High-fidelity simulation in anesthesiology training: a survey of Canadian anesthesiology residents’ simulator experience

Price, James W.; Price, J T; Pratt, Daniel D.; Collins, John B.; McDonald, Julie A.

doi:10.1007/s12630-009-9224-5

Cited by 41 publications

(27 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With further analysis, articles were selected wherein interventions relevant to one or more of the three themes were studied, resulting in a final selection of 56 citations Twenty-one studies analyzed transitions in, during, and after residency education; 19 studies addressed the educational effects of duty hour limits, [33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] and 16 articles presented research on use of the competencies in teaching and assessing anesthesiology residents. [19][20][21][22][23][24][25][26][27][52][53][54][55][56][57][58] For the theme ''duty hours and the acquisition of competence'', the only articles included were those that assessed the effect of duty hour limits on measures of physician competence and those that studied changes in patient care experience in anesthesiology that could be attributed to the reduction in resident hours.…”

Section: Methodsmentioning

confidence: 99%

“…In anesthesiology, much of the research has focused on technical skills, such as airway management and dealing with anesthesia crisis management, with frequent use of simulation for teaching and assessment. [19][20][21][22][23][24][25] The focus of other recent work that explicitly or implicitly mentioned educational transition has been on education in the ''business'' aspects of medicine 26 and leadership training for fellows. 27 Promising areas to prepare physicians for the transition into practice include enhanced preparation for providing culturally competent care; 28 end-of-life care, particularly for individuals in subspecialty training in pain medicine and critical care; 29 and the cost-effective use of medical resources.…”

Section: Transitions Across the Medical Education Continuummentioning

confidence: 99%

“…While the focus of much of the work in anesthesiology is still on medical knowledge and technical skills, [19][20][21][22][23][24][25] it is promising that the focus of recent research has been to improve adherence to care guidelines, 52 to validate and demonstrate the utility of the CanMEDS framework, 53 to contextualize professionalism, systems-based practice, and other non-technical skills for anesthesiologists, [54][55][56][57] and to put forward a model that will enable anesthesiology residents to integrate the competencies and the aims of the Institute of Medicine for the health care system. 58 The focus is on approaches to teach and assess the non-technical competencies, including the development of validated tools.…”

Section: Embedding the Competencies In Resident Teaching And Evaluationmentioning

confidence: 99%

See 2 more Smart Citations

Review article: Closing the research gap at the interface of learning and clinical practice

Philibert

2011

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

Purpose The dialogue at the interface of education and clinical practice highlights areas of critical importance to the development of new approaches for educating anesthesiologists. The purpose of this article is to examine the literature on education and acquisition of competence in three areas relevant to the interface of learning and clinical practice, with the aim to suggest a research agenda that adds to the evidence on preparing physicians for independent practice. The three areas are: 1) transitions across the continuum of education; 2) the effect of reductions in hours of clinical training on competence; and 3) efforts to incorporate the competencies and CanMEDS roles into teaching and evaluation. Principal findings Fifty-six articles relevant to one or more of the themes were identified in the review, including 21 studies of transitions (in, during, and after residency education), 19 studies on the effects of duty hour limits on residents' acquisition of competence, and 16 articles that assessed competency-based teaching and assessment in anesthesiology. Overall, the findings suggested a relative paucity of scientific evidence and a need for research and the development of new scientific theory. Studies generally treated one of the themes in isolation, while in actuality they interact to produce optimal as well as suboptimal learning situations, while medical education research often is limited by small samples, brief follow-up, and threats to validity. This suggests a ''research gap'' where editorials and commentaries have moved ahead of an evidence base for education. Promising areas for research include preparation for care deemed important by society, work to apply knowledge about the development of expertise in other disciplines to medicine, and ways to embed the competencies in teaching and evaluation more effectively. Conclusion Closing the research gap in medical education will require clear direction for future work. The starting point, at an institution or nationally, is dialogue within the specialty to achieve consensus on some of the most pressing questions.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Transitions Across the Medical Education Continuummentioning

confidence: 99%

Section: Embedding the Competencies In Resident Teaching And Evaluationmentioning

confidence: 99%

See 1 more Smart Citation

Review article: Closing the research gap at the interface of learning and clinical practice

Philibert

2011

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…Die Assistenzärzte absolvierten im Median zwei Simulationstrainings pro Jahr. In sechs Einrichtungen waren Simulationstrainings für alle Befragten dieser Einrichtungen verpflichtend [21].…”

Section: Umfang Des Angebotsunclassified

Full-Scale-Simulation in der anästhesiologischen Lehre und Weiterbildung in Deutschland

et al. 2016

View full text Add to dashboard Cite

Important first steps have been taken to implement full-scale simulation in Germany. In addition to programs for medical students courses for physicians and nurses are available today. To reach everyone clinically involved in German anesthesiology on a regular basis the current capacities need to be dramatically increased. The basis for that to happen will be new concepts for funding, possibly supported by external requirements such as the national model curriculum for residency in anesthesiology.

show abstract

“…Fried dijo que la tecnología de simulación en cirugía laparoscópica se ha desarrollado en respuesta a la necesidad de enseñar habilidades quirúrgicas fundamentales en un medio seguro. Esta afirmación puede hacerse extensiva al manejo de muchas situaciones complejas que atraviesan toda la medicina (13)(14)(15)(16)(17)(18)(19)(20)(21). La mayoría de los simuladores que se han desarrollado han sido tecnologías costosas y algunos investigadores han desarrollado "alternativas caseras" (22)(23)(24)(25).…”

Section: Introductionunclassified

Nuevo simulador híbrido cadavérico/sintético para la enseñanza de técnicas intervencionistas para tratamiento del dolor refractario

Flores¹

2016

Rev. Soc. Esp. Dolor.

View full text Add to dashboard Cite

Rev Soc Esp Dolor 2016; 23(2): 105-114Recibido: 2-4-2015.Aceptado: 4-6-2015.Flores JC. Nuevo simulador híbrido cadavérico/sintéti-co para la enseñanza de técnicas intervencionistas para tratamiento del dolor refractario. Rev Soc Esp Dolor 2016;23(2):105-114. ABSTRACTThis paper introduces a new simulator to be used in the training and evaluation of interventional techniques under fluoroscopic visualization in pain medicine, apt for repeating the most broadly used procedures in the head and neck, trunk, lumbosacral region and pelvis. This simulator is built using cadaveric bones in synthetic transparent material for training in nerve block procedures under combined ultrasonic and fluoroscopic guidance.The "New Hybrid Simulator" comprises the use of cadaveric bones surrounded by synthetic material resembling human models in a highly realistic manner. The trainees that attended the workshops during 2014 expressed a high degree of satisfaction when comparing this model to practicing on real patients, fresh cadavers and synthetic simulators. The salient features of this development are: repeating the procedures as many times as necessary for each trainee to meet the minimum requirements and reduce the number and type of potential errors in each technique; conducting appropriate training for certification purposes; facilitating the evaluation of efficacy of training using these models as compared to training on real patients or other modalities (simulators or fresh cadavers); improving accessibility given its low cost, thus avoiding the complexity involved in the preservation of tissues and finally, in the author's opinion reducing the learning curve in a safe setting for patients, trainees, trainers and for the healthcare and university systems at large. Key words:Simulators in pain medicine, hybrid simulators in pain medicine, simulation and certification, simulation and safety. RESUMENSe presenta un nuevo simulador para el entrenamiento y evaluación de técnicas intervencionistas bajo visión fluoroscópica en medicina del dolor que permite realizar los procedimientos más utilizados a nivel de cabeza y cuello, tronco, región lumbosacra y pelvis. En el trabajo se desarrolló una inclusión de material óseo cadavérico en material sintético versión no transparente color piel y transparente para entrenamiento en bloqueos bajo visión ecográfica y fluoroscópica combinados.El Nuevo Simulador Híbrido se basó en la inclusión artesanal de material óseo cadavérico dentro de un tejido de material sintético emulando, con elevado realismo, el modelo humano. En la experiencia de los educandos que realizaron los talleres durante el año 2014 expresaron alta satisfacción comparando a pacientes reales, cadáveres frescos y simuladores sintéticos. Este desarrollo permite, como características principales: a) repetir cada procedimiento las veces necesarias para que cada educando alcance un estándar mínimo exigible y disminuya el número y tipo de errores posibles propios de cada técnica; b) entrenar adecuadamente para los procesos de certific...

show abstract

High-fidelity simulation in anesthesiology training: a survey of Canadian anesthesiology residents’ simulator experience

Cited by 41 publications

References 12 publications

Review article: Closing the research gap at the interface of learning and clinical practice

Review article: Closing the research gap at the interface of learning and clinical practice

Full-Scale-Simulation in der anästhesiologischen Lehre und Weiterbildung in Deutschland

Nuevo simulador híbrido cadavérico/sintético para la enseñanza de técnicas intervencionistas para tratamiento del dolor refractario

Contact Info

Product

Resources

About