A Simulation-Based Prospective Cohort Study on Teaching Best Practices in Firearms Safety
Background Gun violence in the United States is a significant public health concern. The high rate of weapons carriage by Americans places medical providers at risk for exposure to firearms in the workplace and provides an opportunity for patient safety counseling. Few curricular interventions have been published on teaching firearms safety principles to medical providers. Given the risk of encountering firearms in the workplace and the opportunity to engage patients in firearms safety counseling, providers may benefit from dedicated training on safely handling firearms. Methods This was a prospective cohort pil...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

A Mixed Methods Study of Senior Medical Student Help Calling in an Individual, Acute Care Simulation Experience
Introduction The ability to appropriately seek help is a key skill for medical students transitioning to residency. We designed a simulation activity for senior medical students and became interested in studying help calling behaviors and attitudes. Methods We collected quantitative data regarding help calling for 2 simulation cases and qualitative data using a survey. We undertook a structured thematic analysis based on grounded theory methodology. We identified and compared groups who did and did not call for help. Results One hundred thirty-four students participated and 122 (91%) completed an evaluati...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Feasibility of an Interprofessional, Simulation-Based Curriculum to Improve Teamwork Skills, Clinical Skills, and Knowledge of Undergraduate Medical and Nursing Students in Uganda: A Cohort Study
Conclusions An IP, simulation-based undergraduate curriculum is feasible to implement in a low-resource setting and may contribute to gains in knowledge and teamwork skills. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Rapid Cycle Deliberate Practice Simulation Curriculum Improves Pediatric Trauma Performance: A Prospective Cohort Study
This study evaluates the impact of rapid cycle deliberate practice (RCDP) on primary and secondary survey skill retention. We hypothesized that RCDP-trained surgery residents will have real-world clinical improvement in their survey completion in pediatric trauma resuscitations. Methods We developed an RCDP trauma resuscitation curriculum. Videos of trauma resuscitations before and after curriculum implementation were scored by 2 blinded reviewers using a modified Pediatric Trauma Assessment Scoring Tool. Actual trauma care by residents who had received the curriculum (study group) was compared with care provided by...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Using a Systems-Focused Simulation to Rapidly Prepare for Large Volume COVID-19 Vaccination
Summary Statement The goal of vaccinating large numbers of staff and nonstaff against COVID-19 with a novel vaccine necessitated rapid modifications to an existing workforce vaccination program. We performed a series of 3 iterative systems-focused simulations and debriefings in the span of 1 week to evaluate existing vaccination clinic space, trial a new physical space for the COVID-19 vaccine clinic, identify existing process gaps, and determine necessary changes for maximum efficiency and safety. By using iterative systems-focused simulations, we were able to perform a gap analysis on the existing program, develop an...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: COVID-19 Brief Reports Source Type: research

Development of a Smartphone-Based Skin Simulation Model for Medical Education
Conclusions In this investigation, we developed a smartphone-based skin lesion visualization app with a simulated skin elastomer for training/education in not only dermatology but also all general medical specialties that examine the skin. This technique has the potential to advance the educational experience by giving students the ability to see, touch, and feel pragmatic skin textures and lesions. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Technical Reports Source Type: research

Cultural Considerations in Debriefing
Summary Statement Culture influences how we communicate, teach, and learn. Debriefings are laden with cultural influences. Without attention to cultural considerations, accepted debriefing techniques might not reach the desired outcome and, in certain cultures, may even harm teacher-learner relationships. We explore cultural considerations in healthcare simulation debriefing and offer guidance for debriefers to gain awareness of potential cultural biases. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Concepts and Commentary Source Type: research

Implementation of Distance-Based Simulation Training Programs for Healthcare Professionals: Breaking Barriers During COVID-19 Pandemic
Summary Statement The sudden rise of critically ill patients secondary to the SARS-CoV-2 pandemic has triggered a surge in healthcare response. This project's goal was to provide essential cognitive and technical skills to healthcare professionals returning to the workforce or reassigned to critical care clinical duties during the COVID-19 pandemic. The plan included the implementation of 4 distance-based simulation training programs, with asynchronous personalized feedback. The courses allowed the acquisition of skills for the complete critical care patient management chain: use of personal protection equipment, use o...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Special Article Source Type: research

Making Concepts Material: A Randomized Trial Exploring Simulation as a Medium to Enhance Cognitive Integration and Transfer of Learning
Conclusions We extended previous findings, showing integrated instruction (video- or simulator-based) improved trainees' conceptual knowledge, which mediated their improved retention and transfer. As an innovation, we demonstrated how simulators can facilitate cognitive integration by making abstract conceptual-procedural relationships material. In suggesting how researchers might capitalize further on simulator-based integration, we offer an alternative framework for designing simulations that emphasizes cognitive processes rather than simulator fidelity. (Source: Simulation in Healthcare: The Journal of the Society f...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

A Simulation-Based Failure Mode Analysis of SARS-CoV-2 Infection Control and Prevention in Emergency Departments
Conclusions Simulation-based failure mode analysis helped us identify the risks related to the preparedness of the healthcare workers and emergency departments for the COVID-19 pandemic in Latvia. We believe that this approach can be implemented to assess and maintain readiness for the outbreaks of emerging infectious diseases in the future. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Psychometric Validation of Central Venous Catheter Insertion Mastery Learning Checklist Data and Decisions
Conclusions Mastery learning is an effective education intervention to achieve clinical skill acquisition among IM and EM residents. Item response theory analyses reveal desirable measurement properties for the MPSs previously set by expert faculty panels. Item response theory analysis is useful for evaluating standards for mastery learning interventions. The CVC mastery learning curriculum, reliable outcome data, and high achievement standards together contribute to reaching valid decisions about the competence of resident physicians to perform the clinical procedure. (Source: Simulation in Healthcare: The Journal of ...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Some Achievements and Some Growing Pains
No abstract available (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2021 Category: Medical Devices Tags: Editorial Source Type: research

Factors Influencing Team and Task Performance in Intensive Care Teams in a Simulated Scenario: Erratum
No abstract available (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2021 Category: Medical Devices Tags: Erratum Source Type: research

Design and Development of an Automated Feedback and Scoring System for Self-directed Learning of Flexible Nasal Endoscopy With an Airway Simulator
Conclusions The inclusion of sensors on a passive simulator is a cost-effective measure that may allow for better training experiences using AirSim Multi simulator from the TruCorp company. Our improved simulator turns endoscopic exploration into a self-assessed exercise suitable for all disciplines and level of learners. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2021 Category: Medical Devices Tags: Technical Reports Source Type: research

An Innovative Biological Model for Ultrasound-Guided Central Venous Access Simulation
Introduction Simulation training is an increasingly used method to train medical students in the use of ultrasound guidance for vascular access positioning. Although very efficient for basic training, commercial simulators for vascular access do not reproduce real-life conditions. We developed a biological training model, using porcine liver, and compared it with an existing commercial model. Methods Whole porcine livers were used by perfusing the portal vein system after inferior vena cava clamping. Thirty-three practitioners accustomed to ultrasound-guided procedure were enrolled to perform an ultrasound-guide...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2021 Category: Medical Devices Tags: Technical Reports Source Type: research