| Summary: | Abstract We developed a sequential, progressive, outcomes-based anesthesia simulation curriculum that dovetails with difficult-to-measure ACGME anesthesia Milestones, using a backward design method that identifies desired learning objectives and builds simulation case scenarios and assessments around those objectives. Our innovative simulation curriculum fosters acquisition of technical, cognitive, behavioral, and attitudinal skills in a logical and sequential manner. Simulation cases that highlight salient learning objectives have been developed for each clinical anesthesia year. The progressive curriculum design encourages anesthesia residents to build on previous simulation training experience with respect to their ability to generate comprehensive differentials for common perioperative problems and manage increasingly complex patient and/or uncommon clinical events as they progress through residency training. Interdisciplinary simulation sessions with the Departments of Transfusion Medicine, Surgery, OB/GYN, Risk Management, and Health Care Quality are integrated into our simulation curriculum to foster interdepartmental collaboration and curriculum sharing. These sessions provide unique learning and debriefing opportunities that reinforce important principles of team-centered patient care. Group simulation sessions (CA-1-CA-3 residents) are also included in our curriculum to facilitate interactive learning between residents at different training levels. All relevant medical competencies are incorporated into simulation case designs in an effort to assess resident performance in a variety of outcome areas, utilizing detailed checklists that correlate with specific learning objectives.
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