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Simulation-based remediation (SBR) in emergency medicine training effectively addresses various learning gaps. Best practices emphasize transparency and integration into broader remediation plans for optimal resident development.

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Area of Science:

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

Background:

  • Resident remediation is critical in emergency medicine (EM) training.
  • Simulation is a key tool for identifying learning gaps and remediating residents.
  • Literature on best practices for simulation-based remediation (SBR) is limited.

Purpose of the Study:

  • To establish consensus statements on best practices for SBR in EM.
  • To guide the effective implementation of SBR in residency programs.

Main Methods:

  • Literature search for SBR practices.
  • Thematic analysis of open-ended questionnaires from EM programs.
  • Modified two-round Delphi panel with 41 EM simulation and remediation experts.

Main Results:

  • Strong agreement exists on SBR applications in EM training.
  • SBR is suitable for procedural, knowledge, clinical reasoning, communication, teamwork, and crisis resource management deficits.
  • SBR should be diagnostic and therapeutic, integrated into a larger remediation plan, and transparently assessed.

Conclusions:

  • Simulation-based remediation can effectively address specific competencies in EM.
  • Transparency and integration into a comprehensive remediation strategy are crucial for successful SBR.