First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing
Introduction Medical students may graduate with limited experience in managing acutely decompensating patients independently. As interns they often assume that mantle of responsibility. This first call simulation-based training provided fourth-year medical students with a guided experience in creati...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2020-09-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10982 |
| _version_ | 1819002790570098688 |
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| author | Andrew Musits Gianna Petrone David Lindquist Paul George |
| author_facet | Andrew Musits Gianna Petrone David Lindquist Paul George |
| author_sort | Andrew Musits |
| collection | DOAJ |
| description | Introduction Medical students may graduate with limited experience in managing acutely decompensating patients independently. As interns they often assume that mantle of responsibility. This first call simulation-based training provided fourth-year medical students with a guided experience in creating differential diagnoses and initiating diagnostic plans while resuscitating patients. Methods This simulation session was designed as a 3-hour session as part of a larger internship preparatory course for fourth-year medical students. The session contained three high-fidelity simulation scenarios involving a decompensating patient with a focus on developing a broad differential diagnosis and initiating treatment. The medical student leader for each patient encounter rotated with the remaining medical students actively involved in the peri-scenario debriefing process. The simulation effectiveness tool (SET-M), a published instrument to measure a learner's perception of how effective the simulation met their learning needs, was completed at the end of the session. Results Twenty students participated in the session and completed the SET-M. Ninety-five percent of students strongly agreed they were better prepared to respond to changes in a patient's condition and felt empowered to make clinical decisions. Of students, 100% strongly agreed that the debriefing was valuable in helping to improve their clinical judgment and contributed to their learning. Discussion Simulation-based training with facilitated, peri-scenario debriefing may be an effective method to develop confidence and clinical reasoning skills. This may help fourth-year medical students prepare for the impending responsibility to evaluate and initiate care for acutely decompensating patients. |
| first_indexed | 2024-12-20T23:10:42Z |
| format | Article |
| id | doaj.art-f3d12cb759ba405d926a86c25586994b |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-20T23:10:42Z |
| publishDate | 2020-09-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-f3d12cb759ba405d926a86c25586994b2022-12-21T19:23:46ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652020-09-011610.15766/mep_2374-8265.10982First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario DebriefingAndrew Musits0Gianna Petrone1David Lindquist2Paul George3Assistant Professor, Department of Emergency Medicine, Alpert Medical School of Brown UniversityAssistant Professor, Department of Emergency Medicine, Alpert Medical School of Brown UniversityAssociate Professor, Department of Emergency Medicine, Alpert Medical School of Brown UniversityAssociate Professor, Department of Family Medicine, Alpert Medical School of Brown University; Associate Dean of Medical Education, Alpert Medical School of Brown UniversityIntroduction Medical students may graduate with limited experience in managing acutely decompensating patients independently. As interns they often assume that mantle of responsibility. This first call simulation-based training provided fourth-year medical students with a guided experience in creating differential diagnoses and initiating diagnostic plans while resuscitating patients. Methods This simulation session was designed as a 3-hour session as part of a larger internship preparatory course for fourth-year medical students. The session contained three high-fidelity simulation scenarios involving a decompensating patient with a focus on developing a broad differential diagnosis and initiating treatment. The medical student leader for each patient encounter rotated with the remaining medical students actively involved in the peri-scenario debriefing process. The simulation effectiveness tool (SET-M), a published instrument to measure a learner's perception of how effective the simulation met their learning needs, was completed at the end of the session. Results Twenty students participated in the session and completed the SET-M. Ninety-five percent of students strongly agreed they were better prepared to respond to changes in a patient's condition and felt empowered to make clinical decisions. Of students, 100% strongly agreed that the debriefing was valuable in helping to improve their clinical judgment and contributed to their learning. Discussion Simulation-based training with facilitated, peri-scenario debriefing may be an effective method to develop confidence and clinical reasoning skills. This may help fourth-year medical students prepare for the impending responsibility to evaluate and initiate care for acutely decompensating patients.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10982SimulationDiagnostic ReasoningPeri-Scenario DebriefingLarge-Group SimulationInternship PreparationAcute Care |
| spellingShingle | Andrew Musits Gianna Petrone David Lindquist Paul George First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing MedEdPORTAL Simulation Diagnostic Reasoning Peri-Scenario Debriefing Large-Group Simulation Internship Preparation Acute Care |
| title | First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing |
| title_full | First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing |
| title_fullStr | First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing |
| title_full_unstemmed | First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing |
| title_short | First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing |
| title_sort | first call simulation preparing for acute patient decompensation with facilitated peri scenario debriefing |
| topic | Simulation Diagnostic Reasoning Peri-Scenario Debriefing Large-Group Simulation Internship Preparation Acute Care |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10982 |
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