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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
Implementation of Routine In Situ Simulation in Residency Curriculum Targeting Competency in Technical and
Nadav Levy1, Shirin Saeed1, Peva F Gbagornah1
1Department of Anesthesia, Critical Care & Pain Medicine Department, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215.
Objective:
To describe the development and implementation of a comprehensive in situ simulation-based curriculum for anesthesia residents.
Design:
This is a prospective study.
Setting:
This study was conducted at a university hospital.
Participants:
This single-center prospective study included all 53 anesthesia residents enrolled in the anesthesia residency program.
Interventions:
Introduction of a routine, high-fidelity, in situ simulation program that incorporates short sessions to train residents in the necessary skill sets and decision-making processes required in the operating room.
Measurements And Main Results:
Our team conducted 182 individual 15-minute simulation sessions over 3 months during regular working hours. All 53 residents in our program actively participated in the simulations. Most residents engaged in at least 3 sessions, with an average participation rate of 3.4 per resident (range, 1-6 sessions). Residents completed an online anonymous survey, with a response rate of 71.7% (38 of 53 residents) over the 3-month period. The survey aimed to assess their overall impression and perceived contribution of this project to their training.
Conclusions:
Our proposed teaching method can bridge the gap in resident training and enhance their critical reasoning to manage diverse clinical situations they may not experience during their residency.
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