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MaxSim: a novel simulation-based education course for OMFS emergencies.

Adam Matthew Holden1

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Summary

Simulation-based education (SBE) significantly boosts confidence in oral and maxillofacial surgery (OMFS) senior house officers managing emergencies. This training is vital for improving preparedness in critical clinical scenarios.

Keywords:
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Area of Science:

  • Medical Education
  • Surgical Training
  • Emergency Medicine

Background:

  • Oral and maxillofacial surgery (OMFS) senior house officers (SHOs) often face emergency scenarios without prior formal medical training.
  • Initial exposure to managing critical incidents can be daunting for these trainees.
  • Simulation-based education (SBE) is a recognized method for enhancing medical trainees' experience and confidence.

Purpose of the Study:

  • To evaluate the effectiveness of a newly developed OMFS SBE course.
  • To assess the impact of SBE on SHOs' confidence in managing emergency scenarios.
  • To provide a training solution for OMFS trainees facing critical situations.

Main Methods:

  • An OMFS-specific SBE course was designed focusing on high-acuity scenarios like sepsis, retrobulbar hemorrhage, and carotid artery blowout.
  • A 10-point numerical rating scale questionnaire was administered pre- and post-course to measure changes in confidence.
  • Ten OMFS SHOs participated, with data collected during the COVID-19 pandemic.

Main Results:

  • All 10 participants reported an increase in confidence across all simulated emergency stations.
  • The average increase in confidence was 45% (range 38%-56%, p<0.05) on the 10-point scale.
  • All participants provided positive feedback on the SBE course.

Conclusions:

  • SBE is an effective and invaluable training method for preparing OMFS SHOs for clinical emergencies.
  • The developed SBE course demonstrated a significant positive impact on trainee confidence.
  • Expansion of this SBE program nationally is recommended post-COVID-19.