A theme-based hybrid simulation model to train and evaluate emergency medicine residents

Area of Science:

• Medical Education
• Simulation-Based Learning
• Emergency Medicine Training

Background:

• Traditional didactic methods may not fully address Accreditation Council for Graduate Medical Education (ACGME) competencies.
• Emergency medicine (EM) residency programs require innovative educational strategies for comprehensive skill development.

Purpose of the Study:

• To design and implement an integrated, theme-based hybrid simulation for EM resident education and evaluation.
• To assess the model's effectiveness in measuring ACGME competencies.
• To evaluate the impact on written test performance and resident satisfaction.

Main Methods:

• A theme-based hybrid simulation model utilizing multiple modalities was developed.
• The model was implemented quarterly, replacing didactic sessions.
• ACGME competencies were assessed using modified checklists; written tests were administered pre-, during-, and post-simulation; resident feedback was collected.

Main Results:

• The hybrid simulation model was feasible and successfully executed.
• Most residents met or exceeded expectations based on competency assessments.
• No significant overall difference was observed in written test scores.
• Residents highly rated the simulation experience's usefulness.

Conclusions:

• A well-developed simulation center and a structured, theme-based hybrid model can effectively educate and evaluate EM residents.
• This model fosters high resident satisfaction.
• Hybrid simulation offers a viable approach to competency-based medical education.