Kombiniertes Simulationstraining: Ein neues Kurskonzept trainiert und verbessert das Krisenmanagement der gastroenterologischen Endoskopie

Kießlich, Ralf; Moenk, Stefan; Reinhardt, Kristen M.; Kanzler, S; Schilling, Dieter; Jakobs, R; Denzer, U; Neumann, Manfred J. M.; Vollmer, J.; Schütz, Michael; Heinrichs, Wolfgang; Neurath, MF; P, Galle

doi:10.1055/s-2005-858542

Cited by 17 publications

(4 citation statements)

References 4 publications

(9 reference statements)

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“…Evidence level 5, recommendation grade A, strong consensus So far, only isolated special training guidelines exist on sedation and management of emergency situations. However, they show that specific training courses, such as those using simulators, improve physicians' confidence in handling emergency situations [385,386].…”

Section: Education and Training Courses Recommendation 2022 (Modified)mentioning

confidence: 99%

Updated S3 Guideline “Sedation for Gastrointestinal Endoscopy” of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) – June 2023 – AWMF-Register-No. 021/014

Wehrmann,

Riphaus,

Eckardt

et al. 2023

Z Gastroenterol

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Section: Education and Training Courses Recommendation 2022 (Modified)mentioning

confidence: 99%

Updated S3 Guideline “Sedation for Gastrointestinal Endoscopy” of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) – June 2023 – AWMF-Register-No. 021/014

Wehrmann,

Riphaus,

Eckardt

et al. 2023

Z Gastroenterol

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“…Currently, SBT is limited to polypectomies and other routine procedures, though it may be expanded to include more emergent cases. Similar to Code Blue training, Kiesslich et al[50] showed that simulation training was associated with better endoscopic performance and crisis management in endoscopic emergencies. Additionally, randomized trials in Advanced Cardiac Life Support simulation revealed improved performance in the simulator-trained groups[51].…”

Section: Future Directionsmentioning

confidence: 99%

“…Additionally, randomized trials in Advanced Cardiac Life Support simulation revealed improved performance in the simulator-trained groups[51]. SBT allows for trainees to practice the shared mental model and crisis resource management[50]. Further studies randomized trials can explore these concepts.…”

Section: Future Directionsmentioning

confidence: 99%

Virtual reality simulation in endoscopy training: Current evidence and future directions

Mahmood

Scaffidi

Khan

et al. 2018

WJG

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Virtual reality simulation is becoming the standard when beginning endoscopic training. It offers various benefits including learning in a low-stakes environment, improvement of patient safety and optimization of valuable endoscopy time. This is a review of the evidence surrounding virtual reality simulation and its efficacy in teaching endoscopic techniques. There have been 21 randomized controlled trials (RCTs) that have investigated virtual reality simulation as a teaching tool in endoscopy. 10 RCTs studied virtual reality in colonoscopy, 3 in flexible sigmoidoscopy, 5 in esophagogastroduodenoscopy, and 3 in endoscopic retrograde cholangiopancreatography. RCTs reported many outcomes including distance advanced in colonoscopy, comprehensive assessment of technical and non-technical skills, and patient comfort. Generally, these RCTs reveal that trainees with virtual reality simulation based learning improve in all of these areas in the beginning of the learning process. Virtual reality simulation was not effective as a replacement of conventional teaching methods. Additionally, feedback was shown to be an essential part of the learning process. Overall, virtual reality endoscopic simulation is emerging as a necessary augment to conventional learning given the ever increasing importance of patient safety and increasingly valuable endoscopy time; although work is still needed to study the nuances surrounding its integration into curriculum.

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“…Koch et al [13 ]have demonstrated that the newer generations of simulators offer a convincing realistic representation of colonoscopy and that the simulator can discriminate between different levels of expertise. A study group in Mainz, Germany, combined a high-fidelity simulator with the Erlanger Endoscopy Trainer, and found that simulation was able to improve personal crisis management and led to an improvement of endoscopic and emergency skills [14]. …”

Section: Simulation In Endoscopymentioning

confidence: 99%

Sedation Training Using a Human Patient Simulator

2010

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High-fidelity simulation uses simulators that combine all of the physiological and pharmacological responses of a human in a manikin. These simulators change and respond to the users and trainees. Using simulators for teaching sedation in the field of gastroenterology unifies all the advantages of manikins. To understand the pharmacological and pharmacodynamical principles of drugs used for sedation in different clinical scenarios, such as cardiopulmonary diseases, a high-fidelity simulator is extremely useful. Respiratory complications and airway problems are the main side effects when using sedatives. To overcome these problems, exercise of precautionary measures are highly demanded to avoid hazards. High-fidelity simulation is increasingly being used for the development of crisis resource management. There are still limitations in using simulators for education and training. At present, applying simulation for teaching is expensive. The start-up costs and the expenses for instructors and technicians are high. Moreover, no direct evidence has demonstrated that simulation training improves actual patient safety outcome and, therefore, a lot of research in this field remains to be done. Even so, confidence is growing in the validity of medical simulation as the training tool of the future.

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Kombiniertes Simulationstraining: Ein neues Kurskonzept trainiert und verbessert das Krisenmanagement der gastroenterologischen Endoskopie

Cited by 17 publications

References 4 publications

Updated S3 Guideline “Sedation for Gastrointestinal Endoscopy” of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) – June 2023 – AWMF-Register-No. 021/014

Updated S3 Guideline “Sedation for Gastrointestinal Endoscopy” of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS) – June 2023 – AWMF-Register-No. 021/014

Virtual reality simulation in endoscopy training: Current evidence and future directions

Sedation Training Using a Human Patient Simulator

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