Related Experiment Video
Updated: May 27, 2025

Mechanical Ventilation Boot Camp Curriculum
Published on: March 12, 2018
Impact of a Competency-based Mechanical Ventilation Course Using Virtual Simulation.
Bruno Rocha de Macedo1, Carolina Saldanha Lima2, Ahmed Haydar2
1Divisao de Pneumologia, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Internal medicine residents improved mechanical ventilation (MV) knowledge and confidence using a virtual simulator course. While effective, complex MV skills require further training, highlighting simulators as valuable educational tools.
Area of Science:
- Medical Education
- Critical Care Medicine
- Simulation Technology
Background:
- Mechanical ventilation (MV) skills are critical for critical care clinicians.
- Existing training programs often lack structured curricula and assessments.
- Virtual simulators offer a promising, yet unevaluated, approach to MV training.
Purpose of the Study:
- To develop a competency-based MV course for internal medicine residents utilizing virtual simulation.
- To assess the impact of this virtual simulation-based training program.
Main Methods:
- An 8-month online, competency-based MV course was created, integrating virtual simulation modules.
- A validated simulation-based assessment (SBA) was adapted for a virtual MV simulator.
- Course impact was evaluated using Kirkpatrick's model (satisfaction, knowledge, skills).
Main Results:
- 81% of residents completed the course, rating it highly effective (Net Promoter Score 9.2).
- Significant increases in knowledge and confidence were observed post-course.
- Virtual SBA scores averaged 6.15-6.48, with lower performance on complex skills like asynchrony correction.
Conclusions:
- A virtual simulation-based MV course effectively enhanced resident knowledge and confidence.
- Virtual simulators are valuable tools for teaching and assessing MV skills.
- Further development is needed to improve resident performance in complex MV scenarios.
Related Concept Videos
Mechanical Ventilation II: Invasive Ventilation
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation...
Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
Mechanical Ventilation I: Indication and Settings
Factors Affecting Pulmonary Ventilation
Alveolar Surface Tension
The alveolar fluid lines the luminal surface of the alveoli and exerts a force called surface tension. This force is caused by the polar water molecules in the liquid being more strongly attracted to each...
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:

