Coaching From the Sidelines: Examining the Impact of Teledebriefing in Simulation-Based Training.
*Formative Feedback; *Simulation Training; *Telecommunications; Emergency Medical Technicians/*education; Humans; Mentors
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.
Ahmed Rami A; Atkinson Steven Scott; Gable Brad; Yee Jennifer; Gardner Aimee K
Simulation in healthcare : journal of the Society for Simulation in Healthcare
2016
2016-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SIH.0000000000000177" target="_blank" rel="noreferrer noopener">10.1097/SIH.0000000000000177</a>
Improving bariatric patient transport and care with simulation.
Humans; United States; Educational Measurement; Education; Emergency Medicine; Obesity/*therapy; Patient Care; Airway Management; Allied Health Personnel/*education; Cardiopulmonary Resuscitation/education; Manikins; Transportation of Patients/*methods/standards; Catheterization; Human; Simulations; Analysis of Covariance; Trauma; Medical; Models; Infusions; Educational; Intraosseous/methods; Peripheral/methods; Technology; Equipment and Supplies; Bariatric Patients; Control Group; Firefighters; Obesity – Surgery; Transportation of Patients – Methods; Airway Management – Education; Emergency Medical Technicians – Education; Health Knowledge – Evaluation
INTRODUCTION: Obesity is prevalent in the United States. Obese patients have physiologic differences from non-obese individuals. Not only does transport and maintenance of these patients require use of specialized equipment, but it also requires a distinct skill set and knowledge base. To date, there is no literature investigating simulation as a model for educating pre-hospital providers in the care of bariatric patients. The purpose of this study was to determine if a
Gable Brad D; Gardner Aimee K; Celik Dan H; Bhalla Mary Colleen; Ahmed Rami A
The western journal of emergency medicine
2014
2014-03
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.5811/westjem.2013.12.18855" target="_blank" rel="noreferrer noopener">10.5811/westjem.2013.12.18855</a>