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Design and Implementation of a Multidisciplinary High-Fidelity Simulation Course for the Management of Malignant
Yiming Michael Zhu1, Brian Chwyl2, Susan Fawcett2
1Department of Oncology, University of Alberta, Edmonton, Alberta, Canada. yzhu11@ualberta.ca.
Summary
High-fidelity simulation (HFS) training effectively improved knowledge for radiation oncology residents, radiation therapist students, and medical physics residents in managing malignant spinal cord compression emergencies. This multidisciplinary simulation course demonstrated significant gains in interdisciplinary education perceptions and self-rated knowledge.
Area of Science:
- Medical Education
- Radiation Oncology
- Simulation Training
Background:
- High-fidelity simulation (HFS) offers valuable hands-on practice for rare, high-stakes scenarios like malignant spinal cord compression (MSCC).
- Radiation therapist (RTT)-led multidisciplinary radiation oncology (RO) emergency simulation courses are novel educational interventions.
Purpose of the Study:
- To evaluate the educational outcomes of an RTT-led, multidisciplinary HFS course for MSCC.
- To assess interdisciplinary education perceptions and self-rated knowledge among participants.
Main Methods:
- A multidisciplinary team designed an HFS course for MSCC.
- Fifteen learners (RO residents, RTT students, MP resident) participated in an RTT-facilitated simulation.
- Pre- and post-simulation interdisciplinary education perception (IEP) scales and course evaluations were administered.
Main Results:
- Interdisciplinary education perception scores improved post-simulation (91.76 to 94.23).
- Significant improvements in self-rated knowledge were observed across 9 of 10 learning domains.
- Comfort levels regarding knowledge of MSCC management increased from 6/15 to 14/15 participants.
Conclusions:
- Collaboratively designed and RTT-led HFS courses are viable and effective for improving learning outcomes.
- This simulation approach enhances preparedness for radiation oncology emergencies among residents and students.

