Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents
Introduction Emergency medicine (EM) trainees must learn to manage multiple patients simultaneously using task-switching. While prior work has demonstrated that multipatient scenarios can be an effective teaching tool for task-switching, few studies have shown how simulation can be used to assess re...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2023-11-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11361 |
| _version_ | 1797633318058983424 |
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| author | Caitlin Schrepel Anne K. Chipman Ross Kessler Crystal Phares Elizabeth Rosenman |
| author_facet | Caitlin Schrepel Anne K. Chipman Ross Kessler Crystal Phares Elizabeth Rosenman |
| author_sort | Caitlin Schrepel |
| collection | DOAJ |
| description | Introduction Emergency medicine (EM) trainees must learn to manage multiple patients simultaneously using task-switching. While prior work has demonstrated that multipatient scenarios can be an effective teaching tool for task-switching, few studies have shown how simulation can be used to assess residents' ability to manage multiple patients effectively. The goal of this curriculum was to provide a formative assessment of core EM skills by employing a series of simulations designed to require frequent task-switching. Methods This exercise consisted of three simulation scenarios running in sequence. The first scenario involved medical resuscitation and advanced cardiac life support, the second required learners to manage two patients involved in a trauma using advanced trauma life support, and the final scenario tested learners' ability to communicate bad news. Faculty observers used scenario-specific checklists to identify gaps in content knowledge, communication skills, and task-switching abilities during reflective debriefs. These checklists were analyzed to identify trends. All participants were sent a postsession evaluation. Items omitted by >50% of participants were flagged for review. Results Flagged items included asking for finger-stick glucose, verbalizing a backup intubation plan, specifying type of blood products, and asking for team input. Nine of 12 participants completed the postsession evaluation, noting that they agreed or strongly agreed the simulation was relevant and promoted reflection on task-switching skills. Discussion This simulation provides educators with a tool to facilitate reflective feedback with senior EM learners regarding their core resuscitation, leadership, and task-switching skills and could be further adapted to promote deliberate practice. |
| first_indexed | 2024-03-11T11:52:25Z |
| format | Article |
| id | doaj.art-f002959bee8c4013bc6a11a46cb0f581 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-03-11T11:52:25Z |
| publishDate | 2023-11-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-f002959bee8c4013bc6a11a46cb0f5812023-11-09T04:00:05ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-11-011910.15766/mep_2374-8265.11361Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine ResidentsCaitlin Schrepel0Anne K. Chipman1Ross Kessler2Crystal Phares3Elizabeth Rosenman4Assistant Professor and Assistant Program Director, Department of Emergency Medicine, University of Washington School of MedicineAssistant Professor and Assistant Director of Quality Improvement, Department of Emergency Medicine, University of Washington School of MedicineAssistant Professor and Ultrasound Fellowship Program Director, Department of Emergency Medicine, University of Washington School of MedicineChief Resident, Department of Emergency Medicine, University of Washington School of MedicineAssociate Professor and Director of Simulation, Department of Emergency Medicine, University of Washington School of MedicineIntroduction Emergency medicine (EM) trainees must learn to manage multiple patients simultaneously using task-switching. While prior work has demonstrated that multipatient scenarios can be an effective teaching tool for task-switching, few studies have shown how simulation can be used to assess residents' ability to manage multiple patients effectively. The goal of this curriculum was to provide a formative assessment of core EM skills by employing a series of simulations designed to require frequent task-switching. Methods This exercise consisted of three simulation scenarios running in sequence. The first scenario involved medical resuscitation and advanced cardiac life support, the second required learners to manage two patients involved in a trauma using advanced trauma life support, and the final scenario tested learners' ability to communicate bad news. Faculty observers used scenario-specific checklists to identify gaps in content knowledge, communication skills, and task-switching abilities during reflective debriefs. These checklists were analyzed to identify trends. All participants were sent a postsession evaluation. Items omitted by >50% of participants were flagged for review. Results Flagged items included asking for finger-stick glucose, verbalizing a backup intubation plan, specifying type of blood products, and asking for team input. Nine of 12 participants completed the postsession evaluation, noting that they agreed or strongly agreed the simulation was relevant and promoted reflection on task-switching skills. Discussion This simulation provides educators with a tool to facilitate reflective feedback with senior EM learners regarding their core resuscitation, leadership, and task-switching skills and could be further adapted to promote deliberate practice.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11361Advanced Cardiac Life SupportAdvanced Trauma Life SupportDelivering Bad NewsTask-SwitchingEmergency MedicineSimulation |
| spellingShingle | Caitlin Schrepel Anne K. Chipman Ross Kessler Crystal Phares Elizabeth Rosenman Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents MedEdPORTAL Advanced Cardiac Life Support Advanced Trauma Life Support Delivering Bad News Task-Switching Emergency Medicine Simulation |
| title | Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents |
| title_full | Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents |
| title_fullStr | Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents |
| title_full_unstemmed | Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents |
| title_short | Capstone Simulation: A Multipatient Simulation for Senior Emergency Medicine Residents |
| title_sort | capstone simulation a multipatient simulation for senior emergency medicine residents |
| topic | Advanced Cardiac Life Support Advanced Trauma Life Support Delivering Bad News Task-Switching Emergency Medicine Simulation |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11361 |
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