Ebbe L Bessmann1,2, Helle T Østergaard2,3, Bjørn U Nielsen4, Lene Russell1,5,6, Charlotte Paltved7, Doris Østergaard1,2, Lars Konge1,2, Leizl Joy Nayahangan1. 1. Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark. 2. Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. 3. Department of Anaesthesia, Herlev Hospital, Herlev, Denmark. 4. TechSim - The Technical Simulation Centre of Southern Denmark, Odense University Hospital, Odense, Denmark. 5. Department of Anaesthesia, Zealand University Hospital, Roskilde, Denmark. 6. Department of Intensive Care 4131, Copenhagen University Hospital / Rigshospitalet, Copenhagen, Denmark. 7. MidtSim - Centre for Human Resources, Central Region of Denmark, Aarhus University, Aarhus, Denmark.
Abstract
BACKGROUND: Anaesthesiologists are expected to master an increasing number of technical procedures. Simulation-based procedural training can supplement and, in some areas, replace the classical apprenticeship approach during patient care. However, simulation-based training is very resource-intensive and must be prioritised and optimised. Developing a curriculum for simulation-based procedural training should follow a systematic approach, eg the Six-Step Approach developed by Kern. The aim of this study was to conduct a national general needs assessment to identify and prioritise technical procedures for simulation-based training in anaesthesiology. METHODS: A three-round Delphi process was completed with anaesthesiology key opinion leaders. In the first round, the participants suggested technical procedures relevant to simulation-based training. In the second round, a needs assessment formula was used to explore the procedures and produce a preliminary prioritised list. In the third round, participants evaluated the preliminary list by eliminating and re-prioritising the procedures. RESULTS: All teaching departments in Denmark were represented with high response rates in all three rounds: 79%, 77%, and 75%, respectively. The Delphi process produced a prioritised list of 30 procedure groups suitable for simulation-based training from the initial 138 suggestions. Top-5 on the final list was cardiopulmonary resuscitation, direct- and video laryngoscopy, defibrillation, emergency cricothyrotomy, and fibreoptic intubation. The needs assessment formula predicted the final prioritisation to a great extent. CONCLUSION: The Delphi process produced a prioritised list of 30 procedure groups that could serve as a guide in future curriculum development for the simulation-based training of technical procedures in anaesthesiology.
BACKGROUND: Anaesthesiologists are expected to master an increasing number of technical procedures. Simulation-based procedural training can supplement and, in some areas, replace the classical apprenticeship approach during patient care. However, simulation-based training is very resource-intensive and must be prioritised and optimised. Developing a curriculum for simulation-based procedural training should follow a systematic approach, eg the Six-Step Approach developed by Kern. The aim of this study was to conduct a national general needs assessment to identify and prioritise technical procedures for simulation-based training in anaesthesiology. METHODS: A three-round Delphi process was completed with anaesthesiology key opinion leaders. In the first round, the participants suggested technical procedures relevant to simulation-based training. In the second round, a needs assessment formula was used to explore the procedures and produce a preliminary prioritised list. In the third round, participants evaluated the preliminary list by eliminating and re-prioritising the procedures. RESULTS: All teaching departments in Denmark were represented with high response rates in all three rounds: 79%, 77%, and 75%, respectively. The Delphi process produced a prioritised list of 30 procedure groups suitable for simulation-based training from the initial 138 suggestions. Top-5 on the final list was cardiopulmonary resuscitation, direct- and video laryngoscopy, defibrillation, emergency cricothyrotomy, and fibreoptic intubation. The needs assessment formula predicted the final prioritisation to a great extent. CONCLUSION: The Delphi process produced a prioritised list of 30 procedure groups that could serve as a guide in future curriculum development for the simulation-based training of technical procedures in anaesthesiology.
Authors: Signe Thim; Leizl Joy Nayahangan; Charlotte Paltved; Rune Dall Jensen; Lars Konge; Niels Thomas Hertel; Thomas Balslev Journal: BMJ Paediatr Open Date: 2020-08-18
Authors: Anne Coakley; Alison Bailey; Joy Tao; Yujie L Liou; Amanda Champlain; Michael Ander; Eden Lake Journal: Int J Womens Dermatol Date: 2020-02-15
Authors: Rasmus Jørgensen; Christian B Laursen; Lars Konge; Pia Iben Pietersen Journal: Scand J Trauma Resusc Emerg Med Date: 2021-06-27 Impact factor: 2.953