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• W2316175417 abstract "BACKGROUND: The use of simulation in medical education is becoming more frequent both in undergraduate and residency programs.1 The interaction of instructor and trainees allows not only for the transfer of knowledge, but also improves our ability to identify areas where clinical skills or experience may be lacking.2 The feedback from these sessions can provide information and insight not achieved or appreciated by other methods. We present here an example how interaction with our residents in the simulator lab has led us to better understand when, and perhaps more importantly, where our residents are learning some of the basic skills expected of all anesthesiologists. METHODS: The residents were scheduled to attend a four-hour training session in our High Fidelity Human Patient Simulator Lab. The session involved scenarios requiring the use of a defibrillator. The teams were composed of three residents, one from each year of training. At the end of the session, the residents were asked to complete an evaluation. In the evaluation, we also asked them to indicate their previous experience with using a defibrillator either on simulators or on patients. The data were collected and analyzed using chi-square to determine whether the level of training was related to the difference in rates of performing defibrillation on patients. A p value of <0.5 was considered significant. RESULTS: A statistically significant difference (using chi-square analysis) was found between the groups (p<0.001). Only 10% (3/30) of CA-1 residents reported having performed defibrillation on patients. Among CA-2 and CA-3 residents, this number increased to 25% (7/28) and 54% (13/24) respectively. CONCLUSIONS: Beginning in CA-2, the resident covering the PACU also carries the code beeper. From our debriefing sessions in the simulator lab, it became apparent that the increase in clinical exposure to defibrillation was occurring mostly outside the operating room, usually during participation in codes throughout the hospital. While including the anesthesiologist in the code team obviously improves airway management, it also provides an opportunity for our residents to gain clinical experience in skills not routinely done in the OR. Through our simulation program, we realized that inclusion of our residents in the code team is a two-way street and helps to augment their training as perioperative physicians. Additionally, these experiences should be documented in order to show completion of ACGME required competencies." @default.
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• W2316175417 date "2007-01-01" @default.
• W2316175417 modified "2023-09-26" @default.
• W2316175417 title "The Anesthesiologists in the Code Team - A Two-Way Street." @default.
• W2316175417 cites W1994278668 @default.
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• W2316175417 doi "https://doi.org/10.1097/01266021-200700210-00029" @default.
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