Acquisition of Critical Intraoperative Event Management Skills in Novice Anesthesiology Residents by Using High-fidelity Simulation-based Training

Park, Christine; Rochlen, Lauryn R.; Yaghmour, Edward; Higgins, Nicole; Bauchat, Jeanette R.; Wojciechowski, K.G.; Sullivan, John T.; McCarthy, Robert J.

doi:10.1097/aln.0b013e3181c62d43

Cited by 80 publications

(48 citation statements)

References 24 publications

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“…Park et al 69 have shown that the improvements observed following simulation-based training appear to be content specific. In their study with anesthesia residents, they demonstrated that event-specific simulation training resulted in subsequent improved performance compared with simulation-based training in an alternate event.…”

Section: Debriefingmentioning

confidence: 99%

“…According to the research to date, the format in which debriefing is delivered (simulation-based, instructor-led, multimedia, or self-led instruction) does not seem to impact learning. However, the work of researchers, such as Johnson et al 70 and Park et al, 69 suggests that the content and the structure of the debriefing or feedback may play an important role in learning.…”

Section: Debriefingmentioning

confidence: 99%

“…79,80 This has led to a growing interest in collective competency, moving beyond teaching individuals alone towards also teaching team coordination and communication skills to interprofessional teams. Most of the literature to date has focused on the development and deployment of such training 69,81 based on approaches that have been successful in other high-risk domains such as aviation and the military. 82 Although self-reports from participants indicate that they credit the training for increasing their teamwork skills, [83][84][85] thus far, there is little research in anesthesia investigating the effectiveness of this form of training on the behaviours and clinical practice of teams.…”

Section: Simulation For Team Trainingmentioning

confidence: 99%

See 2 more Smart Citations

Review article: Simulation in anesthesia: state of the science and looking forward

LeBlanc

2011

Can J Anesth/J Can Anesth

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Section: Debriefingmentioning

confidence: 99%

Section: Debriefingmentioning

confidence: 99%

Section: Simulation For Team Trainingmentioning

confidence: 99%

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Review article: Simulation in anesthesia: state of the science and looking forward

LeBlanc

2011

Can J Anesth/J Can Anesth

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“…Previous studies included between five and 28 experts in the Delphi process. 8,9,10 We achieved good internal consistency providing a high degree of confidence in our sample size of 10 experts.To address the issue of content validity we aimed to achieve consensus amongst a group of experts using a Delphi process. The concordance achieved was 0.668.…”

mentioning

confidence: 99%

“…This technique has been used previously to develop simulation-based assessment tools. 8,9,10 A draft list of tasks deemed necessary to successfully perform spinal anaesthesia for caesarean delivery and manage the complication of hypotension progressing to cardiac arrest was developed by two anaesthetic specialists. The list of tasks was distributed to 10 anaesthetic specialists working at the study site -all involved in intern, medical officer and registrar training for obstetric anaesthesia.…”

Section: The Modified Delphi Processmentioning

confidence: 99%

The development of a scoring tool for the measurement of performance in managing hypotension and intra-operative cardiac arrest during spinal anaesthesia for caesarean section

Horsten

Wise

Ramroop

et al. 2015

Southern African Journal of Anaesthesia and Analgesia

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Consortium, Cleveland Clinic, Cleveland, OH, USA *Corresponding author, email: garth.horsten@gmail.com Background: At level one hospitals in South Africa a high annual number of maternal deaths occur due to the unrecognised/ untreated complications of spinal anaesthesia. The authors developed a clinical scenario and scoring system to measure intern performance in managing hypotension and cardiac arrest during spinal anaesthesia for caesarean section on a human patient simulator. This system was then subjected to tests of validity and reliability. Methods: The simulator-based clinical scenario was developed by two specialist anaesthesiologists. A modified Delphi technique was used to achieve consensus among 10 anaesthetic specialists regarding a standardised scoring system. A total of 20 medical officers with a Diploma in Anaesthesiology and 20 interns completed the scenario and were scored by two senior anaesthesiologists. Results: Medical officers scored an average of 252 and 246 points, whereas interns scored an average of 216 and 215 points (p = 0.005 and p = 0.013, respectively). The scoring instrument demonstrated high inter-assessor reliability with an intra-class correlation coefficient of 0.983. Conclusions:The scoring tool was shown to be valid and reliable. It offers a standardised assessment process and may be used to refine institutional intern training programmes, with a view to improving anaesthesia skills in community service medical officers.Keywords: anaesthesia spinal, caesarean section, internship, residency, simulation, simulator BackgroundSouth Africa has a high annual number of anaesthetic maternal deaths. The majority of these occur at level one hospitals due to the unrecognised/untreated complications of spinal anaesthesia. 1These hospitals provide generalist services to inpatients and outpatients, who have ideally been referred from a community health centre or clinic.2 Research has shown a lack of training, experience and supervision in anaesthesia at these hospitals, 3 and that community service doctors (CSMOs), in their first year of practice after internship training, are required to provide obstetric anaesthesia without supervision. 4 Research has previously indicated that internship training (a two-year training period of doctors who have completed their undergraduate medical degree but do not yet have a licence to practise medicine unsupervised) inadequately prepares CSMOs to fulfil this role.5 Assessment of internship training programmes and intern performance at the end of their training is therefore critical.Simulation assessments offer a means of assessing performance without the risk of direct patient harm. 6,7 However, for any assessment tool to have wider applicability it needs to be validated and reproducible. Previous studies have developed valid and reliable simulator-based assessment tools for the measurement of trainee doctor performance in providing anaesthesia in simulated environments.8,9 Such tools have not been developed within South Africa. The objectives of...

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Patient Simulation and Its Use in Pediatric Anesthesia

Honkanen

Chen

2011

Gregory's Pediatric Anesthesia

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Acquisition of Critical Intraoperative Event Management Skills in Novice Anesthesiology Residents by Using High-fidelity Simulation-based Training

Abstract: Event-specific, simulation-based training resulted in superior performance in scenarios compared with traditional training and simulation-based training in an alternate event.

Cited by 80 publications

References 24 publications

Review article: Simulation in anesthesia: state of the science and looking forward

Review article: Simulation in anesthesia: state of the science and looking forward

The development of a scoring tool for the measurement of performance in managing hypotension and intra-operative cardiac arrest during spinal anaesthesia for caesarean section

Patient Simulation and Its Use in Pediatric Anesthesia

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