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- W4387667039 abstract "Background Simulation for the management of massive hemoptysis is limited by the absence of a commercially available simulator to practice procedural skills necessary for management. Research Question Is it feasible to create and validate a hemoptysis simulator with high functional task alignment? Study Design and Methods Pulmonary Critical Care Medicine (PCCM) attending physicians from four academic institutions in the Denver area and Internal Medicine residents from the University of Colorado participated in this mixed-methods study. A hemoptysis simulator was constructed by connecting a 3D-printed airway model to a manikin that may be intubated. Attending PCCM physicians evaluated the simulator through surveys and qualitative interviews. Attendings were surveyed to determine simulation content and appropriate assessment criteria for a hemoptysis simulation. Based on these criteria, expert and novice performance on the simulator was assessed. Results The manikin-based hemoptysis simulator demonstrated adequate physical resemblance, high functional alignment, and strong affective fidelity. It was universally preferred over a virtual-reality simulator by 10 PCCM attendings. Twenty-seven attendings provided input on assessment criteria and established that assessing management priorities (e.g. airway protection) was preferred to a skills checklist for hemoptysis management. Three experts outperformed 6 novices in hemoptysis management on the manikin-based simulator in all management categories assessed, supporting construct validity of the simulation. Interpretation Creation of a hemoptysis simulator with appropriate content, high functional task alignment, and strong affective fidelity was successful using 3D-printed airway models and existing manikins. This approach can overcome barriers of cost and availability for simulation of high-acuity, low occurrence procedures." @default.
- W4387667039 created "2023-10-17" @default.
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- W4387667039 date "2023-10-01" @default.
- W4387667039 modified "2023-10-18" @default.
- W4387667039 title "Creation and validation of a massive hemoptysis simulator" @default.
- W4387667039 doi "https://doi.org/10.1016/j.chest.2023.10.014" @default.
- W4387667039 hasPublicationYear "2023" @default.
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