Simulation-based assessment of trainee’s performance in post-cardiac arrest resuscitation

Ali, Afrah; Chang, Wan‐Tsu W.; Tabatabai, Ali; Pergakis, Melissa; Gutierrez, Camilo; Neustein, Benjamin; Gilbert, Gregory E.; Podell, Jamie; Parikh, Gunjan; Badjatia, Neeraj; Motta, Melissa; Lerner, David P.; Morris, Nicholas

doi:10.1016/j.resplu.2022.100233

Cited by 3 publications

(2 citation statements)

References 43 publications

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“…Simulated cases have previously been used to study clinical behavior 10 and the cases used in this study have published validity evidence. 7,[11][12][13] We did not gather a comprehensive list of all the resources used by participants nor did we have a way of digitally tracking smartphone use; however, we did explore smartphone use during debrie ngs. Future studies should delve into the reliability of resources available to the medical community.…”

Section: Discussionmentioning

confidence: 99%

Smartphone Use in the Management of Neurological Emergencies: A Simulation-Based Study

Pergakis,

Ali,

Chang

et al. 2024

Neurocrit Care

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Background and ObjectivesSmartphone use in medicine is nearly universal despite a dearth of research assessing utility in clinical performance. We sought to identify and de ne smartphone use during simulated neuro-emergencies. MethodsIn this retrospective review of a prospective, observational, single-center simulation-based study, participants, ranging from sub-interns to attending physicians and strati ed by training level (novice, intermediate, and advanced) managed a variety of neurological emergencies. The primary outcome was frequency and purpose of smartphone use. Secondary outcomes included success rate of smartphone Discussion Participants commonly used smartphones in simulated neuro-emergencies but use didn't confer improved clinical performance. Less experienced participants were the most likely to use smartphones, were less likely to arrive at correct conclusions, and thus are the most likely to bene t from an evidencebased smartphone application for neuro-emergencies.

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Section: Discussionmentioning

confidence: 99%

Smartphone Use in the Management of Neurological Emergencies: A Simulation-Based Study

Pergakis,

Ali,

Chang

et al. 2024

Neurocrit Care

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“… 7 Evidence suggests improved performances in clinical settings after the use of simulation. 9 , 51 , 52 For example, in a study by Ali et al that focused on the simulation-based assessment of trainees’ performance in postcardiac arrest resuscitation, trainees with critical care simulation training performed better overall than those without critical care training. 52 In graduate medical education, simulation-based training helps implement an outcome-based curriculum that focuses on competencies, which is different from the established system based on a time-based construct.…”

Section: Benefits Of Simulation-based Medical Educationmentioning

confidence: 99%

Incorporation of Simulation in Graduate Medical Education: Historical Perspectives, Current Status, and Future Directions

Leiphrakpam,

Armijo,

Are

2024

Journal of Medical Education and Curricular Development

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Technological advancement and improved training strategies have transformed the healthcare practice environment in the last few decades. Simulation has evolved as one of the leading training models for the next generation of healthcare professionals. Simulation-based training enables healthcare professionals to acquire knowledge and skills in a safe and educationally oriented environment and can be a valuable tool for improving clinical practice and patient outcomes. The field of healthcare simulation has been rapidly growing, and various graduate medical education programs around the world have started incorporating this modality into their curricula. In graduate medical education, simulation-based training helps implement an outcome-based curriculum that tests the trainee's actual skill level as the primary factor for the trainee's competency rather than relying on the current model of a predetermined training period. However, the major challenge revolves around developing an educational curriculum incorporating a simulation-based educational model, understanding the value of this new technology, the overall cost factor, and the lack of adequate infrastructure. Hence, embracing the full potential of simulation technology in graduate medical education curricula requires an innovative approach with participation from institutions and stakeholders.

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Smartphone Use in the Management of Neurological Emergencies: A Simulation-based Study

Pergakis,

Ali,

Chang

et al. 2024

Preprint

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Background and Objectives Smartphone use in medicine is nearly universal despite a dearth of research assessing utility in clinical performance. We sought to identify and define smartphone use during simulated neuro-emergencies. Methods In this retrospective review of a prospective, observational, single-center simulation-based study, participants, ranging from sub-interns to attending physicians and stratified by training level (novice, intermediate, and advanced) managed a variety of neurological emergencies. The primary outcome was frequency and purpose of smartphone use. Secondary outcomes included success rate of smartphone use and performance (measured by completion of critical tasks) of participants who used smartphones vs. those that did not. In subgroup analyses we compared outcomes across participants by level of training using t-tests and Chi-square statistics. Results One hundred and three participants completed 245 simulation scenarios. Smartphones were used in 109 (45%) simulations. Of participants using smartphones, 102 participants looked up medication doses, 52 participants looked up management guidelines, 11 participants looked up hospital protocols, and 13 participants used smartphones for assistance with an exam scale. Participants found the correct answer 73% of the time using smartphones. There was an association between participant level and smartphone use with intermediate participants being more likely to use their smartphones than novice or advanced participants, 53% vs. 29% and 26%, respectively (p < .05). Of the intermediate participants, those who used smartphones did not perform better during the simulation scenario than participants who did not use smartphones (smartphone users’ mean score [standard deviation (SD)] = 12.3 (2.9) vs. non-smartphone users’ mean score (SD) = 12.9 (2.7), p = .85). Discussion Participants commonly used smartphones in simulated neuro-emergencies but use didn’t confer improved clinical performance. Less experienced participants were the most likely to use smartphones, were less likely to arrive at correct conclusions, and thus are the most likely to benefit from an evidence-based smartphone application for neuro-emergencies.

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Simulation-based assessment of trainee’s performance in post-cardiac arrest resuscitation

Cited by 3 publications

References 43 publications

Smartphone Use in the Management of Neurological Emergencies: A Simulation-Based Study

Smartphone Use in the Management of Neurological Emergencies: A Simulation-Based Study

Incorporation of Simulation in Graduate Medical Education: Historical Perspectives, Current Status, and Future Directions

Smartphone Use in the Management of Neurological Emergencies: A Simulation-based Study

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