Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study
Abstract Background In a setting in which learning of basic procedural skills commences upon graduation from medical school, and as a first step towards integration of simulation-based learning into the anesthesiology training program, a preparatory course for new anesthesia trainees was designed. T...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | Advances in Simulation |
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| Online Access: | http://link.springer.com/article/10.1186/s41077-020-00135-z |
| _version_ | 1828837203012222976 |
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| author | Delfina Sanchez Novas Gonzalo Domenech Natalia Giselda Belitzky Maria Mercedes Errecart Sergio Adrian Terrasa Gustavo Garcia Fornari |
| author_facet | Delfina Sanchez Novas Gonzalo Domenech Natalia Giselda Belitzky Maria Mercedes Errecart Sergio Adrian Terrasa Gustavo Garcia Fornari |
| author_sort | Delfina Sanchez Novas |
| collection | DOAJ |
| description | Abstract Background In a setting in which learning of basic procedural skills commences upon graduation from medical school, and as a first step towards integration of simulation-based learning into the anesthesiology training program, a preparatory course for new anesthesia trainees was designed. Three educational strategies were sequentially combined (e-learning, simulation-based hands on workshops, and on-site observational learning), and performance was assessed in a stepwise approach on five procedural skills considered essential for early anesthetic management (peripheral intravenous cannulation, sterile hand wash and gowning, anesthesia workstation preparation, face-mask ventilation, and orotracheal intubation). The primary aim of this study was to determine if this preparatory training course at the onset of anesthesiology residency is useful to achieve a competent trainee performance in the clinical setting. Methods This prospective study was carried out at a university-affiliated hospital in Buenos Aires, Argentina, from 2017 to 2019. The 24 participants, comprising three cohorts of 8 residents each, underwent a preparatory course at the onset of residency. Diverse, consecutive educational strategies, and assessments (three stages: 1, 2, 3) took place using task-specific tools (checklists) and global rating scales for five procedural skills. The primary outcome was achievement of competent scores (85%) in final assessments, and the secondary outcomes were performance improvement between assessment stages and compliance with predefined safety items. Results Twenty trainees (83.3%) were found to be globally competent (both assessment tools for all procedures) during final assessments (stage 3). Statistically significant improvement was found for all procedural skills between baseline and after workshop assessment scores (stages 1–2), except for orotracheal intubation in checklists, and for all procedural skills between stages 2 and 3 except for sterile hand wash and gowning in checklists. Conclusions In our single-center experience, the gap for competent trainee performance in essential early anesthetic management skills can be effectively covered by conducting an intensive, preparatory course using the combination of three educational strategies (e-learning, simulation-based hands on workshops, and observational learning) at the onset of residency. This course has allowed learning to be generated in a secure environment for both patients and trainees. |
| first_indexed | 2024-12-12T18:37:15Z |
| format | Article |
| id | doaj.art-e926e00e371046cdb9f1eb676c97e0b2 |
| institution | Directory Open Access Journal |
| issn | 2059-0628 |
| language | English |
| last_indexed | 2024-12-12T18:37:15Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Advances in Simulation |
| spelling | doaj.art-e926e00e371046cdb9f1eb676c97e0b22022-12-22T00:15:46ZengBMCAdvances in Simulation2059-06282020-08-01511910.1186/s41077-020-00135-zSimulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational studyDelfina Sanchez Novas0Gonzalo Domenech1Natalia Giselda Belitzky2Maria Mercedes Errecart3Sergio Adrian Terrasa4Gustavo Garcia Fornari5Anesthesiology Department, Hospital Italiano de Buenos AiresAnesthesiology Department, Hospital Italiano de Buenos AiresAnesthesiology Department, Hospital Italiano de Buenos AiresAnesthesiology Department, Hospital Italiano de Buenos AiresResearch Department, Hospital Italiano de Buenos AiresAnesthesiology Department, Hospital Italiano de Buenos AiresAbstract Background In a setting in which learning of basic procedural skills commences upon graduation from medical school, and as a first step towards integration of simulation-based learning into the anesthesiology training program, a preparatory course for new anesthesia trainees was designed. Three educational strategies were sequentially combined (e-learning, simulation-based hands on workshops, and on-site observational learning), and performance was assessed in a stepwise approach on five procedural skills considered essential for early anesthetic management (peripheral intravenous cannulation, sterile hand wash and gowning, anesthesia workstation preparation, face-mask ventilation, and orotracheal intubation). The primary aim of this study was to determine if this preparatory training course at the onset of anesthesiology residency is useful to achieve a competent trainee performance in the clinical setting. Methods This prospective study was carried out at a university-affiliated hospital in Buenos Aires, Argentina, from 2017 to 2019. The 24 participants, comprising three cohorts of 8 residents each, underwent a preparatory course at the onset of residency. Diverse, consecutive educational strategies, and assessments (three stages: 1, 2, 3) took place using task-specific tools (checklists) and global rating scales for five procedural skills. The primary outcome was achievement of competent scores (85%) in final assessments, and the secondary outcomes were performance improvement between assessment stages and compliance with predefined safety items. Results Twenty trainees (83.3%) were found to be globally competent (both assessment tools for all procedures) during final assessments (stage 3). Statistically significant improvement was found for all procedural skills between baseline and after workshop assessment scores (stages 1–2), except for orotracheal intubation in checklists, and for all procedural skills between stages 2 and 3 except for sterile hand wash and gowning in checklists. Conclusions In our single-center experience, the gap for competent trainee performance in essential early anesthetic management skills can be effectively covered by conducting an intensive, preparatory course using the combination of three educational strategies (e-learning, simulation-based hands on workshops, and observational learning) at the onset of residency. This course has allowed learning to be generated in a secure environment for both patients and trainees.http://link.springer.com/article/10.1186/s41077-020-00135-zAnesthesiology traineeCompetence assessmentProcedural skillsPatient safetySimulation-based trainingAssessment tools |
| spellingShingle | Delfina Sanchez Novas Gonzalo Domenech Natalia Giselda Belitzky Maria Mercedes Errecart Sergio Adrian Terrasa Gustavo Garcia Fornari Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study Advances in Simulation Anesthesiology trainee Competence assessment Procedural skills Patient safety Simulation-based training Assessment tools |
| title | Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study |
| title_full | Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study |
| title_fullStr | Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study |
| title_full_unstemmed | Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study |
| title_short | Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study |
| title_sort | simulation based training for early procedural skills acquisition in new anesthesia trainees a prospective observational study |
| topic | Anesthesiology trainee Competence assessment Procedural skills Patient safety Simulation-based training Assessment tools |
| url | http://link.springer.com/article/10.1186/s41077-020-00135-z |
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