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Development and Implementation of a Novel Curriculum for Emergent Management of Adults with Congenital Heart Disease

Kali Hopkins1, Candace Mannarino2,3, Mark Adler4,5

  • 1Divisions of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. kali.hopkins@mountsinai.com.

Pediatric Cardiology
|January 4, 2023
PubMed

Insights

A new simulation curriculum significantly improved how trainees manage emergencies in adults with congenital heart disease (ACHD). This training enhances physician skills for the growing ACHD population, improving patient care.

Area of Science:

  • Cardiology
  • Medical Education

Background:

  • The population of adults with congenital heart disease (ACHD) is growing, increasing emergency care demands.
  • There is a shortage of physicians specifically trained in ACHD, leading to less experienced providers managing acute situations.

Purpose of the Study:

  • To develop and evaluate a simulation-based curriculum to enhance the emergency management skills of trainees caring for adults with congenital heart disease.
  • To assess the effectiveness of the curriculum through performance metrics and trainee feedback.

Main Methods:

  • A simulation-based curriculum with three cases and assessment tools was developed for fellows.
  • Participants received a didactic presentation and underwent pre- and post-simulation assessments.
  • Performance was evaluated using checklist, global, and timeliness scores, with inter-rater reliability assessed.

Main Results:

  • Significant improvements were observed in checklist scores, global performance, and efficiency from the first to the second simulation.
  • Trainee comfort levels significantly increased post-intervention.
  • Inter-rater reliability for all assessments exceeded 0.6.

Conclusions:

  • The novel simulation-based curriculum effectively improved trainee performance in managing ACHD emergencies.
  • The developed checklist provides valid evidence for formative feedback in fellowship training.
  • This educational approach addresses the growing need for skilled ACHD care providers.

Keywords:
Adult congenital heart diseaseCardiology educationMedical educationSimulation

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