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Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study
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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