A Pilot Curriculum to Integrate Standardized Patient Simulation into Clinical Pastoral Education.
Creator
Ahmed Rami A; Damore Deborah R; Viti Joseph F; Hughes Patrick G; Miesle Rebecca; Ataya Ramsey; Atkinson S Scott; Gable Brad
Publisher
The American journal of hospice & palliative care
Date
2016
2016-06
Description
INTRODUCTION: We describe a novel means of experiential learning for clinical pastoral care residents using standardized patient (SP) simulations. METHODS: A prospective cohort study involving 7 clinical pastoral care residents was performed. All residents underwent 2 verbatim SP sessions and 2 simulation sessions. After all sessions, residents completed a self-evaluation. Faculty completed an evaluation and then provided a debriefing session to all residents. RESULTS: Performance ratings were globally higher on simulated scenarios when compared to the verbatim sessions. CONCLUSIONS: More research in the field of pastoral care is needed to validate the learned professional skills that enhance a comprehensive training program through the use of medical simulation, verbatim reports, and clinical pastoral education (CPE) competencies. Medical simulation provides a promising teaching methodology for the training of CPE residents.
Coaching From the Sidelines: Examining the Impact of Teledebriefing in Simulation-Based Training.
Creator
Ahmed Rami A; Atkinson Steven Scott; Gable Brad; Yee Jennifer; Gardner Aimee K
Publisher
Simulation in healthcare : journal of the Society for Simulation in Healthcare
Date
2016
2016-10
Description
INTRODUCTION: Although simulation facilities are available at most teaching institutions, the number of qualified instructors and/or content experts that facilitate postsimulation debriefing is inadequate at many institutions. There remains a paucity of evidence-based data regarding several aspects of debriefing, including debriefing with a facilitator present versus teledebriefing, in which participants undergo debriefing with a facilitator providing instruction and direction from an off-site location while they observe the simulation in real-time. We conducted this study to identify the effectiveness and feasibility of teledebriefing as an alternative form of instruction. METHODS: This study was conducted with emergency medicine residents randomized into either a teledebriefing or on-site debriefing group during 11 simulation training sessions implemented for a 9-month period. The primary outcome of interest was resident perception of debriefing effectiveness, as measured by the Debriefing Assessment for Simulation in Healthcare-Student Version (See Appendix, Supplemental Digital Content 1, http://links.lww.com/SIH/A282) completed at the end of every simulation session. RESULTS: A total of 44 debriefings occurred during the study period with a total number of 246 Debriefing Assessment for Simulation in Healthcare-Student Version completed. The data revealed a statistically significant difference between the effectiveness of on-site debriefing [6.64 (0.45)] and teledebriefing [6.08 (0.57), P \textless 0.001]. Residents regularly evaluated both traditional debriefing and teledebriefing as "consistently effective/very good." CONCLUSIONS: Teledebriefing was found to be rated lower than in-person debriefing but was still consistently effective. Further research is necessary to evaluate the effectiveness of teledebriefing in comparison with other alternatives. Teledebriefing potentially provides an alternative form of instruction within simulation environments for programs lacking access to expert faculty.
Subject
*Formative Feedback; *Simulation Training; *Telecommunications; Emergency Medical Technicians/*education; Humans; Mentors