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Creation of a High-Fidelity, Low-Cost, Intraosseous Line Placement Task Trainer via 3D Printing
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Simulation training in critical care: does practice make perfect?

Rachael Springer1, John Mah, Ian Shusdock

  • 1Department of Surgery, University of Connecticut, Hartford, CT, USA.

Surgery
|July 30, 2013
PubMed
Summary
This summary is machine-generated.

Multiple simulation exposure (MSE) improved residents' ability to recognize and manage shock in simulated surgical patients more than single simulation exposure (SSE). This finding highlights the value of repeated simulation for critical care education.

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Published on: January 15, 2017

Area of Science:

  • Medical Education
  • Surgical Simulation
  • Critical Care Medicine

Background:

  • Limited data exist on simulation effectiveness in critical care resident education.
  • Assessing resident recognition and management of shock is crucial for critically ill surgical patients.

Purpose of the Study:

  • To compare the effectiveness of multiple-simulation exposure (MSE) versus single-simulation exposure (SSE) in improving residents' skills.
  • To evaluate improvements in recognizing and managing shock in simulated critically ill surgical patients.

Main Methods:

  • Surgery, anesthesiology, and emergency medicine residents participated in a study at a level 1 trauma center.
  • Residents completed pre- and post-simulation multiple-choice questions (MCQs) on shock recognition and management.
  • MSE involved 1.5 hours of simulation per resident over 3 days, while SSE involved 1.5 hours as a group in 1 day.

Main Results:

  • Overall posttest MCQ scores were significantly higher than pretest scores (81% vs 75%, P = .01).
  • Multiple-simulation exposure (MSE) residents showed significantly greater improvement from pretest to posttest compared to single-simulation exposure (SSE) residents.
  • No significant differences in performance were observed based on the time of year or duration of observation for MSE residents.

Conclusions:

  • Repeated simulation exposure (MSE) is more effective than single simulation exposure (SSE) for enhancing MCQ performance in recognizing and managing shock.
  • The duration of simulation training did not significantly impact MCQ performance outcomes.