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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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Implementation and Evaluation of an Emergency Department-Based Procedure Task Trainer Cart: A Mixed Methods Study.

Kathryn Oskar1, Nicole Danaher-Garcia2, Reem J Alansari3

  • 1Emergency Medicine, University of Vermont, Burlington, USA.

Cureus
|May 22, 2026
PubMed
Summary
This summary is machine-generated.

A simulation task trainer cart in the emergency department (ED) improved procedural skill training accessibility. Initial use was high, but decreased over time, highlighting needs for sustained engagement and peer-based learning.

Keywords:
emergency medicine residentemergency procedureprocedure trainingsimulation-based educationtask trainer

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Simulation Training

Background:

  • Teaching procedural skills in the emergency department (ED) presents unique challenges.
  • A modular cart with simulation-based task trainers was introduced to facilitate on-shift procedural training in a busy academic ED.

Purpose of the Study:

  • To assess the uptake and educational impact of an accessible simulation equipment cart in an ED setting.
  • To understand clinician perceptions and identify barriers and facilitators for sustained use of procedural task trainers.

Main Methods:

  • Uptake was measured by logged cart accesses.
  • Educational impact was evaluated using pre- and post-intervention surveys and semi-structured interviews with resident physicians.
  • Thematic analysis was performed on interview data.

Main Results:

  • Initial cart usage was 13 accesses/month, declining to 1-2 accesses/month post-pilot phase.
  • Survey data suggested a preference for practicing with peers over solo practice.
  • Interviews identified themes of 'practice makes perfect,' 'applications beyond the tool,' and 'limitations, barriers, and solutions.'

Conclusions:

  • Placing simulation task trainers in clinical settings enhances accessibility for procedural skill development.
  • Clinician feedback provides valuable insights for improving future iterations of simulation carts.
  • Understanding the learning curve is crucial for integrating simulation into procedural skill acquisition and maintenance for emergency medicine trainees.