Training and Assessment of Trauma Management: The Role of Simulation-Based Medical Education

Berkenstadt, Haim; Erez, David; Munz, Yaron; Simon, Daniel; Ziv, Amitai

doi:10.1016/j.atc.2006.11.004

Cited by 47 publications

(51 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…21 Both high-fidelity simulation mannequins and task trainers have the potential to improve resident training and evaluation in many areas of patient care. 6,22,23 Hybrid simulations, in which two or more simulation modalities are combined, have been used in cardiology, anesthesiology, and obstetrics-gynecology. [24][25][26] Noeller et al 27 used a hybrid simulation model to train EM residents in cardiac, pediatric, toxicology, and trauma resuscitations.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Girzadas¹,

Antonis²,

Zerth³

et al. 2009

Academic Emergency Medicine

View full text Add to dashboard Cite

Objectives: In this study, an endovaginal ultrasound (US) task trainer was combined with a high-fidelity US mannequin to create a hybrid simulation model. In a scenario depicting a patient with ectopic pregnancy and hemorrhagic shock, this model was compared with a standard high-fidelity simulation during training sessions with emergency medicine (EM) residents. The authors hypothesized that use of the hybrid model would increase both the residents' self-reported educational experience and the faculty's self-reported ability to evaluate the residents' skills.Methods: A total of 45 EM residents at two institutions were randomized into two groups. Each group was assigned to one of two formats involving an ectopic pregnancy scenario. One format incorporated the new hybrid model, in which residents had to manipulate an endovaginal US probe in a task trainer; the other used the standard high-fidelity simulation mannequin together with static photo images. After finishing the scenario, residents self-rated their overall learning experience and how well the scenario evaluated their ability to interpret endovaginal US images. Faculty members reviewed video recordings of the other institution's residents and rated their own ability to evaluate residents' skills in interpreting endovaginal US images and diagnosing and managing the case scenario. Visual analog scales (VAS) were used for the self-ratings.Results: Compared to the residents assigned to the standard simulation scenario, residents assigned to the hybrid model reported an increase in their overall educational experience (D VAS = 10, 95% confidence interval [CI] = 4 to 18) and felt the hybrid model was a better measure of their ability to interpret endovaginal US images (D VAS = 17, 95% CI = 7 to 28). Faculty members found the hybrid model to be better than the standard simulation for evaluating residents' skills in interpreting endovaginal US images (D VAS = 13, 95% CI = 6 to 20) and diagnosing and managing the case (D VAS = 10, 95% CI = 2 to 18). Time to reach a diagnosis was similar in both groups (p = 0.053).Conclusions: Use of a hybrid simulation model combining a high-fidelity simulation with an endovaginal US task trainer improved residents' educational experience and improved faculty's ability to evaluate residents' endovaginal US and clinical skills. This novel hybrid tool should be considered for future education and evaluation of EM residents. The use of endovaginal US by emergency physicians (EPs) has demonstrated potential to decrease emergency department (ED) length of stay and to facilitate rapid assessment of patients with ruptured ectopic pregnancy.2,3 During the past 10 years, acquiring and interpreting US images has become an accepted part of the training of emergency medicine (EM) residents. The

show abstract

Section: Discussionmentioning

confidence: 99%

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Girzadas¹,

Antonis²,

Zerth³

et al. 2009

Academic Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…The development of human simulators has provided similar learning opportunities for healthcare providers, allowing the dynamic re-creation of a task environment with real-time physiological responses and a need to demonstrate both psychomotor skills and behavioural attributes [19]. Simulation training facilitates experiential learning and emphasises the value of rehearsal, repetition and reaction within a range of scenarios [20]. However, to ensure transferability to the actual setting, the simulated environment must closely approximate the real-life context [21].…”

Section: Discussionmentioning

confidence: 99%

Simulation as a tool to improve the safety of pre‐hospital anaesthesia – a pilot study*

Batchelder¹,

Steel

Mackenzie

et al. 2009

Anaesthesia

View full text Add to dashboard Cite

SummaryWe conducted a pilot study of the effects of simulation as a tool for teaching doctor-paramedic teams to deliver pre-hospital anaesthesia safely. Participants undertook a course including 43 full immersion, high-fidelity simulations. Twenty videos taken from day 4 and days 9 ⁄ 10 of the course were reviewed by a panel of experienced pre-hospital practitioners. Participants' performance at the beginning and the end of the course was compared. The total time from arrival to inflation of the tracheal tube cuff was longer on days 9 ⁄ 10 than on day 4 (mean (SD) 14 min 52 s (2 min 6 s) vs 11 min 28 s (1 min 54 s), respectively; p = 0.005), while the number of safety critical events per simulation were fewer (median (IQR [range]) 1.0 (0-1.8 [0-2]) vs 3.5 (1. 5-4.8 [0-8], respectively; p = 0.011). Crew resource management behaviours also improved in later simulations. On a personal training needs analysis, participants reported increased confidence after the course.

show abstract

“…(22) , kompleks parçalara sahip olan anestezi cihazını, tıp fakültesi öğ-rencilerine öğretebilmek için transparan bir anestezi cihazı simülatörü kullanmışlar; SE'nin sistemin anlaşılabilirliğinin arttığını vurgulamışlardır. Ortamın gü-venli ve yine kurgulanabilir olması, hasta modelinin vital bulgularının çok hassas ve hızla değiştirilebilir olması, istenilenin istenildiği anda uygulanabilmesi, zaman kısıtlamasının olmaması, sık yine ve/veya ardarda tekrar edebilme şansı SE'nin avantajlarıdır (23) . Ayrıca uzmanlık öğrencileri; kullanılan ilaçların fizyolojik etkilerinin farkına varılmasına, kriz durumlarında da soru sorulabilmesine olanak tanınması ve hatalardan da öğrenebilme şansını vermesi açısından SE'ni önemli bulmuşlardır (17) .…”

Section: (N=45)unclassified

Simulation Education Of Anaesthesiology And Reanimation Residents: Simmerk® Experience Of The Four Years

Kerem¹,

Abut²,

Kitapçıoğlu³

et al. 2013

GKDA Derg

View full text Add to dashboard Cite

show abstract

Training and Assessment of Trauma Management: The Role of Simulation-Based Medical Education

Cited by 47 publications

References 47 publications

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Simulation as a tool to improve the safety of pre‐hospital anaesthesia – a pilot study*

Simulation Education Of Anaesthesiology And Reanimation Residents: Simmerk® Experience Of The Four Years

Contact Info

Product

Resources

About