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Synchronous Screen-Based Simulation in Anesthesia Distance Education.

Barry Swerdlow1, Julie Soelberg1,2, Lisa Osborne-Smith1,2

  • 1Nurse Anesthesia Program, Oregon Health & Science University, Portland, OR, USA.

Advances in Medical Education and Practice
|September 2, 2021
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Summary

Synchronous online screen-based simulation (SBS) effectively supplements anesthesia education and mannequin-based simulation (MBS). This valuable tool enhances cognitive skills for crisis management, correlating positively with student performance.

Keywords:
anesthesiacrisis managementdistance educationscreen-basedsimulation

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Area of Science:

  • Medical Education
  • Anesthesiology
  • Simulation Technology

Background:

  • Traditional anesthesia training relies heavily on in-person simulation.
  • The integration of online and remote learning modalities presents new opportunities and challenges.
  • Screen-based simulation (SBS) offers a potential avenue for expanding simulation-based education.

Purpose of the Study:

  • To assess the feasibility, acceptability, and utility of synchronous online screen-based simulation (SBS) in anesthesia education.
  • To determine if SBS can serve as a valuable supplement to existing training methods.
  • To explore student perceptions of online simulation in a Doctor of Nursing Practice (DNP) program.

Main Methods:

  • A cohort of 12 nurse anesthesia students participated in online SBS sessions.
  • Students collaborated in pairs with an instructor using cloud-based software and a graphical avatar.
  • Learning involved instructor-led demonstrations and student-directed actions, followed by automated scoring and questionnaires.

Main Results:

  • Synchronous online SBS was feasible and accepted by students as a valuable adjunct to mannequin-based simulation (MBS).
  • Students perceived SBS as useful for isolating and reinforcing cognitive skills, particularly in crisis management.
  • A lack of haptic feedback was noted as a disadvantage compared to MBS, with criticisms mainly related to SBS technology limitations.

Conclusions:

  • Synchronous online SBS can effectively supplement MBS in anesthesia training programs.
  • The primary advantage of SBS lies in its ability to enhance cognitive skills for intraoperative crisis management.
  • Higher student ratings of the SBS experience correlated with higher automated SBS scores, indicating a link between perceived value and performance.