of scores among US residents with training level, demonstrate the construct-related validity and generalizability of these high-stakes OSCE scenarios.

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Section: Discussionmentioning

confidence: 99%

Construct Validity and Generalizability of Simulation-Based Objective Structured Clinical Examination Scenarios

Sidi¹,

Gravenstein²,

Lampotang³

2014

Journal of Graduate Medical Education

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“…The positive learner perception of the pilot program was comparable to new simulation curricula in other disciplines, such as pediatrics, anesthesiology, obstetrics and gynecology, surgery, and emergency medicine. [15][16][17][18][19][20] Finally, we were able to evaluate the level of learner interest in a simulation program before investing the resources necessary to implement a similar mandatory program. A comparable program with mandatory attendance for a class of 75 interns would require approximately 60 sessions with 4 to 6 learners at each session.…”

Section: Discussionmentioning

confidence: 99%

Pilot Program Using Medical Simulation in Clinical Decision-Making Training for Internal Medicine Interns

Miloslavsky¹,

Hayden²,

Currier³

et al. 2012

Journal of Graduate Medical Education

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Background The use of high-fidelity medical simulation in cognitive skills training within internal medicine residency programs remains largely unexplored. Objective To design a pilot study to introduce clinical decision-making training using simulation into a large internal medicine residency program, explore the practicability of using junior and senior residents as facilitators, and examine the feasibility of using the program to improve interns' clinical skills. Methods Interns on outpatient rotations participated in a simulation curriculum on a voluntary basis. The curriculum consisted of 8 cases focusing on acute clinical scenarios encountered on the wards. One-hour sessions were offered twice monthly from August 2010 to February 2011. Internal medicine residents and simulation faculty served as facilitators. Results A total of 36 of 75 total interns volunteered to participate in the program, with 42% attending multiple sessions. Of all participants, 88% rated the sessions as “excellent,” 97% felt that the program improved their ability to function as an intern and generate a plan, and 81% reported improvement in differential diagnosis skills. Conclusions Simulation training was well received by the learners and improved self-reported clinical skills. Using residents as facilitators, supervised by faculty, was well received by the learners and enabled the implementation of the curriculum in a large training program. Simulation can provide opportunities for deliberate practice, and learners perceive this modality to be effective.

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“…36 In het artikel van Blum et al werd bijvoorbeeld door participanten aangegeven dat zij graag zouden zien dat de training iedere 18 tot 24 maanden wordt herhaald. 51 Daarnaast mag simulatie geen vervanging zijn van het leren in de klinische setting, maar moet het een aanvulling zijn hierop. 35 Simulatietraining is geen doel op zich maar een middel, dat kan worden ingezet over het gehele continue spectrum van de medische opleiding.…”

Section: Zorg Zowel Voor Feedback Aan Individuen Als Feedback Aan Hetunclassified

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Fluit¹,

Klaassen²

2011

TS MEDISCH ONDERWIJS

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Crisis resource management training for an anaesthesia faculty: a new approach to continuing education

Cited by 156 publications

References 14 publications

Construct Validity and Generalizability of Simulation-Based Objective Structured Clinical Examination Scenarios

Construct Validity and Generalizability of Simulation-Based Objective Structured Clinical Examination Scenarios

Pilot Program Using Medical Simulation in Clinical Decision-Making Training for Internal Medicine Interns

Achtergronden bij de Richtlijn simulatie teamtraining

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