She has had 3 days of fever and cough and is previously healthy. So one of the structures that we tried before the pandemic was this idea of remote mentoring, or remote sponsorship, or remote coaching, any of those terms. Topic: Toxic Shock Syndrome. Europe PMC requires Javascript to function effectively. She completed her pediatric residency at Yale and is currently a first-year pediatric emergency medicine fellow at Yale, and she's been leading the SimBox team for the past two years. Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows. Three Scenarios to Teach Difficult Discussions in Pediatric... : Simulation in Healthcare. And I think it has been a group effort. The team has been called to help in the ED after a 1 month-old male is brought in seizing. 2015;122(5):1154–69. Ensuring lifelong competence in acute care skills is essential for PEM physicians and nurses. Get access to the full version of this content by using one of the access options below. The Wilcoxon Signed Rank Test was used to compare the (post minus pre) change in responses to Likert Type items, for questions (1) through (15). Our simulation-based CBME program could be adapted and generalized to other acute care disciplines.
So yeah, I really appreciate you kind of bringing out those points. Communicating with patients about medical errors: a review of the literature. My admin, Crystal Walker, and our team here at Children's Minnesota was really amazing in really partnering and sending out those kits across the country. Although most physicians lead at least one case, several courses with larger participant numbers hindered all MDs from participating in the lead position. Eric Hicken, CPM, EMT-P, is the Chief of Emergency Medical Services for Children's Programs and Special Projects with EMSC, within the N. J. Dr. Elizabeth Sanseau was leading the team for the first few years, and then I gradually took over from her, and it's been truly one of the highlights of my academic career, working with Dr. Sanseau and Dr. Kou and Dr. Auerbach. Simulation | Medicine. And then the pandemic came and certainly there were lots of challenges, but I think some opportunities came up where when we were not on full restriction, we were tele-debriefing or co-debriefing with some of these individuals.
So Dr. Maybelle Kou is leading that effort, and then I helped create an EMS curriculum, so adjusted most of our cases for what would make sense and realistically happen in the pre-hospital setting. Below is a collection of donated scenarios for you to use or modify. It was decided that one case per session would include a PALS algorithm sequence. A Link To "Hypovolemic Shock in a Child: A Pediatric Simulation Case" With Links To Additional Simulation Case Resources. Pediatric Mock Codes are monthly multidisciplinary learning opportunities utilizing simulated patients in actual clinical environments. General Anesthesia for a Posttonsillectomy and Adenoidectomy Bleed. Christian CW, Scribano P, Seidl T, et al.
A core group of instructors was identified as the course progressed, although instructors needed to rotate through competency days themselves as participants. The occurrence of medical error presents another tremendously challenging situation for physicians and requires sophisticated communications skills. And to me, the fact that people are finding it outside of us yelling this from up high, through ACEP, and finding this through connections, a lot of nursing organizations are now starting to get engaged and using this, and nurse educators. Pediatric Bronchospasm During General Anesthesia. The patient will initially demonstrate compensated shock requiring aggressive resuscitation. J Contin Educ Health Prof. 2012;32(4):236–42. It was a lifelike pediatric high-fidelity simulator that could breathe, blink and cry. Received: Accepted: Published: DOI: Keywords. Vetto JT, Elder NC, Toffler WL, et al. The patient will then progress to having an unstable SVT. Pediatric emergency medicine simulation case studies. The 1961 Report of the Register of Copyrights on the General Revision of the U. Programming interactivity into video cases provided a unique set of software compatibility problems. Recognizing the importance of experiential learning, efforts have been put forth to simulate various medical diseases and processes. The project officially started July of 2009 and is on the move!
Assistant Director of Undergraduate Medical Education. Can you share a little bit about how you became involved in this project and how it's aligned with your interests? Pediatric emergency medicine simulation cases and solutions. So depending on what the participants are doing, the facilitator can just click on the screen and be transferred to the corresponding part of the vital signs and patient video. The other elements that I think we underestimate to start off, were the debriefing resources. And so I'm also curious to hear a little bit more about some of those changes, how we've incorporated new technology, and other things that have come up in the last two years. Some barriers were also identified: "more facilitators to speed up assessments, " "long day, resuscitation sessions shorter, " "more nurses per group. The primary objective was to educate EM residents and PEM fellows on the communication skills necessary to engage in difficult discussions when caring for children in an emergency department setting.
During these conferences, residents engage in experiential learning through immersive simulation scenarios and hands-on procedural training. Potential solutions include repeating of a needs assessment as well as continuing to utilize quality reviews as a source for new case development. Education was not stratified to each different learner group within this workshop with all attendees attending the same sessions. Pediatric emergency medicine simulation cases report. And when you do, reach out to us. Prior to the first simulation session, an introduction is provided on the principles of crew resource management and ideal team-based behavior. 5 When parents were asked about error disclosure, the focus groups wanted to know the following in a forthcoming manner: - What happened. The next day, Zarah fell sick. For details: TeamSTEPPS. Our PEM fellows regularly train in simulation monthly during the entire training duration.
This right is subject to certain limitations found in sections 107 through 118 of the copyright law (title 17, U. S. Code). We came across Vimeo, and we're now piloting this new version of the videos. In the future, we hope to review the completion rates and incorporate strategies to move from a competency model to a true mastery model. Target: Pediatric Residents. I started by updating most of the existing cases to a new cohesive structure template and then helped create many new cases, like the newborn resuscitation, postpartum hemorrhage, burn trauma. I'm wondering if, Dr. Auerbach, if you could start us off and maybe give us a little bit of background on how this work began. So we don't want that video of the child to be really evolving quite significantly over time, because they found that was a big cognitive load burden. Dr. Marc Auerbach: And this was for our seizure patient, and it was really striking to hear from these individuals, not that this was as good as a high technology simulator, but that actually was better, because with the high technology plastic simulator in our sim center, that seizure was more difficult to evaluate. Dr. Samreen Vora: Dr. Auerbach, would you like to share what your mental model is, where the future might take us? Topic: Chest and Abdominal Trauma. Title: Bee Sting In An 8 Month Old. Int J Nurs Educ Scholarsh. To address this need, training materials for postgraduate medical learners were created, focusing on the critical skills and techniques necessary to navigate through difficult PEM clinical encounters and effectively communicate in an empathic manner with pediatric patients and their families. PIGS (Porcine Integrated General Surgery Simulation) Curriculum.
Obstetric Bleeding Curriculum. So over the last two years, there's been a lot of growth. Pediatric Mock Codes - Doernbecher Children's Hospital. There are scenarios presented every other month as part of educational themes for pediatric conference days. Monica Headley has been a nurse for about one year. Table 3: Confidence level of the participants before and after the work-shop. OHSU School of Medicine, Med Student Simulation.
Dath D, Iobst W. The importance of faculty development in the transition to competency-based medical education. Andreatta P, Saxton E, Thompson M, Annich G. Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. These emergency care conferences were focused on the teaching of knowledge, skills and approaches to common adult and pediatric emergencies and critical care situations. 18 Month Old Male with Incomplete Kawasaki Disease. However, the cost and availability of such an experience can be prohibitive and is usually limited to small groups. A pediatric trauma care course using simulation was developed using a team approach to pediatric trauma management. A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Adv Health Sci Educ Theory Pract. Ross BK, Metzner J. Simulation for maintenance of certification. So many possibilities. The goal of this project is to make these cases as portable as possible. Troubleshooting Postintubation Hypoxia: A Simulation Case for Emergency Medicine Residents. Define CBME as "an approach to preparing physicians for practice that is fundamentally oriented to graduate outcome abilities and organized around competencies" [28].
The cases will emphasize key teaching points important in emergency toxicology. Violence Against Women. And for those that aren't familiar with that term, it's work by Clayton Christensen and a really cool concept that the idea that you want something that's good enough that it will be used by a lot of people and be effective and might not be the best of breed. As a member, you can join private discussions, comment on and curate clinical resources, and access the member directory. TTR features student-centered experiential learning activities integrated longitudinally around interprofessional teamwork, communication, patient care, resuscitation, cognitive, and procedural skills to empower students as active agents in their own learning.