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  • 标题:Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels
  • 本地全文:下载
  • 作者:Bjoern Zante ; Joerg C. Schefold
  • 期刊名称:BMC Medical Education
  • 印刷版ISSN:1472-6920
  • 出版年度:2020
  • 卷号:20
  • 期号:1
  • 页码:1-8
  • DOI:10.1186/s12909-020-02419-4
  • 出版社:BioMed Central
  • 摘要:Background The application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. The aim of this study was to analyze a skill-training aiming to enhance ICU-fellows´ performance. Methods A skill-training was prepared for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Supervision levels (SL) for entrustable professional activities (EPA) were applied to evaluate skill performance. Pre- and post-training, SL and fellows´ self- versus consultants´ external assessment was compared. Time on skill training was compared to conventional training in the ICU-setting. Results Comparison of pre/post external assessment showed reduced required SL for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Self- and external assessed SL did not significantly correlate for pre-training/post-training pericardiocentesis and post-training cricothyroidotomy. Correlations were observed for self- and external assessment SL for chest tube insertion and pre-assessment for cricothyroidotomy. Compared to conventional training in the ICU-setting, chest tube insertion training may further be time-saving. Conclusions Emergency skill training separated from a daily clinical ICU-setting appeared feasible and useful to enhance skill performance in ICU fellows and may reduce respective SL. We observed that in dedicated skill-training sessions, required time resources would be somewhat reduced compared to conventional training methods.
  • 关键词:EPA; Chest tube; Pericardiocentesis; Cricoconiotomy; Education; Learning; Critical care; Cost effective; Assessment; Self perception
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