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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Strategy to Develop a Common Simulation Training Program: Illustration with Anesthesia and Intensive Care Residency

Clément Buléon^1,2,3, Rebecca D Minehart^3,4,5, Jenny W Rudolph^3,4,5

¹Department of Anesthesiology, Intensive Care and Perioperative Medicine, Caen Normandy University Hospital, Caen, France.

Teaching and Learning in Medicine

|October 17, 2022

Summary

Competency-based medical education relies on simulation for assessment. A survey of French anesthesia and intensive care programs revealed widespread simulation use, highlighting a decentralized approach and the need for national guidelines to improve training.

Keywords:

Internship and residency anesthesia competency-based education curriculum education simulation

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Area of Science:

Medical Education
Simulation-Based Training
Anesthesia and Intensive Care

Background:

Competency-based assessment in medical training requires reliable methods.
Simulation is a key tool for developing and evaluating applied medical competencies.
Establishing a baseline of current simulation practices is essential for program development.

Purpose of the Study:

To document the current baseline of simulation activities in Anesthesia and Intensive Care (AIC) in France.
To assess the feasibility of developing national guidelines for AIC simulation programs.
To identify existing practices and perceptions regarding simulation in AIC residency.

Main Methods:

An anonymous, IRB-approved online survey was distributed to Anesthesia and Intensive Care (AIC) residency and simulation program directors in France.
The survey comprised 65 questions covering center characteristics, curriculum, courses, instructors, and simulation perceptions.
Data was collected from January to February 2021, achieving a 100% participation rate from all 31 French AIC programs.

Main Results:

All surveyed centers (100%) reported AIC simulation activities, with 94% having structured resident training.
Simulation was primarily used for training (100%), with significant use in research (61%) and procedural testing (42%).
Interprofessional full-scale simulation was common (90%), and 61% of centers utilized simulated patients.

Conclusions:

A clear baseline of nationwide simulation activities in AIC was established, demonstrating a predominantly decentralized model.
The findings suggest the feasibility of developing national guidelines for AIC simulation programs.
This study provides insights for improving AIC and other medical disciplines' simulation programs to meet expectations and address gaps.