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Updated: Jun 18, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Simulation-based training in critical resuscitation procedures improves residents' competence.
Trevor S Langhan1, Ian J Rigby, Ian W Walker
1Division of Emergency Medicine, University of Calgary, Calgary, Alberta, Canada. trevorlanghan@shaw.ca
Simulation-based training significantly improves resident competence in resuscitation procedures. Senior residents show sustained knowledge and skill gains, while junior residents maintain initial improvements over time.
Area of Science:
- Medical Education
- Surgical Skills Training
- Patient Safety
Background:
- Traditional procedural skills training on patients faces ethical concerns.
- Simulation-based medical education offers a safe alternative for skill acquisition.
- Resident proficiency in critical resuscitation procedures is essential.
Purpose of the Study:
- To assess the impact of a simulation-based procedural skills training course.
- To evaluate resident competence in performing critical resuscitation procedures post-training.
Main Methods:
- 28 residents completed self-assessments of knowledge and skills before and after an 8-hour simulation course.
- Self-assessments were repeated 3 months later.
- Skills acquisition was validated using an Objective Structured Clinical Examination.
Main Results:
- Statistically significant improvements in self-rated knowledge and clinical skills were observed (p < 0.001).
- Postgraduate training year influenced self-assessment outcomes.
- Senior residents showed continued improvement at 3 months, while junior residents' scores regressed slightly from post-training levels.
Conclusions:
- Simulation-based resuscitation training enhances resident knowledge and procedural competence.
- Perceived competence gains are largely stable, with senior residents demonstrating further confidence.
- Simulation training is a beneficial modality for resident education in critical procedures.
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