Prospective Assessment of Novice Learners in a Simulation-Based Extracorporeal Membrane Oxygenation (ECMO) Education Program

2012 ◽  
Vol 34 (3) ◽  
pp. 543-552 ◽  
Author(s):  
Soi-Yu Chan ◽  
Mayte Figueroa ◽  
Thomas Spentzas ◽  
Ashley Powell ◽  
Ricky Holloway ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Education Program ◽  
Novice Learners ◽  
Membrane Oxygenation ◽  
Simulation Based ◽  
Prospective Assessment

scholarly journals Assessment of Novice Learners in a Novel High-fidelity Simulation-Based Extracorporeal Membrane Oxygenation Education Program

2020 ◽  
Author(s):  
Li TONG ◽  
Wen-jie HU ◽  
Yan-ping ZHU ◽  
Lu CAO ◽  
Ying-hui LI ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Likert Scale ◽  
Performance Criteria ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Practical Test ◽  
Novice Learners ◽  
Membrane Oxygenation ◽  
Simulation Based ◽  
The Impact

Abstract Background: This study aimed to design a suitable integrated extracorporeal membrane oxygenation (ECMO) curriculum and assessed the impact of this a high-fidelity simulation-based education module on novice learners. Methods: An ECMO training curriculum was developed by well-trained and experienced ECMO experts that incorporated simulation modules to train multidisciplinary health care professionals. Pre- and post-participation questionnaires were used to determine the effects on the knowledge, ability, and confidence level of the participants. A five-point Likert scale was used to assess the participants regarding the ECMO practical test. Results: The study enrolled 37 participants (10 doctors, 27nurses). 67.6% (25/37) of trainees didn’t have ECMO experience. All two questionnaires were completed by 37 participants. A five-point Likert scale on practical test was finished by 4 ECMO experts. All participants passed the written and practical tests. All the responding participants thought the curriculum was useful in improving their perception of their overall knowledge and their ability to perform the required critical performance criteria on simulated ECMO. 91.9% (34/37) trainees thought that they invested more in active learning during the whole course; 60% (22/37) of them achieved a good level of technical evaluation. On the other hand, 67.6% (25/37) of the trainees have shown a good self-confidence in the priming course; however, 43.2% (16/27) trainees still needed to strengthen their overall competence in ECMO management. Conclusions: The integration of traditional teaching and high-fidelity simulation teaching can effectively improve the ECMO monitoring level and management skills of novice learners, but whether this training mode can be successfully transferred to the clinical field needs further research and confirmation.

scholarly journals Assessment of Novice Learners in a Novel High-fidelity Simulation-Based Extracorporeal Membrane Oxygenation Education Program

2020 ◽  
Author(s):  
Li TONG ◽  
Wen-jie HU ◽  
Yan-Ping ZHU ◽  
Lu CAO ◽  
Ying-Hui LI ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Likert Scale ◽  
Performance Criteria ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Practical Test ◽  
Novice Learners ◽  
Membrane Oxygenation ◽  
Simulation Based ◽  
The Impact

Abstract Background: This study aimed to design a suitable integrated extracorporeal membrane oxygenation (ECMO) curriculum and assessed the impact of this a high-fidelity simulation-based education module on novice learners.Methods: An ECMO training curriculum was developed by well-trained and experienced ECMO experts that incorporated simulation modules to train multidisciplinary health care professionals. Pre- and post-participation questionnaires were used to determine the effects on the knowledge, ability, and confidence level of the participants. A five-point Likert scale was used to assess the participants regarding the ECMO practical test.Results: The study enrolled 37 participants (10 doctors, 27nurses). 67.6% (25/37) of trainees didn’t have ECMO experience. All two questionnaires were completed by 37 participants. A five-point Likert scale on practical test was finished by 4 ECMO experts. All participants passed the written and practical tests. All the responding participants thought the curriculum was useful in improving their perception of their overall knowledge and their ability to perform the required critical performance criteria on simulated ECMO. 91.9% (34/37) trainees thought that they invested more in active learning during the whole course; 60% (22/37) of them achieved a good level of technical evaluation. On the other hand, 67.6% (25/37) of the trainees have shown a good self-confidence in the priming course; however, 43.2% (16/27) trainees still needed to strengthen their overall competence in ECMO management. Conclusions: The integration of traditional teaching and high-fidelity simulation teaching can effectively improve the ECMO monitoring level and management skills of novice learners, but whether this training mode can be successfully transferred to the clinical field needs further research and confirmation.

Simulation-Based Postcardiotomy Extracorporeal Membrane Oxygenation Crisis Training for Thoracic Surgery Residents

2013 ◽  
Vol 95 (3) ◽  
pp. 901-906 ◽  
Author(s):  
Harold M. Burkhart ◽  
Jeffrey B. Riley ◽  
James J. Lynch ◽  
Rakesh M. Suri ◽  
Kevin L. Greason ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Thoracic Surgery ◽  
Membrane Oxygenation ◽  
Simulation Based

scholarly journals A skills acquisition study on ECMOjo: a screen-based simulator for extracorporeal membrane oxygenation

Perfusion ◽  
2019 ◽  
Vol 35 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Abdullah Alsalemi ◽  
Len Tanaka ◽  
Mark Ogino ◽  
Mohammed Al Disi ◽  
Yahya Alhomsi ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Cognitive Skills ◽  
Cost Effective ◽  
Skills Acquisition ◽  
Behavioral Skills ◽  
Didactic Teaching ◽  
Membrane Oxygenation ◽  
Effective Manner ◽  
Simulation Based ◽  
Educational Efficacy

Background: Extracorporeal membrane oxygenation relies heavily on didactic teaching, emphasizing on essential cognitive skills, but overlooking core behavioral skills such as leadership and communication. Therefore, simulation-based training has been adopted to instill clinical knowledge through immersive experiences. Despite simulation-based training’s effectiveness, training opportunities are lessened due to high costs. This is where screen-based simulators come into the scene as affordable and realistic alternatives. Aim: This article evaluates the educational efficacy of ECMOjo, an open-source screen-based extracorporeal membrane oxygenation simulator that aims to replace extracorporeal membrane oxygenation didactic instruction in an interactive and cost-effective manner. Method: A prospective cohort skills acquisition study was carried out. A total of 44 participants were pre-assessed, divided into two groups, where the first group received traditional didactic teaching, and the second used ECMOjo. Participants were then evaluated through a wet lab assessment and two questionnaires. Results: The obtained results indicate that the two assessed groups show no statistically significant differences in knowledge and efficacy. Hence, ECMOjo is considered an alternative to didactic teaching as per the learning outcomes. Conclusion: The present findings show no significant dissimilarities between ECMOjo and didactic classroom-based teaching. Both methods are very comparable in terms of the learner’s reported self-efficacy and complementary to mannequin-based simulations.

scholarly journals Extracorporeal membrane oxygenation simulation-based training: methods, drawbacks and a novel solution

Perfusion ◽  
2018 ◽  
Vol 34 (3) ◽  
pp. 183-194 ◽  
Author(s):  
Mohammed Al Disi ◽  
Abdullah Alsalemi ◽  
Yahya Alhomsi ◽  
Fayçal Bensaali ◽  
Abbes Amira ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Remote Control ◽  
Extracorporeal Membrane Oxygenation ◽  
High Fidelity ◽  
Training Methods ◽  
High Fidelity Simulation ◽  
Simulation Approach ◽  
Membrane Oxygenation ◽  
Simulation Based ◽  
Specialized Equipment

Introduction: Patients under the error-prone and complication-burdened extracorporeal membrane oxygenation (ECMO) are looked after by a highly trained, multidisciplinary team. Simulation-based training (SBT) affords ECMO centers the opportunity to equip practitioners with the technical dexterity required to manage emergencies. The aim of this article is to review ECMO SBT activities and technology followed by a novel solution to current challenges. ECMO simulation: The commonly-used simulation approach is easy-to-build as it requires a functioning ECMO machine and an altered circuit. Complications are simulated through manual circuit manipulations. However, scenario diversity is limited and often lacks physiological and/or mechanical authenticity. It is also expensive to continuously operate due to the consumption of highly specialized equipment. Technological aid: Commercial extensions can be added to enable remote control and to automate circuit manipulation, but do not improve on the realism or cost-effectiveness. A modular ECMO simulator: To address those drawbacks, we are developing a standalone modular ECMO simulator that employs affordable technology for high-fidelity simulation.

scholarly journals Cost-Effective Extracorporeal Membrane Oxygenation Simulation

2018 ◽  
Vol 02 (01) ◽  
pp. 005-009 ◽  
Author(s):  
Guillaume Alinier
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Best Practice ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Low Cost ◽  
Cost Effective ◽  
Emergency Situations ◽  
Membrane Oxygenation ◽  
Ensure Patient Safety ◽  
Simulation Based

AbstractThis invited review article was presented orally on the occasion of the South West Asian Chapter conference of the Extracorporeal Life Support Organization (ELSO) held in New Delhi, India in January 2018. It has an educational focus on the topic of extracorporeal membrane oxygenation (ECMO), which is increasingly being used as a lifesaving bridge therapy. A case is being made regarding the adage “practice makes perfect” to be considered in the context of simulation-based education to ensure patient safety. Technology-enhanced simulation-based deliberate practice should be used more commonly to support clinicians in the development of all their professional skills. This is an ethical imperative that may be addressed using low-cost simulation modalities that are sometimes proven to be as effective as more expensive approaches. Educators can now design their programs according to published best practice standards for the benefit of their learners, and ultimately the patients they care for. Simulation-based education clearly has a place and important role to play in preparing ECMO teams dealing with routine procedures as well as emergency situations. Several solution and approaches are being presented alongside innovative work currently being done in collaboration between a regional ELSO center of excellence and an academic institution. This innovative simulator is composed of several modules serving different functions required for the simulation of ECMO emergencies at a much lower cost than using the real machine and its various expensive disposable components.

scholarly journals A Modular Approach for a Patient Unit for Extracorporeal Membrane Oxygenation Simulator

Membranes ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 424
Author(s):  
Yahya Alhomsi ◽  
Abdullah Alsalemi ◽  
Mohammad Noorizadeh ◽  
Faycal Bensaali ◽  
Nader Meskin ◽  
...  
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Real Life ◽  
Cost Effective ◽  
Training Process ◽  
New Approach ◽  
Membrane Oxygenation ◽  
Audio Cues ◽  
Effective Manner ◽  
Simulation Based ◽  
Emergency Scenarios

Despite many advancements in extracorporeal membrane oxygenation (ECMO), the procedure is still correlated with a high risk of patient complications. Simulation-based training provides the opportunity for ECMO staff to practice on real-life scenarios without exposing ECMO patients to medical errors while practicing. At Hamad Medical Corporation (HMC) in Qatar, there is a critical need of expert ECMO staff. Thus, a modular ECMO simulator is being developed to enhance the training process in a cost-effective manner. This ECMO simulator gives the instructor the ability to control the simulation modules and run common simulation scenarios through a tablet application. The core modules of the simulation system are placed in the patient unit. The unit is designed modularly such that more modules can be added throughout the simulation sessions to increase the realism of the simulation sessions. The new approach is to enclose the patient unit in a trolley, which is custom-designed and made to include all the components in a modular fashion. Each module is enclosed in a separate box and then mounted to the main blood simulation loop box using screws, quick connect/disconnect liquid fittings, and electrical plugs. This method allows fast upgrade and maintenance for each module separately as well as upgrading modules easily without modifying the trolley’s design. The prototype patient unit has been developed for portability, maintenance, and extensibility. After implementation and testing, the prototype has proven to successfully simulate the main visual and audio cues of the real emergency scenarios, while keeping costs to a minimum.

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