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Updated: Jan 22, 2026
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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
10.1K
An Emergency Medicine Milestone-Based Simulation Curriculum: Acute Ischemic Stroke.
Danielle Turner-Lawrence1,2, Bophal Sarha Hang3,4, Payal Shah3,5
1Associate Professor, Department of Emergency Medicine, Oakland University William Beaumont School of Medicine.
Summary
Emergency medicine residents practiced independently managing acute ischemic stroke complications through simulation. This enhanced their confidence and identified specific areas for skill development based on Accreditation Council for Graduate Medical Education milestones.
Area of Science:
- Medical Education
- Neurology
- Emergency Medicine
Background:
- Multidisciplinary team involvement has reduced emergency medicine residents' independent decision-making in acute ischemic stroke management.
- A simulation was developed to provide residents with hands-on experience in managing early-stage ischemic stroke and its complications.
Observation:
- Residents managed a simulated acute ischemic stroke case, including severity assessment, resource coordination, thrombolysis discussion, and complication management.
- The simulation required residents to consider differential diagnoses, alternative interventions, and strategies for reducing intracranial pressure, alongside neurosurgical consultation.
Findings:
- Nearly all of the 69 participating PGY 3 residents felt the simulation was realistic and increased their confidence in stroke management.
- Milestone-based feedback indicated consistent achievement of lower-level (1 and 2) Accreditation Council for Graduate Medical Education milestones, with variable performance in higher-level (3 and 4) milestones.
Implications:
- The simulation effectively utilized Accreditation Council for Graduate Medical Education milestones to identify resident knowledge gaps and specific areas for improvement in stroke care.
- This approach offers a valuable method for enhancing resident competency and confidence in managing complex neurological emergencies like acute ischemic stroke.
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