Application of high-fidelity simulation in critical care residency training as an effective learning, assessment, and prediction tool for clinical performance.
J Formos Med Assoc
; 118(9): 1347-1355, 2019 Sep.
Article
em En
| MEDLINE
| ID: mdl-30584004
ABSTRACT
BACKGROUND/PURPOSE:
This study was conducted to assess 1) the impact of the HFS curriculum on residents' knowledge and skills, and 2) the correlation between learning outcomes and the clinical performance.METHODS:
An HFS-based curriculum was implemented for junior residents prior to their ICU rotations. Residents completed written tests before (pre-test) and after (post-test) the curriculum and were assessed on their performance during the simulation sessions. Clinical performance was evaluated using global rating for knowledge, clinical skills, and leadership and decision-making skills.RESULTS:
Complete data on pre-, post-test, simulation performance assessment, and clinical performance evaluation were available for 69 residents. Residents scored higher on their written post-test (64.6) compared with the pre-test (57.0) (p < 0.01). The simulation performance of residents improved between their first (3.43) and second (3.60) sessions (p < 0.05). Post-test scores correlated poorly with simulation performance (r = 0.03-0.28). Multivariable linear regression analysis revealed that clinical performance correlated better and significantly with simulation performance than the post-test for knowledge and clinical skills.CONCLUSION:
HFS is an effective training strategy, and can also be a complementary assessment tool to the written examinations and has better correlation with clinical performance.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Competência Clínica
/
Cuidados Críticos
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Treinamento com Simulação de Alta Fidelidade
/
Internato e Residência
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article