The Central Simulation Committee (CSC): A Model for Centralization and Standardization of Simulation-Based Medical Education in the U.S. Army Healthcare System

We sought to assess the impact of procedural skills simulation training on residents’ competence in performing critical resuscitation skills. Our study was a prospective, cross-sectional study of residents from three residency training programs (Family Medicine, Emergency Medicine and Internal Medicine) at the University of Calgary. Participants completed a survey measuring competence in the performance of the procedural skills required to manage hemodynamic instability. The study intervention was an 8 hour simulation based training program focused on resuscitation procedure psychomotor skill acquisition. Competence was criterion validated at the Right Internal Jugular Central Venous Catheter Insertion station by an expert observer using a standardized checklist (Observed Structured Clinical Examination (OSCE) format). At the completion of the simulation course participants repeated the self-assessment survey. Descriptive Statistics, Cronbach’s alpha, Pearson’s correlation coefficient and Paired Sample t-test statistical tools were applied to the analyze the data. Thirty-five of 37 residents (9 FRCPC Emergency Medicine, 4 CCFP-Emergency Medicine, 17 CCFP, and 5 Internal Medicine) completed both survey instruments and the eight hour course. Seventy-two percent of participants were PGY-1 or 2. Mean age was 30.7 years of age. Cronbach’s alpha for the survey instrument was 0.944. Pearson’s Correlation Coefficient was 0.69 (p < 0.001) for relationship between Expert Assessment and Self-Assessment. The mean improvement in competence score pre- to post-intervention was 6.77 (p < 0.01, 95% CI 5.23-8.32). Residents from a variety of training programs (Internal Medicine, Emergency Medicine and Family Medicine) demonstrated a statistically significant improvement in competence with critical resuscitation procedural skills following an intensive simulation based training program. Self-assessment of competence was validated using correlation data based on expert assessments. Dawson S. Procedural simulation: a primer. J Vasc Interv Radiol. 2006; 17(2.1):205-13. Vozenilek J, Huff JS, Reznek M, Gordon JA. See one, do one, teach one: advanced technology in medical education. Acad Emerg Med. 2004; 11(11):1149-54. Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: an ethical imperative. Acad Med. 2003; 78(8):783-8.

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PO-0690 Teaching Project In Neonatology Using Simulation-based Medical Education In Laos

Archives of Disease in Childhood ◽

10.1136/archdischild-2014-307384.1329 ◽

2014 ◽

Vol 99 (Suppl 2) ◽

pp. A479.2-A479

Author(s):

H Sabir ◽

S Brenner ◽

MB Schmid ◽

T Kuehn ◽

D Phouvieng ◽

...

Keyword(s):

Medical Education ◽

Simulation Based

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Choice Matters

10.1093/oso/9780190886134.001.0001 ◽

2018 ◽

Author(s):

Gordon Moore ◽

John A. Quelch ◽

Emily Boudreau

Keyword(s):

Public Policy ◽

Social Media ◽

Healthcare Provider ◽

Healthcare System ◽

Consumer Choice ◽

Marketing Management ◽

Appropriate Use ◽

System P ◽

The U.S

Choice Matters: How Healthcare Consumers Make Decisions (and Why Clinicians and Managers Should Care) is a timely and thoughtful exploration of the controversial role of consumers in the U.S. healthcare system. In most markets today, consumers have more options and autonomy than ever before. Empowered consumers easily shop around for products and services that better meet their needs, and they widely share their reviews on social media to inform and influence other consumers. Businesses have responded with better experiences and prices to compete for consumers’ business. Though healthcare has lagged behind other industries in this respect, there is a rising tide of interest in consumer choice and empowerment in healthcare markets. However, most healthcare provider organizations, individual doctors, and health insurers are unprepared to consider patients as consumers. The authors draw upon the fields of medicine, marketing, management, psychology, and public policy as they take a substantive, in-depth look at consumer choice and point out its appropriate use, as well as its limitations. This book addresses perplexing issues, such as how healthcare differs from other consumer-driven markets, how consumers make healthcare decisions, and how increased consumer choice in healthcare can not only aid and empower American consumers but also improve the overall healthcare system.

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The future of simulation based medical education: Adaptive simulation utilizing a deep multitask neural network

AEM Education and Training ◽

10.1002/aet2.10605 ◽

2021 ◽

Author(s):

Aaron J. Ruberto ◽

Dirk Rodenburg ◽

Kyle Ross ◽

Pritam Sarkar ◽

Paul C. Hungler ◽

...

Keyword(s):

Neural Network ◽

Medical Education ◽

Adaptive Simulation ◽

Simulation Based ◽

The Future

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Medical Education and Training Simulation Based Education

Journal of Obstetrics and Gynaecology Research ◽

10.1111/jog.14286 ◽

2020 ◽

Vol 46 (S1) ◽

pp. 47-49

Keyword(s):

Medical Education ◽

Education And Training ◽

Medical Education And Training ◽

Simulation Based ◽

Training Simulation ◽

And Training

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Illuminating an Invisible Epidemic: A Systemic Review of the Clinical and Economic Benefits of Early Diagnosis and Treatment in Inflammatory Disease and Related Syndromes

Journal of Clinical Medicine ◽

10.3390/jcm8040493 ◽

2019 ◽

Vol 8 (4) ◽

pp. 493 ◽

Cited By ~ 1

Author(s):

Wylezinski ◽

Gray ◽

Polk ◽

Harmata ◽

Spurlock

Keyword(s):

Healthcare System ◽

Inflammatory Diseases ◽

The United States ◽

Economic Benefits ◽

Systemic Review ◽

Best Interest ◽

Delayed Treatment ◽

Inflammatory Conditions ◽

Slow Development ◽

The U.S

Healthcare expenditures in the United States are growing at an alarming level with the Centers for Medicare and Medicaid Services (CMS) projecting that they will reach $5.7 trillion per year by 2026. Inflammatory diseases and related syndromes are growing in prevalence among Western societies. This growing population that affects close to 60 million people in the U.S. places a significant burden on the healthcare system. Characterized by relatively slow development, these diseases and syndromes prove challenging to diagnose, leading to delayed treatment against the backdrop of inevitable disability progression. Patients require healthcare attention but are initially hidden from clinician’s view by the seemingly generalized, non-specific symptoms. It is imperative to identify and manage these underlying conditions to slow disease progression and reduce the likelihood that costly comorbidities will develop. Enhanced diagnostic criteria coupled with additional technological innovation to identify inflammatory conditions earlier is necessary and in the best interest of all healthcare stakeholders. The current total cost to the U.S. healthcare system is at least $90B dollars annually. Through unique analysis of financial cost drivers, this review identifies opportunities to improve clinical outcomes and help control these disease-related costs by 20% or more.

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