Multidisciplinary Simulation Training Improves Surgical Resident Comfort With Airway Management
| Autor: | Judith C. French, Charlotte M. Horne, Ahmed Nassar, Ajita S. Prabhu, Kaitlin A. Ritter, Jeremy M. Lipman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Models
Anatomic medicine.medical_specialty Swine medicine.medical_treatment Simulation training Likert scale 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach Animals Humans Medicine Airway Management Simulation Training Patient Care Team business.industry Internship and Residency respiratory system Surgical training Otorhinolaryngology General Surgery 030220 oncology & carcinogenesis Physical therapy 030211 gastroenterology & hepatology Surgery Airway management Clinical Competence Curriculum Educational Measurement business Airway Training program Program Evaluation |
| Zdroj: | Journal of Surgical Research. 252:57-62 |
| ISSN: | 0022-4804 |
| DOI: | 10.1016/j.jss.2020.02.008 |
| Popis: | Airway management is an essential element of surgical training, but with fewer procedures performed during residency, simulation is crucial to fill educational gaps. We evaluated the effect of a multidisciplinary airway simulation on the comfort of general surgery residents in managing airways.All residents PGY 2-5 at a large academic general surgery residency program participated in a multidisciplinary airway management simulation. Precourse surveys evaluated self-perception of skills in three areas of airway management: surgical airway, basic ventilator strategies, and endotracheal intubation. Simulation consisted of didactic and procedural components and used high- and low-fidelity models including silicon airways, ventilators, porcine trachea, and airway adjuncts. Instruction was provided by anesthesia and otolaryngology faculty. Postcourse assessment was performed with a four-level Likert questionnaire. Results were analyzed using paired t-tests.Of the 19 residents surveyed, 37% of residents had 1-5 h and 32% had 5-10 h of prior airway instruction. Significant increases in mean comfort were observed across all three studied areas. Residents reported increased comfort performing a surgical airway (1.16 versus 1.95), P 0.0001, and troubleshooting ventilator issues (1.59 versus 2.16), P 0.0001. Comfort regarding overall airway management including endotracheal intubation demonstrated similar improvement (1.84 versus 2.32), P = 0.02. Subgroup analysis by PGY level showed the greatest impact on comfort level in junior residents.Multidisciplinary airway simulation can be effectively implemented in a general surgery training program and positively affect trainee comfort with these techniques, particularly among junior residents. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect