Douglas Martin1, Brent Bekiaris2, Gregory Hansen3. 1. Department of Emergency Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, Canada. Douglas.Martin@umanitoba.ca. 2. STARS Winnipeg Base, Winnipeg, Manitoba, Canada. BBekiaris@stars.ca. 3. Division of Pediatric Intensive Care, Saskatoon, Saskatchewan, Canada. gregory.hansen@usask.ca.
Abstract
INTRODUCTION: Mobile emergency simulation offers innovative continuing medical educational support to regions that may lack access to such opportunities. Furthermore, satisfaction is a critical element for active learning. Together, the authors evaluated Canadian rural healthcare providers' satisfaction from high fidelity emergency simulation training using a modified motorhome as a mobile education unit (MEU). METHODS: Over a 5-month period, data was collected during 14 educational sessions in nine different southern Manitoban communities. Groups of up to five rural healthcare providers managed emergency simulation cases including polytrauma, severe sepsis, and inferior myocardial infarction with right ventricular involvement, followed by a debrief. Participants anonymously completed a feedback form that contained 11 questions on a five-point Likert scale and six short-answer questions. RESULTS: Data from 131 respondents were analyzed, for a response rate of 75.6%. Respondents included nurses (27.5%), medical residents (26.7%), medical first responders (16.0%), and physicians (12.2%). The median response was 5 for overall quality of learning, development of clinical reasoning skills and decision-making ability, recognition of patient deterioration, and self-reflection. The post-simulation debrief median response was also 5 for summarizing important issues, constructive criticism, and feedback to learn. Respondents also reported that the MEU provided a believable working environment (87.0%, <i>n</i>=114), they had limited or no previous access to high fidelity mannequins (82.7%, <i>n</i>=107), and they had no specific training in crisis resource management or were unfamiliar with the term (92%, <i>n</i>=118). CONCLUSIONS: A high level of satisfaction was reported in rural health providers with mobile emergency simulation. Access to and experience with high fidelity mannequins was limited, suggesting areas for potential educational growth.
INTRODUCTION: Mobile emergency simulation offers innovative continuing medical educational support to regions that may lack access to such opportunities. Furthermore, satisfaction is a critical element for active learning. Together, the authors evaluated Canadian rural healthcare providers' satisfaction from high fidelity emergency simulation training using a modified motorhome as a mobile education unit (MEU). METHODS: Over a 5-month period, data was collected during 14 educational sessions in nine different southern Manitoban communities. Groups of up to five rural healthcare providers managed emergency simulation cases including polytrauma, severe sepsis, and inferior myocardial infarction with right ventricular involvement, followed by a debrief. Participants anonymously completed a feedback form that contained 11 questions on a five-point Likert scale and six short-answer questions. RESULTS: Data from 131 respondents were analyzed, for a response rate of 75.6%. Respondents included nurses (27.5%), medical residents (26.7%), medical first responders (16.0%), and physicians (12.2%). The median response was 5 for overall quality of learning, development of clinical reasoning skills and decision-making ability, recognition of patient deterioration, and self-reflection. The post-simulation debrief median response was also 5 for summarizing important issues, constructive criticism, and feedback to learn. Respondents also reported that the MEU provided a believable working environment (87.0%, <i>n</i>=114), they had limited or no previous access to high fidelity mannequins (82.7%, <i>n</i>=107), and they had no specific training in crisis resource management or were unfamiliar with the term (92%, <i>n</i>=118). CONCLUSIONS: A high level of satisfaction was reported in rural health providers with mobile emergency simulation. Access to and experience with high fidelity mannequins was limited, suggesting areas for potential educational growth.
Entities:
Keywords:
Canada; education; emergency care; patient stimulation; rural health centers
Authors: Abdullatif Aydın; Cora M Griffin; Oliver Brunckhorst; Ahmed Al-Jabir; Nicholas Raison; Haleema Aya; Craig McIlhenny; James Brewin; Majid Shabbir; Joan Palou Redorta; Muhammad Shamim Khan; Prokar Dasgupta; Kamran Ahmed Journal: World J Urol Date: 2020-08-18 Impact factor: 4.226
Authors: Cora Griffin; Abdullatif Aydın; Oliver Brunckhorst; Nicholas Raison; Muhammad Shamim Khan; Prokar Dasgupta; Kamran Ahmed Journal: World J Urol Date: 2019-09-17 Impact factor: 4.226