Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional study
Background: Crisis resource management (CRM) skills are nontechnical skills that are often neglected during the training of residents in the management of clinical emergencies. This study was conducted to assess the utility of high-fidelity simulation to enhance the learning of CRM among internal me...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| Subjects: | |
| Online Access: | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2023;volume=16;issue=7;spage=41;epage=46;aulast=Umesh |
| _version_ | 1797219212063670272 |
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| author | Soumya Umesh Thenmozhi Nagarajan Lakshmi Trikkur Anantharaman Mary Joseph |
| author_facet | Soumya Umesh Thenmozhi Nagarajan Lakshmi Trikkur Anantharaman Mary Joseph |
| author_sort | Soumya Umesh |
| collection | DOAJ |
| description | Background: Crisis resource management (CRM) skills are nontechnical skills that are often neglected during the training of residents in the management of clinical emergencies. This study was conducted to assess the utility of high-fidelity simulation to enhance the learning of CRM among internal medicine postgraduates (PGs). Materials and Methods: After obtaining IEC approval, a total of ten (five 1st year and five 3rd year) internal medicine PG students were included by convenience sampling. Each student participated in four simulated emergencies in the simulation laboratory of a tertiary care hospital, one before and three after CRM training. They participated in groups of 3–5 at intervals of 15–30 days. All the scenarios were video graphed and viewed by the investigators and each student was assessed in each session for CRM using Ottawa global rating score (GRS). The outcome variable was an overall score (OS-ordinal from 1to 7). After the last session, a questionnaire was administered to assess the perceptions of the participants about the course. After 1 year, the participants self-assessed their CRM in a real emergency using GRS and also identified barriers for the application of CRM in real life. The statistical tests used were paired t-test, Student's t-test, and repeated measures ANOVA. Results: The mean OS at baseline was 3.9 ± 1.5 and after training, it improved to 4.6 ± 1.26 (P = 0.024). In the three posttraining sessions, the OS did not decline and this indicated good retention of CRM (P = 0.056). PGs had a consistently favorable opinion of this course. The self-assessed OS in a real emergency was 5.7 ± 0.82. The barriers to CRM application in real emergencies were lack of practice and lack of team training. Conclusions: High fidelity simulation is an effective and acceptable method of teaching CRM to internal medicine PGs and should be incorporated into the PG curriculum. |
| first_indexed | 2024-04-24T12:30:03Z |
| format | Article |
| id | doaj.art-c82ae47a276048a1a5e6c17843dab9e8 |
| institution | Directory Open Access Journal |
| issn | 2589-8302 2589-8310 |
| language | English |
| last_indexed | 2024-04-24T12:30:03Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj.art-c82ae47a276048a1a5e6c17843dab9e82024-04-08T06:28:23ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102023-01-01167414610.4103/mjdrdypu.mjdrdypu_751_21Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional studySoumya UmeshThenmozhi NagarajanLakshmi Trikkur AnantharamanMary JosephBackground: Crisis resource management (CRM) skills are nontechnical skills that are often neglected during the training of residents in the management of clinical emergencies. This study was conducted to assess the utility of high-fidelity simulation to enhance the learning of CRM among internal medicine postgraduates (PGs). Materials and Methods: After obtaining IEC approval, a total of ten (five 1st year and five 3rd year) internal medicine PG students were included by convenience sampling. Each student participated in four simulated emergencies in the simulation laboratory of a tertiary care hospital, one before and three after CRM training. They participated in groups of 3–5 at intervals of 15–30 days. All the scenarios were video graphed and viewed by the investigators and each student was assessed in each session for CRM using Ottawa global rating score (GRS). The outcome variable was an overall score (OS-ordinal from 1to 7). After the last session, a questionnaire was administered to assess the perceptions of the participants about the course. After 1 year, the participants self-assessed their CRM in a real emergency using GRS and also identified barriers for the application of CRM in real life. The statistical tests used were paired t-test, Student's t-test, and repeated measures ANOVA. Results: The mean OS at baseline was 3.9 ± 1.5 and after training, it improved to 4.6 ± 1.26 (P = 0.024). In the three posttraining sessions, the OS did not decline and this indicated good retention of CRM (P = 0.056). PGs had a consistently favorable opinion of this course. The self-assessed OS in a real emergency was 5.7 ± 0.82. The barriers to CRM application in real emergencies were lack of practice and lack of team training. Conclusions: High fidelity simulation is an effective and acceptable method of teaching CRM to internal medicine PGs and should be incorporated into the PG curriculum.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2023;volume=16;issue=7;spage=41;epage=46;aulast=Umeshcrisis resource managementhigh fidelity simulationsimulation in pg training |
| spellingShingle | Soumya Umesh Thenmozhi Nagarajan Lakshmi Trikkur Anantharaman Mary Joseph Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional study Medical Journal of Dr. D.Y. Patil Vidyapeeth crisis resource management high fidelity simulation simulation in pg training |
| title | Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional study |
| title_full | Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional study |
| title_fullStr | Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional study |
| title_full_unstemmed | Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional study |
| title_short | Simulation-Based learning: Is it time for a paradigm shift in training postgraduates for crisis resource management? prospective interventional study |
| title_sort | simulation based learning is it time for a paradigm shift in training postgraduates for crisis resource management prospective interventional study |
| topic | crisis resource management high fidelity simulation simulation in pg training |
| url | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2023;volume=16;issue=7;spage=41;epage=46;aulast=Umesh |
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