Safe Interfacility Transport of Pediatric Patients: Medical Control Training, an Interdisciplinary Approach

Autor: Samantha W. Gee, Philip L. Holt, Michael J. Stoner
Rok vydání: 2018
Předmět:
Zdroj: Air Medical Journal. 37:120-123
ISSN: 1067-991X
DOI: 10.1016/j.amj.2017.12.003
Popis: Introduction Critically ill children who require transfer to tertiary care centers often require transport by specialized transport teams (TT). These interfacility transports require a medical control physician (MCP). Traditionally this role is assigned to fellows who are taught “on-the-job”, but achieving competency in communication for those trained this way may not be optimal. We sought to close this curriculum gap by developing a MCP training program immersing emergency medicine (EM) and critical care (CC) fellows together with TT members to manage a simulated patient. Methods Pilot curriculum from 2014-2016 involving 1st year fellows. A case is presented initially with a referral call. By phone the fellow is to communicate with and guide the TT, who is in a separate room managing the “sick” patient using high-fidelity simulation. Each MCP and TT communication is evaluated by faculty and peers. An immediate debriefing session provided formative feedback. Results 11 fellows participated and 10 completed a post-simulation survey (91%). The fellows and TT members rated the curriculum as “highly important” and positively viewed the interprofessional collaboration. Respondents were neutral when asked if communication skills improved. Conclusion The MCP training curriculum was viewed favorably and participants reported that this formalized training is needed.
Databáze: OpenAIRE
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