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Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study


Affiliations
1 Summa Health SystemAkron CityHospital, Akron, OH 44304, United States
2 Akron Children's Hospital, Akron, OH 44308, United States
3 BIOSTATS, Inc., East Canton, OH 44730, United States
 

Objectives: Management of mechanically ventilated patients may pose a challenge to novice residents, many of which may not have received formal dedicated critical care instruction prior to starting their residency training. There is a paucity of data regarding simulation and mechanical ventilation training in the medical education literature. The purpose of this study was to develop a curriculumto educate first-year residents on addressing and troubleshooting ventilator alarms. Methods: Prospective evaluationwas conducted of seventeen residents undergoing a twelve-hour three-day curriculum. Residents were assessed using a predetermined critical action checklist for each case, as well as pre- and post-curriculum multiple-choice cognitive knowledge questionnaires and confidence surveys. Results: Significant improvements in cognitive knowledge, critical actions, and self-reported confidence were demonstrated. The mean change in test score from before to after intervention was +26.8%, and a median score increase of 25% was noted. The ARDS and the mucus plugging cases had statistically significant improvements in critical actions, P < 0.001. A mean increase in self-reported confidence was realized (1.55 to 3.64), P = 0.049. Conclusions: A three-day simulation curriculum for residents was effective in increasing competency, knowledge, and confidence with ventilator management.
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  • Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study

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Authors

Jennifer Yee
Summa Health SystemAkron CityHospital, Akron, OH 44304, United States
Charles Fuenning
Summa Health SystemAkron CityHospital, Akron, OH 44304, United States
Richard George
Summa Health SystemAkron CityHospital, Akron, OH 44304, United States
Rana Hejal
Summa Health SystemAkron CityHospital, Akron, OH 44304, United States
Nhi Haines
Akron Children's Hospital, Akron, OH 44308, United States
Diane Dunn
Akron Children's Hospital, Akron, OH 44308, United States
M. David Gothard
BIOSTATS, Inc., East Canton, OH 44730, United States
Rami A. Ahmed
Summa Health SystemAkron CityHospital, Akron, OH 44304, United States

Abstract


Objectives: Management of mechanically ventilated patients may pose a challenge to novice residents, many of which may not have received formal dedicated critical care instruction prior to starting their residency training. There is a paucity of data regarding simulation and mechanical ventilation training in the medical education literature. The purpose of this study was to develop a curriculumto educate first-year residents on addressing and troubleshooting ventilator alarms. Methods: Prospective evaluationwas conducted of seventeen residents undergoing a twelve-hour three-day curriculum. Residents were assessed using a predetermined critical action checklist for each case, as well as pre- and post-curriculum multiple-choice cognitive knowledge questionnaires and confidence surveys. Results: Significant improvements in cognitive knowledge, critical actions, and self-reported confidence were demonstrated. The mean change in test score from before to after intervention was +26.8%, and a median score increase of 25% was noted. The ARDS and the mucus plugging cases had statistically significant improvements in critical actions, P < 0.001. A mean increase in self-reported confidence was realized (1.55 to 3.64), P = 0.049. Conclusions: A three-day simulation curriculum for residents was effective in increasing competency, knowledge, and confidence with ventilator management.