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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Filling the Gap: Simulation-based Crisis Resource Management Training for Emergency Medicine Residents
Jessica R Parsons1, Amanda Crichlow2, Srikala Ponnuru1
1Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania.
The Western Journal of Emergency Medicine
|February 1, 2018
Summary
This study introduces a simulation-based crisis resource management (CRM) course for emergency medicine (EM) residents. The course improved team CRM skills, highlighting the need for early integration into EM training.
Area of Science:
- Medical Education
- Healthcare Simulation
- Emergency Medicine
Background:
- High-quality patient care necessitates crisis resource management (CRM) skills in physicians.
- CRM skills are critical for healthcare team success in dynamic emergency medicine (EM) environments.
- Existing EM residency curricula lack specific guidance on teaching CRM skills.
Purpose of the Study:
- To describe a novel simulation-based CRM course for novice EM residents.
- To assess the course's effectiveness in improving team CRM skills.
Main Methods:
- The course involved didactic presentations, simulation scenarios, and structured debriefings.
- Observational learning within simulation was utilized to optimize resource use.
- Team CRM skills were evaluated using a validated rating scale in pretest-posttest assessments.
Main Results:
- The CRM course demonstrated improvements in leadership, problem-solving, communication, situational awareness, teamwork, and resource utilization.
- While not statistically significant in this pilot, large effect sizes suggest potential with larger sample sizes.
Conclusions:
- The simulation-based CRM course is a feasible addition to EM residency programs.
- Early integration of CRM training fosters continuous skill development for emergency physicians.
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