Effectiveness of a simulator in training anesthesiology residents

Abrahamson, Stephen; Denson, J. S.; Wolf, Ryan

doi:10.1097/00001888-196906000-00006

Cited by 100 publications

(60 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Simulation training has been studied in many fields, including anesthesia, surgery, obstetrics and gynecology, internal medicine, and emergency medicine, and is used to teach a variety of skills, including physical diagnosis, communication, and procedures 2367. Anecdotally there are numerous complaints with auscultatory findings present in current simulation-based training.…”

Section: Discussionmentioning

confidence: 99%

Are Simulation Stethoscopes a Useful Adjunct for Emergency Residents' Training on High-fidelity Mannequins

Warrington¹,

Beeson²,

Fire³

2013

WestJEM

View full text Add to dashboard Cite

Introduction: Emergency medicine residents use simulation training for many reasons, such as gaining experience with critically ill patients and becoming familiar with disease processes. Residents frequently criticize simulation training using current high-fidelity mannequins due to the poor quality of physical exam findings present, such as auscultatory findings, as it may lead them down an alternate diagnostic or therapeutic pathway. Recently wireless remote programmed stethoscopes (simulation stethoscopes) have been developed that allow wireless transmission of any sound to a stethoscope receiver, which improves the fidelity of a physical examination and the simulation case.Methods: Following institutional review committee approval, 14 PGY1-3 emergency medicine residents were assessed during 2 simulation-based cases using pre-defined scoring anchors on multiple actions, such as communication skills and treatment decisions (Appendix 1). Each case involved a patient presenting with dyspnea requiring management based off physical examination findings. One case was a patient with exacerbation of heart failure, while the other was a patient with a tension pneumothorax. Each resident was randomized into a case associated with the simulation stethoscope. Following the cases residents were asked to fill out an evaluation questionnaire.Results: Residents perceived the most realistic physical exam findings on those associated with the case using the simulation stethoscope (13/14, 93%). Residents also preferred the simulation stethoscope as an adjunct to the case (13/14, 93%), and they rated the simulation stethoscope case to have significantly more realistic auscultatory findings (4.4/5 vs. 3.0/5 difference of means 1.4, p=0.0007). Average scores of residents were significantly better in the simulation stethoscope-associated case (2.5/3 vs. 2.3/3 difference of means 0.2, p=0.04). There was no considerable difference in the total time taken per case.Conclusion: A simulation stethoscope may be a useful adjunct to current emergency medicine simulation-based training. Residents both preferred the use of the simulation stethoscope and perceived physical exam findings to be more realistic, leading to improved fidelity. Potential sources of bias include the small population, narrow scoring range, and the lack of blinding. Further research, focusing on use for resident assessment and clinical significance with a larger population and blinding of graders, is needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Are Simulation Stethoscopes a Useful Adjunct for Emergency Residents' Training on High-fidelity Mannequins

Warrington¹,

Beeson²,

Fire³

2013

WestJEM

View full text Add to dashboard Cite

show abstract

“…While not rigorously justified by the methods, the authors claimed that the simulator had a ''twofold'' advantage in training anaesthesia residents in the skill of endotracheal intubation while ''posing significantly less threat to patient safety.'' 20 Sim One did not achieve acceptance. Only one was constructed; sadly, nothing remains of it.…”

Section: Resuscih-anne To Simmanhmentioning

confidence: 97%

A brief history of the development of mannequin simulators for clinical education and training

Cooper

Taqueti

2008

Postgraduate Medical Journal

452

View full text Add to dashboard Cite

Simulation for medical and healthcare applications, although still in a relatively nascent stage of development, already has a history that can inform the process of further research and dissemination. The development of mannequin simulators used for education, training, and research is reviewed, tracing the motivations, evolution to commercial availability, and efforts toward assessment of efficacy of those for teaching cardiopulmonary resuscitation, cardiology skills, anaesthesia clinical skills, and crisis management. A brief overview of procedural simulators and part-task trainers is also presented, contrasting the two domains and suggesting that a thorough history of the 20+ types of simulator technologies would provide a useful overview and perspective. There has been relatively little cross fertilisation of ideas and methods between the two simulator domains. Enhanced interaction between investigators and integration of simulation technologies would be beneficial for the dissemination of the concepts and their applications.

show abstract

“…of future physicians' professional training and the use of new technologies for this kind of activity [4][5][6][7][8]; the use of VPs for communicative [9][10][11] and professional training [12][13][14][15][16][17][18][19][20].…”

Section: Social Sciencesmentioning

confidence: 99%

“…The output result is reflected by any visual, auricular or mechanical result of simulation and can have the form of oral response, face expression, gesture or information about the change of blood pressure, palpitation. The accuracy and reality of interaction depend on the quality of the equipment [4,8,11,27].…”

Section: Social Sciencesmentioning

confidence: 99%

Virtual Patients as the Tools of Professional Communicative Training in the Higher Medical Education of Usa

Manyuk

2016

EUREKA: Social and Humanities

View full text Add to dashboard Cite

The system of higher medical education of the USA is characterized by the significant advance in the sphere of new technologies usage. The first computerized training programs for medical students were introduced in this country. Nowadays, new technologies including “virtual patients” (VP) are commonly used in undergraduate formal or hidden curriculum of US medical schools with the aim of professional and communicative training of future physicians. Thus, such valuable experience of the US medical education institutions may be useful for the development of higher medical education in other countries. The paper presents the historical overview and describes the evolution of computerized programs, ICTs and virtual patients in the system of higher medical education of the USA; researches the ways of virtual patients’ implementation in the structure of communicative and professional training in US medical schools and colleges; defines the notion of “virtual patient”; describes the types of VP and the methodology of their usage depending on the academic purpose; discusses the advantages, as well as the problems of VP usage in the curriculum and their possible solutions.

show abstract

Effectiveness of a simulator in training anesthesiology residents

Cited by 100 publications

References 0 publications

Are Simulation Stethoscopes a Useful Adjunct for Emergency Residents' Training on High-fidelity Mannequins

Are Simulation Stethoscopes a Useful Adjunct for Emergency Residents' Training on High-fidelity Mannequins

A brief history of the development of mannequin simulators for clinical education and training

Virtual Patients as the Tools of Professional Communicative Training in the Higher Medical Education of Usa

Contact Info

Product

Resources

About