Hi-Fi simulation: teaching crisis resource management to surgery residents
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Abstract
Background: High-fidelity (HiFi) simulation has shown its effectiveness for teaching crisis resource management (CRM) principles, and our institutional experience in this area is mainly with anesthesiology residents. We recently added to our postgraduate curriculum a new CRM course designed to cater to the specific needs of surgical residents.
Aim : This short communication describes the experience of the University of Montreal Simulation Centre (Centre d’Apprentissage des Attitudes et Habiletés Cliniques CAAHC) regarding HiFi simulationbased CRM and communication skills teaching for surgical residents.
Methods: Thirty residents agreed to participate in a simulation course with pre-established scenarios and educational CRM objectives on a voluntary basis. Results:When surveyed immediately after the activity, all residents agreed that the educational objectives were well defined (80% "strongly agree" and 20% "agree"). The survey also showed that the course was well accepted by all participants (96% "strongly agree" and 4% "agree").
Conclusion : Further trials with randomized groups and more reliable assessment tools are needed to validate our results. Still, integrating HiFi simulation based CRM learning in the surgical residency curriculum seems like an interesting step.
Aim : This short communication describes the experience of the University of Montreal Simulation Centre (Centre d’Apprentissage des Attitudes et Habiletés Cliniques CAAHC) regarding HiFi simulationbased CRM and communication skills teaching for surgical residents.
Methods: Thirty residents agreed to participate in a simulation course with pre-established scenarios and educational CRM objectives on a voluntary basis. Results:When surveyed immediately after the activity, all residents agreed that the educational objectives were well defined (80% "strongly agree" and 20% "agree"). The survey also showed that the course was well accepted by all participants (96% "strongly agree" and 4% "agree").
Conclusion : Further trials with randomized groups and more reliable assessment tools are needed to validate our results. Still, integrating HiFi simulation based CRM learning in the surgical residency curriculum seems like an interesting step.
Keywords:
Crisis resource management, HiFi Simulation, surgical residents, simulation based medical education##plugins.themes.academic_pro.article.details##
References
- Naik VN, Brien SE. Review article: Simulation: a means to address and improve patient safety. Can J Anaesth 2013;60:192-200
- Volk MS, Ward J, Irias N, Navedo A, Pollart J, Weinstock PH. Using medical simulation to teach crisis resource management and decision-making skills to otolaryngology housestaff. Otolaryngol Head Neck Surg 2011;145:35-42.
- Cheng A, Donoghue A, Gilfoyle E, Eppich W. Simulation-based crisis resource management training for pediatric critical care medicine: a review for instructors. Pediatr Crit Care Med 2012;13:197-203
- Schulz CM, Endsley MR, Kochs EF, Gelb AW, Wagner KJ. Situation awareness in anesthesia: concept and research. Anesthesiology 2013;118:729-42
- Beckett CD, Kipnis G. Collaborative communication: integrating SBAR to improve quality/patient safety outcomes. J Healthc Qual 2009;31:19-28.
- Vardaman JM, Cornell P, Gondo MB, Amis JM, Townsend-Gervis M, Thetford C. Beyond communication: the role of standardized protocols in a changing health care environment. Health Care Manage Rev 2012;37:88-97.
- Rudolph JW, Simon R, Dufresne RL, Raemer DB. There's no such thing as"nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Simul Healthc 2006;1:49-55
- Aggarwal R, Undre S, Moorthy K, Vincent C, Darzi A. The simulated operating theatre: comprehensive training for surgical teams. Qual Saf Health Care 2004;13 Suppl 1:i27-32.
- Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 2005;27:10-28
- McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation- based medical education research: 2003-2009. Med Educ 2010;44:50-63.
- Doumouras AG, Keshet I, Nathens AB, Ahmed N, Hicks CM. A crisis of faith? A review of simulation in teaching team-based, crisis management skills to surgical trainees. J Surg Educ 2012;69:274-81
- Wilson KA, Burke CS, Priest HA, Salas E. Promoting health care safety through training high reliability teams. Qual Saf Health Care 2005;14:303-9.