An experiential teaching session on the anesthesia machine check improves resident performance View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-03

AUTHORS

Michelle Chiu, Abeer A. Arab, Robert Elliott, Viren N. Naik

ABSTRACT

PURPOSE: A preoperative machine check is imperative, yet machine faults are missed despite experience. We hypothesized that a simulation training session would improve junior residents' ability to perform a machine check beyond the level of final year residents who received only didactic training. METHODS: In 2005, an experiential machine check training session was introduced into residency training at the postgraduate year 1 (PGY-1) level. Three weeks later, the simulation residents were asked to perform a machine check and detect ten preset faults. The control group consisted of PGY-5 residents who had received a didactic anesthesia machine lecture during their residency; these control residents were asked to perform the same machine check as the simulation residents. Data were collected from 2005 to 2008 with each cohort of incoming PGY-1 residents and graduating PGY-5 residents. When the first group of PGY-1 residents became PGY-5 residents in 2009, they were invited to return for a retention test. In all tests, the number of faults detected was recorded, and the machine check was evaluated using a checklist. RESULTS: Thirty-seven simulation residents and 27 control residents participated in the study. Simulation residents had significantly higher checklist scores than the control residents, and they identified more machine faults (both P < 0.001). Twenty-one simulation residents repeated the study in their senior year, and they continued to achieve higher checklist scores and identify more machine faults than the control residents (both P < 0.001). CONCLUSION: Our results suggest that an experiential training session allowed junior residents to achieve skills superior to those of senior colleagues after a five-year residency. This training was retained for two to four years as they continued to outperform their comparative controls. More... »

PAGES

280-287

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12630-011-9649-5

DOI

http://dx.doi.org/10.1007/s12630-011-9649-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1036060681

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22194153


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