Rapid Dissemination of a COVID-19 Airway Management Simulation Using a Train-the-Trainers Curriculum
| Autor: | Colman Hatton, Nana Sefa, Ben S Bassin, Brendan W. Munzer, Cindy H. Hsu, Ryan V Tucker, Carrie E. Harvey, Eve Losman, William J Peterson |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Coronavirus disease 2019 (COVID-19) Trainer medicine.medical_treatment Health Personnel education MEDLINE Education Likert scale medicine Humans Computer Simulation Airway Management Personal protective equipment Curriculum Pandemics Personal Protective Equipment Simulation Training Retrospective Studies Medical education Teaching simulation business.industry SARS-CoV-2 Innovation Reports COVID-19 General Medicine Middle Aged ComputingMethodologies_DOCUMENTANDTEXTPROCESSING Airway management Female business human activities |
| Zdroj: | Academic Medicine |
| ISSN: | 1938-808X 1040-2446 |
| Popis: | Supplemental Digital Content is available in the text. Problem The most effective way to train clinicians to safely don and doff personal protective equipment (PPE) and perform aerosol-generating procedures (AGPs), such as intubations, is unknown when clinician educators are unavailable, as they have been during the COVID-19 pandemic. Proper PPE and airway management techniques are critical to prevent the transmission of respiratory illnesses such as COVID-19. Approach In March 2020, the authors implemented a structured train-the-trainers curriculum to teach PPE techniques and a modified airway management algorithm for suspected COVID-19 patients. A single emergency medicine physician trainer taught 17 subsequent emergency medicine and critical care physician trainers the proper PPE and airway management techniques. The initial trainer and 7 of the subsequent trainers then instructed 99 other emergency medicine resident and attending physicians using in situ simulation. Trainers and learners completed retrospective pre–post surveys to assess their comfort teaching the material and performing the techniques, respectively. Outcomes The surveys demonstrated a significant increase in the trainers’ comfort in teaching simulation-based education, from 4.00 to 4.53 on a 5-point Likert scale (P < .005), and in teaching the airway management techniques through simulation, from 2.47 to 4.47 (P < .001). There was no difference in the change in comfort level between those learners who were taught by the initial trainer and those who were taught by the subsequent trainers. These results suggest that the subsequent trainers were as effective in teaching the simulation material as the initial trainer. Next Steps Work is ongoing to investigate clinician- and patient-specific outcomes, including PPE adherence, appropriate AGP performance, complication rate, and learners’ skill retention. Future work will focus on implementing similar train-the-trainers strategies for other health professions, specialties, and high-risk or rare procedures. |
| Databáze: | OpenAIRE |
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