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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
High-Fidelity Simulation-Based Education: Description of an Original Crisis Resource Management and Sedation Learning
Issam Tanoubi1, Roger Perron1, Marie-Ève Bélanger1
1Medical Simulation Centre, Centre D'apprentissage des Attitudes et Habiletés Cliniques (CAAHC), Université de Montréal, Pavillon Roger-Gaudry, 2900, Boulevard Édouard-Montpetit, 8e étage, Local N-805, Montréal, QC H3T 1J4, Canada.
Abstract:
Dental surgery includes invasive procedures performed under sedation or monitored anesthesia care (MAC). It is associated with respiratory risks, resulting in death or neurological sequelae without prompt and appropriate management. Management of airway complications also implies mastering crisis resource management (CRM) principles, essentially non-technical skills to improve patient safety. In response to the need to enhance patient safety and to securely perform surgical procedures outside the operating room due to reduced surgical activity during the worldwide spread of the COVID-19 pandemic, we realized, in our simulation center, a course based on high fidelity simulation to teach procedural sedation and management of related complications. The simulation center accredited this educational program as a continuing professional development formation. The course includes technical skills practice, theoretical presentation, and mastering non-technical skills related to CRM principles. This brief report describes a relatively innovative teaching technique in dentistry, highlights its interest, and reports the subjective opinion of learners as to the pedagogical and professional impact of this training. A learner's satisfaction survey supports the utility of our sedation and CRM programs. A high degree of satisfaction and perceived value reflect robust learners' engagement. All medical specialties should encourage high-fidelity simulation continuing professional development courses that incorporate technical skills and crisis management principles.

