Defining and Addressing Anesthesiology Needs in Simulation-based Medical Education

Abstract

Background: This study's primary aim was to determine how training programs use simulation-based medical education (SBME), because SBME is linked to superior clinical performance.Methods: An anonymous 10-question survey was distributed to anesthesiology residency program directors across the United States. The survey aimed to assess where and how SBME takes place, which resources are available, frequency of and barriers to its use, and perceived utility of a dedicated departmental education laboratory. Results:The survey response rate was 30.4% (45/148). SBME typically occurred at shared on-campus laboratories, with residents typically participating in SBME 1 to 4 times per year. Frequently practiced skills included airway management, trauma scenarios, nontechnical skills, and ultrasound techniques (all ≥ 77.8%). Frequently cited logistical barriers to simulation laboratory use included COVID-19 precautions (75.6%), scheduling (57.8%), and lack of trainers (48.9%). Several respondents also acknowledged financial barriers. Most respondents believed a dedicated departmental education laboratory would be a useful or very useful resource (77.8%). Conclusion:SBME is a widely incorporated activity but may be impeded by barriers that our survey helped identify. Barriers can be addressed by departmental education laboratories. We discuss how such laboratories increase capabilities to support structured SBME events and how costs can be offset. Other academic departments may also benefit from establishing such laboratories.

Efficiency of Simulation-Based Learning Using an ABC POCUS Protocol on a High-Fidelity Simulator

“…There is some data in the literature regarding the usefulness of teaching POCUS in critical care patients using SBME [9,11,13,14]. There are clear benefits of SBME that translate to increased favorable clinical outcomes, increased self-confidence, and reduced errors [15]. The transition from simulation to clinical practice is another important step in medical education.…”

“…Some drawbacks are explained by lack of facility, lack of time for the sessions to occur, and lack of trainers. The existence of specialized anesthesia simulation departments with specific personnel correlates better with attendance [15].…”