1. Training anaesthesia residents using high fidelity simulators for peri-operative emergencies
Dr Shailaja.S, Dr Prajna Pinto, Dr Lulu Sherif, Dr Radhesh Hedge
Father Muller Medical College, Mangalore, Karnataka, India
Background
Debriefing
High fidelity simulation (HFS) facilitates learning by providing feedback, repetitive practice and team work.
Problem statement
Knowledge, critical thinking skills & team work are vital during managing anaesthesia emergencies.
All residents are not exposed to all these emergencies.
Need for the study
Use of HFS as a teaching tool could fill the gap.
The purpose of the study was to train faculty to use simulation as a tool to teach
To record student satisfaction and document immediate change in knowledge.
Results
Objectives
To train faculty in simulation teaching.
To train residents in recognizing and managing anaesthesia emergencies.
To evaluate effectiveness of simulation training.
Table: Pre-test and post-test results of MCQs
Mean SD
P value
Pre-test
15.678
3.325
0.002
Post-test
30.692
2.780
Methods
3 faculty got trained in simulation teaching
Orientation to residents and remaining faculty on simulation training
Pilot tested a Simulated clinical experience (SCE)
Obtained IEC clearance and conducted a needs assessment by interviewing faculty and residents
Identified topics and formulated 4 SCE
Resident satisfaction questionnaire and pre-test, post-test results analyzed
Conclusion
HFS increased the satisfaction scores among residents.
HFS improves residents clinical reasoning skills, knowledge and builds positive team dynamics.
Future Directions
To observe for change in behavior among residents who are taught using SCEs & residents not exposed to simulation training
Formulate a library of SCEs and retest the satisfaction questionnaire. Encourage more faculty to use this tool.
To identify subtopics in each system that can be taught using simulation
SCE development
Identified 4 scenarios based on needs assessment.
Text books and literature searched to formulate the scenario with sequences and transitions.
SCE validated by trained faculty and 2 other subject experts.
MCQs created for the topic validated by faculty.
Steps of simulation teaching – dry run, pre-test MCQs, pre briefing, performing/scribe, debriefing, post-test and satisfaction questionnaire.
Performance
References
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McCawley PF. Methods for conducting an Educational Needs Assessment. URL:
Scribe
Acknowledgements
I would like thank my colleagues, students and other faculty who have participated actively in the study.
I heartfelt thanks to my friend Dr. Prathvi Shetty, and my students Mr. Shankar, Mr. Monish & Ms. Ashitha for helping in shooting video.
My sincere thanks to FAIMERly who have guided me through out the project.