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March 17, 2010AnesthesiologyOpen Access

Simulation-based Training Improves Physicians' Performance in Patient Care in High-stakes Clinical Setting of Cardiac Surgery

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Authors

HBHeinz R. BruppacherStadtspital WaidSASyed K. AlamSt. Michael's HospitalVLVicki R. LeBlancUniversity of Ottawa

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Overview

Randomized trial demonstrates simulation training enhances cardiopulmonary bypass weaning performance among anesthesiology residents, indicating clear clinical benefits over traditional seminars.

Key Points

  • To evaluate whether high-fidelity simulation-based training improves anesthesiology trainees' real-life clinical performance during cardiopulmonary bypass weaning compared to an interactive seminar.
  • Prospective, single-blinded, randomized controlled trial involving 20 senior anesthesiology trainees (postgraduate year 4 or higher) inexperienced in cardiopulmonary bypass (CPB) weaning and 60 patients undergoing elective coronary artery bypass grafting.
  • Trainees were randomized to either a 2-hour high-fidelity simulation training session or a 2-hour interactive seminar following a baseline pretest.
  • Performance in real operating room CPB weaning was evaluated at baseline, within 2 weeks (posttest), and at 5 weeks (retention test) using the validated Anesthesiologists' Nontechnical Skills Global Rating Scale and a clinical action checklist.
  • At the 2-week posttest, the simulation group scored significantly higher than the seminar group on the Global Rating Scale (14.3 ± 0.41 vs. 11.8 ± 0.41, P < 0.001) and clinical checklist (89.9 ± 3.0% vs. 75.4 ± 3.0%, P = 0.003).
  • At the 5-week retention test, superior performance in the simulation group persisted for both the Global Rating Scale (14.1 ± 0.41 vs. 11.7 ± 0.41, P < 0.001) and clinical checklist (93.2 ± 2.4% vs. 77.0 ± 2.4%, P < 0.001).

Cite This Study

Bruppacher et al. (2010) studied this question.

synapsesocial.com/papers/6a01db88950a93c470d8bc1dhttps://doi.org/10.1097/aln.0b013e3181d3e31c
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