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Acute Coronary Syndrome IV: Interprofessional Care01:28

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
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Aneurysm III: Interprofessional Care01:26

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Unifying Resident Education: 12 Interdisciplinary Critical Care Simulation Scenarios.

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  • 1Associate Professor, Department of Emergency Medicine, Carolinas Medical Center; Medical Director, Carolinas Simulation Center, Atrium Health.

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Summary

This study developed a unified, simulation-based critical care curriculum for residents. The program improved clinical performance, confidence, and interdisciplinary collaboration among trainees.

Keywords:
Clinical/Procedural Skills TrainingCritical CareCurriculumInterdisciplinaryPhysicianResident EducationSimulationSimulation EducationStandardized Patient

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Area of Science:

  • Medical Education
  • Critical Care Medicine
  • Simulation-Based Training

Background:

  • Unified critical care training is essential for residents across adult disciplines.
  • Existing training may lack comprehensive exposure to critical care topics and skills.
  • Simulation-based learning offers a standardized approach to critical care education.

Purpose of the Study:

  • To develop and evaluate a unified, simulation-based curriculum for critical care training.
  • To enhance core topics and procedural skills for residents in adult disciplines.
  • To foster interdisciplinary collaboration and improve critical thinking in critical care.

Main Methods:

  • An annual simulation-based curriculum was implemented for residents from seven adult disciplines.
  • Learners participated in mixed-discipline cohorts, attending three 4-hour sessions with 12 clinical scenarios.
  • Assessments included clinical performance, self-reported confidence, procedural/communication skills, satisfaction, and interdisciplinary attitudes.

Main Results:

  • Quantitative and qualitative data over 9 years showed high learner satisfaction.
  • Significant improvements were observed in clinical performance and self-reported confidence.
  • Enhanced procedural skills, communication abilities, and interdisciplinary collegiality were reported.

Conclusions:

  • The simulation-based curriculum successfully integrated basic, clinical, and procedural content.
  • The program was well-received, addressing gaps in resident education and GME milestones.
  • This approach provides vital interdisciplinary education in critical care settings.