Cognitive aid use improves transition of care by graduating medical students during a simulated crisis
| Autor: | Amy N. DiLorenzo, Brooke Bauer, Randall M. Schell, Faith Lukens, Paul A. Sloan, Annette Rebel, Jeremy S. Dority |
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| Přispěvatelé: | University of Kentucky, Department of Anesthesiology |
| Rok vydání: | 2016 |
| Předmět: |
Patient Transfer
education Graduate medical education cognitive aid Simulated patient Education Simulation training 03 medical and health sciences 0302 clinical medicine transition of care 030202 anesthesiology simulation crisis management rapid response communication Humans Medicine Statistical analysis 030212 general & internal medicine Simulation Training Transfer care Rapid response lcsh:LC8-6691 lcsh:R5-920 Medical education lcsh:Special aspects of education business.industry Medical school Cognition General Medicine Education Medical Graduate Clinical Competence Cues Emergencies lcsh:Medicine (General) business Research Article |
| Zdroj: | Medical Education Online, Vol 21, Iss 0, Pp 1-8 (2016) Medical Education Online; Vol 21 (2016) Medical Education |
| ISSN: | 1087-2981 |
| Popis: | Background : Residents are expected to have transition of care (ToC) skills upon entering graduate medical education. It is unclear whether experience and training during medical school is adequate. Objective : The aim of the project was to assess: 1) graduating medical students’ ability to perform ToC in a crisis situation, and 2) whether using a cognitive aid improves the ToC quality. Methods : The authors developed simulation scenarios for rapid response teams and a cognitive aid to assist in the ToC during crisis situations. Graduating medical students were enrolled and randomly divided into teams of three students, randomly assigned into one of two groups: teams using a cognitive aid for ToC (CA), or not using a cognitive aid (nCA). In the scenario, teams respond to a deteriorating patient and then transfer care to the next provider after stabilization. Three faculty reviewed the recording to assess completeness of the ToC and the overall quality. A completeness score was expressed as a fraction of the maximum score. Statistical analysis was performed using a t -test and Mann-Whitney U test. Results : A total of 112 senior medical students participated: CA n =19, nCA n =17. The completeness score of the ToC and overall quality improved when using the cognitive aid (completeness score: CA 0.80±0.06 vs. nCA 0.52±0.07, p |
| Databáze: | OpenAIRE |
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