The impact of simulation‐based medical education on resident management of emergencies in pediatric anesthesiology

Autor:	Aditee P. Ambardekar, Harshad Gurnaney, Justin L. Lockman, Devika Singh, David L. Rodgers, Allan F. Simpao, Stephanie A. Black, Roberta Hales, Alan Jay Schwartz
Rok vydání:	2019
Předmět:	Male Operating Rooms medicine.medical_specialty education Intensive Care Units Pediatric Random Allocation 03 medical and health sciences 0302 clinical medicine Anesthesiology 030202 anesthesiology Pediatric anesthesiology 030225 pediatrics medicine Humans Prospective Studies Laryngospasm Child Curriculum business.industry Perioperative Checklist Anesthesiology and Pain Medicine Education Medical Graduate Child Preschool Pediatrics Perinatology and Child Health Physical therapy Anxiety Female Clinical Competence Emergencies medicine.symptom Pediatric anesthesia business
Zdroj:	Pediatric Anesthesia. 29:753-759
ISSN:	1460-9592 1155-5645
DOI:	10.1111/pan.13652
Popis:	Background Resident education in pediatric anesthesiology is challenging. Traditional curricula for anesthesiology residency programs have included a combination of didactic lectures and mentored clinical service, which can be variable. Limited pediatric medical knowledge, technical inexperience, and heightened resident anxiety further challenge patient care. We developed a pediatric anesthesia simulation-based curriculum to address crises related to hypoxemia and dysrhythmia management in the operating room as an adjunct to traditional didactic and clinical experiences. Aims The primary objective of this trial was to evaluate the impact of a simulation curriculum designed for anesthesiology residents on their performance during the management of crises in the pediatric operating room. A secondary objective was to compare the retention of learned knowledge by assessment at the eight-week time point during the rotation. Methods In this prospective, observational trial 30 residents were randomized to receive simulation-based education on four perioperative crises (Laryngospasm, Bronchospasm, Supraventricular Tachycardia (SVT), and Bradycardia) during the first week (Group A) or fifth week (Group B) of an eight-week rotation. Assessment sessions that included two scenarios (Laryngospasm, SVT) were performed in the first week, fifth week, and the eighth week of their rotation for all residents. The residents were assessed in real time and by video review using a 7-point checklist generated by a modified Delphi technique of senior pediatric anesthesiology faculty. Results Residents in Group A showed improvement between the first week and fifth week assessment as well as between first week and eighth week assessments without decrement between the fifth week and eighth week assessments for both the laryngospasm and SVT scenarios. Residents in Group B showed improvement between the first week and eighth week assessments for both scenarios and between the fifth week and eighth week assessment for the SVT scenario. Conclusion This adjunctive simulation-based curriculum enhanced the learner's management of laryngospasm and SVT management and is a reasonable addition to didactic and clinical curricula for anesthesiology residents.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::56b2667072a9b0542c27ea8e8a50d3f5 https://doi.org/10.1111/pan.13652 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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