دورية أكاديمية

Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents.

التفاصيل البيبلوغرافية
العنوان: Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents.
المؤلفون: Schrepel C; Assistant Professor and Assistant Program Director, Department of Emergency Medicine, University of Washington School of Medicine., Chipman AK; Assistant Professor and Assistant Director of Quality Improvement, Department of Emergency Medicine, University of Washington School of Medicine., Kessler R; Assistant Professor and Ultrasound Fellowship Program Director, Department of Emergency Medicine, University of Washington School of Medicine., Phares C; Chief Resident, Department of Emergency Medicine, University of Washington School of Medicine., Rosenman E; Associate Professor and Director of Simulation, Department of Emergency Medicine, University of Washington School of Medicine.
المصدر: MedEdPORTAL : the journal of teaching and learning resources [MedEdPORTAL] 2023 Nov 09; Vol. 19, pp. 11361. Date of Electronic Publication: 2023 Nov 09 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Association of American Medical Colleges Country of Publication: United States NLM ID: 101714390 Publication Model: eCollection Cited Medium: Internet ISSN: 2374-8265 (Electronic) Linking ISSN: 23748265 NLM ISO Abbreviation: MedEdPORTAL Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Washington, DC : Association of American Medical Colleges, [2005]-
مواضيع طبية MeSH: Internship and Residency* , Emergency Medicine*/education, Humans ; Clinical Competence ; Resuscitation/education ; Curriculum
مستخلص: Introduction: Emergency medicine (EM) trainees must learn to manage multiple patients simultaneously using task-switching. While prior work has demonstrated that multipatient scenarios can be an effective teaching tool for task-switching, few studies have shown how simulation can be used to assess residents' ability to manage multiple patients effectively. The goal of this curriculum was to provide a formative assessment of core EM skills by employing a series of simulations designed to require frequent task-switching.
Methods: This exercise consisted of three simulation scenarios running in sequence. The first scenario involved medical resuscitation and advanced cardiac life support, the second required learners to manage two patients involved in a trauma using advanced trauma life support, and the final scenario tested learners' ability to communicate bad news. Faculty observers used scenario-specific checklists to identify gaps in content knowledge, communication skills, and task-switching abilities during reflective debriefs. These checklists were analyzed to identify trends. All participants were sent a postsession evaluation. Items omitted by >50% of participants were flagged for review.
Results: Flagged items included asking for finger-stick glucose, verbalizing a backup intubation plan, specifying type of blood products, and asking for team input. Nine of 12 participants completed the postsession evaluation, noting that they agreed or strongly agreed the simulation was relevant and promoted reflection on task-switching skills.
Discussion: This simulation provides educators with a tool to facilitate reflective feedback with senior EM learners regarding their core resuscitation, leadership, and task-switching skills and could be further adapted to promote deliberate practice.
(© 2023 Schrepel et al.)
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فهرسة مساهمة: Keywords: Advanced Cardiac Life Support; Advanced Trauma Life Support; Delivering Bad News; Emergency Medicine; Simulation; Task-Switching
تواريخ الأحداث: Date Created: 20231113 Date Completed: 20231114 Latest Revision: 20231122
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10632183
DOI: 10.15766/mep_2374-8265.11361
PMID: 37954525
قاعدة البيانات: MEDLINE
الوصف
تدمد:2374-8265
DOI:10.15766/mep_2374-8265.11361