High Fidelity Case‐based Simulation Debriefing: Everything You Need to Know

Hart, Danielle; McNeil, Mary Ann; Bhatia, Kriti; Joing, Scott

doi:10.1111/j.1553-2712.2012.01423.x

Cited by 15 publications

(13 citation statements)

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“…Feedback now appears to be an essential part of medical simulations and education [22,25,26]. Some authors suggest that the addition of video review does not provide any advantages over oral feedback alone [22,27].…”

Section: Discussionmentioning

confidence: 99%

Video-based feedback of oral clinical presentations reduces the anxiety of ICU medical students: a multicentre, prospective, randomized study

et al. 2014

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BackgroundOral presentations of clinical cases by medical students during medical rounds in hospital wards are a source of anxiety and little is known about how this anxiety can be alleviated. The objective of this study was to investigate whether video-based feedback of public oral presentations can reduce anxiety in 4th year medical students.MethodsMulticentre randomized study conducted in six intensive care units (ICU) and emergency departments (ED) in France over a 9-month period in 2012. One hundred and forty two 4th year medical students were randomized to two groups: intervention and control. Students in the intervention group were recorded while making an oral presentation of a patient during morning ward rounds, followed by video-based feedback. Students in the control group conducted presented classical oral presentations without being filmed and with no formal feedback. Anxiety levels during a public oral presentation were assessed using the Spielberger State Anxiety Inventory (STAI-S). The primary outcome was the difference in STAI-S scores between groups at the beginning and at the end of a 3-month ICU or ED internship.ResultsSeventy four students were randomized to the ‘video-based feedback’ group and 68 were randomized to the control group. In both groups, STAI-S scores were significantly lower after 3 months of internship. However, the reduction in STAI-S scores was significantly greater in the “video-based feedback” group than in controls (-9.2 ± 9.3 vs. –4.6 ± 8.2, p = 0.024. Compared to the control group, significantly fewer students with high-level anxiety were observed in the “video-based feedback” group after 3 months of internship (68 vs. 28%, p <0.001).ConclusionsCompared to “usual practice”, video-assisted oral feedback reduced anxiety and significantly decreased the proportion of students experiencing severe anxiety.

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Section: Discussionmentioning

confidence: 99%

Video-based feedback of oral clinical presentations reduces the anxiety of ICU medical students: a multicentre, prospective, randomized study

et al. 2014

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“…This is the time that the learners can discuss their successes, discuss the areas in which they could have improved, and provide self-critique. The facilitator should promote discussion among the participants, not give a lecture [29][30][31]. It is important that the debrief session be run in a fashion so that the learners are aware of their limitations but also are not traumatized by any failure which might occur.…”

Section: Discussion 'Simulation Training'mentioning

confidence: 99%

Teaching Bioterrorism Preparedness with Simulation - The Pneumonic Plague Example

Olsen¹

2014

J Clinic Res Bioeth

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Future bioterrorism acts are an unfortunate possibility for which healthcare providers and medical systems must prepare. Plague, caused by Yersinia pestis, is a potential bioterrorism agent which healthcare providers in the developed world have only a low familiarity. This article provides a teaching strategy using medical simulation to assist healthcare professionals and institutions in preparing for bioterrorism events.

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“…Several authors have described debriefing as a key part of simulation learning, and an area we believe confidence may be gained or lost. [17][18][19] We focused on confidence rather than knowledge. Benner notes that memorization is frequently used by early learners but doesn't necessarily translate to clinical judgment in new and difficult clinical situations.…”

Section: Discussionmentioning

confidence: 99%

High Fidelity Simulation Improves Provider Confidence During ACLS Training Even Among Experienced Staff: Are We Missing an Opportunity?

Zavotsky

McCoy²,

Royal³

et al. 2016

Emerg Med Open J

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Citation ResearchPage 5 ABSTRACT Background: Advanced Cardiac Life Support (ACLS) resuscitation requires rapid assessment and intervention. It is unclear, however, whether high fidelity simulation improves confidence in providers who are experienced as most simulation training focuses on new graduates or hires. We tested the hypothesis that practicing providers undergoing high-fidelity simulation of cardiopulmonary arrest scenarios will express greater confidence in ACLS skills. Methods: We conducted a prospective cohort study at an urban level 1 trauma center from January to October, 2011 with a convenience sample of nurses, nurse practitioners, and physicians. They participated in high-fidelity (Laerdal 3G) simulation sessions of cardiopulmonary arrest about 3 months apart. Each session included two scenarios and lasted 30 minutes, including debriefing. We recorded demographics and confidence on a validated 5 point Likert scale confidence measurement tool before and after each session. Responses ranged from not at all confident (1) to very confident (5) in: recognizing signs and symptoms, appropriately intervening, and evaluating intervention effectiveness in cardiac and respiratory arrests. Descriptive statistics, paired t-tests, and ANOVA were used for data analysis. Sensitivity testing evaluated subjects who completed their second session at 6 months rather than 3 months. Results: Sixty-five subjects completed consent, 35 completed 1 session and 23 completed at least 2 sessions with no missing data. Ninety-two percent were registered nurses, median clinical experience was 11-15 years, and 59% were from an intensive care unit. Provider confidence increased significantly after a single session. There was a trend for further increased confidence with an additional session and the increased confidence was maintained for at least 3-6 months given the sensitivity analysis. The number of cardiopulmonary arrests directly participated in

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High Fidelity Case‐based Simulation Debriefing: Everything You Need to Know

Cited by 15 publications

References 0 publications

Video-based feedback of oral clinical presentations reduces the anxiety of ICU medical students: a multicentre, prospective, randomized study

Video-based feedback of oral clinical presentations reduces the anxiety of ICU medical students: a multicentre, prospective, randomized study

Teaching Bioterrorism Preparedness with Simulation - The Pneumonic Plague Example

High Fidelity Simulation Improves Provider Confidence During ACLS Training Even Among Experienced Staff: Are We Missing an Opportunity?

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