Michael J Chen1, Aditee Ambardekar2, Susan M Martinelli3, Lauren K Buhl1, Daniel P Walsh1, Lior Levy1, Cindy Ku4, Lindsay A Rubenstein1, Sara Neves5, John D Mitchell6. 1. The following authors are in the Department of Anesthesiology, Beth Israel Deaconess Medical Center, Boston, MA: is a Research Assistant at Beth Israel; , , and are Associate Residency Program Directors at Beth Israel and also Instructors in Anaesthesia at Harvard Medical School, Cambridge, MA; is Director of Resident Simulation in the Anesthesia Department at Beth Israel and also Instructor in Anaesthesia at Harvard Medical School. 2. is a Residency Program Director and Associate Professor at Department of Anesthesiology and Pain Management, UT Southwestern Medical Center, Dallas, TX. 3. is a Residency Program Director and Professor of Anesthesia, Department of Anesthesiology, The University of North Carolina Chapel Hill, Chapel Hill, NC. 4. is an Anesthesiologist, Department of Anesthesiology, Queen's Medical Center, Honolulu Clinical Assistant Professor, Department of Surgery, John A Burns School of Medicine, University of Hawaii. 5. is a Residency Program Director at Beth Israel and also Instructor in Anaesthesia at Harvard Medical School. 6. is the Vice Chair for Academic Affairs in the Department of Anesthesiology, Pain Management, and Perioperative Medicine at Henry Ford Health.
Abstract
Background: This study's primary aim was to determine how training programs use simulation-based medical education (SBME), because SBME is linked to superior clinical performance. Methods: An anonymous 10-question survey was distributed to anesthesiology residency program directors across the United States. The survey aimed to assess where and how SBME takes place, which resources are available, frequency of and barriers to its use, and perceived utility of a dedicated departmental education laboratory. Results: The survey response rate was 30.4% (45/148). SBME typically occurred at shared on-campus laboratories, with residents typically participating in SBME 1 to 4 times per year. Frequently practiced skills included airway management, trauma scenarios, nontechnical skills, and ultrasound techniques (all ≥ 77.8%). Frequently cited logistical barriers to simulation laboratory use included COVID-19 precautions (75.6%), scheduling (57.8%), and lack of trainers (48.9%). Several respondents also acknowledged financial barriers. Most respondents believed a dedicated departmental education laboratory would be a useful or very useful resource (77.8%). Conclusion: SBME is a widely incorporated activity but may be impeded by barriers that our survey helped identify. Barriers can be addressed by departmental education laboratories. We discuss how such laboratories increase capabilities to support structured SBME events and how costs can be offset. Other academic departments may also benefit from establishing such laboratories.
Background: This study's primary aim was to determine how training programs use simulation-based medical education (SBME), because SBME is linked to superior clinical performance. Methods: An anonymous 10-question survey was distributed to anesthesiology residency program directors across the United States. The survey aimed to assess where and how SBME takes place, which resources are available, frequency of and barriers to its use, and perceived utility of a dedicated departmental education laboratory. Results: The survey response rate was 30.4% (45/148). SBME typically occurred at shared on-campus laboratories, with residents typically participating in SBME 1 to 4 times per year. Frequently practiced skills included airway management, trauma scenarios, nontechnical skills, and ultrasound techniques (all ≥ 77.8%). Frequently cited logistical barriers to simulation laboratory use included COVID-19 precautions (75.6%), scheduling (57.8%), and lack of trainers (48.9%). Several respondents also acknowledged financial barriers. Most respondents believed a dedicated departmental education laboratory would be a useful or very useful resource (77.8%). Conclusion: SBME is a widely incorporated activity but may be impeded by barriers that our survey helped identify. Barriers can be addressed by departmental education laboratories. We discuss how such laboratories increase capabilities to support structured SBME events and how costs can be offset. Other academic departments may also benefit from establishing such laboratories.
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