1. Innovation and Simulation: Intern Common Critical Care Curriculum
Jo Anna Leuck, MD
Associate Medical Director, Carolinas Simulation Center

2. Disclosure
No disclosures.

3. Needs Assessment No consistency in learner experience
No consistency in direct observation by faculty
PGY-2 residents did not feel prepared to manage critically ill patients

4. Activation Circumplex Model of Emotion
Emotionality of the Experience is the Difference
Russell and Feldman Barrett. Journal of Personality and Social Psychology. Vol 76(5) May 1999,

5. Basic Assumption
We believe that everyone participating in activities at Carolinas Medical Center is intelligent, well-trained, cares about doing their best, and wants to improve.

6. Curriculum- Flipped Classroom
Evidence-based pre-work
Articles
Cases
Questions
Procedural video links
Post-session work
Take Home Points

7. Global Curriculum Design
January-June 2012
Case selection after ICU needs assessment
62 total interns
3 (4 hour sessions)
4 case-based scenarios/session
Procedural instruction incorporated
Small group discussion/debriefing
4 Interns per session

8. 4C’s Case Design Simulation platform Standardized participants
Laerdal Sim-Man 3G
Standardized participants RN
Family members
Patients
Labs/Radiology/Consultation

9. Assessment and Evaluation
Global resident assessment
Self exploration
DASH- Debriefing Assessment for Simulation in Healthcare
Pre curricular survey
Post curricular survey

10. Learner Feedback
“Status epilepticus pt came in the day after 4C’s & I was able to fully run the case without difficulty…”
“I just completed my MICU month and felt comfortable managing critical care patients with minimal assistance from upper levels and attendings….”
“I have had several pts in very similar situations in floor codes to those encountered in 4C’s, and felt much more confident because of 4Cs”
“I had a pt with acute renal failure, hyperkalemia and bradycardia. I gave the appropriate medications and even paced her with good results…”
“I ran a RRT on an anaphylactic patient where an RN almost gave IM dosing epinephrine IV! I was able to intervene due to my knowledge gained at 4C’s”

11. If offered, would you choose to attend a refresher session or sessions during your PGY2 year?
Yes No

12. Questions?