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40
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Text
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URL Address
<a href="http://doi.org/10.1136/bmjstel-2017-000254" target="_blank" rel="noreferrer noopener">http://doi.org/10.1136/bmjstel-2017-000254</a>
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Pages
22-28
Issue
1
Volume
5
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NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Obstetrics & Gynecology
Affiliated Hospital
Summa Health Akron City Hospital
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Title
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Telepresent mechanical ventilation training versus traditional instruction: a simulation-based pilot study
Publisher
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Bmj Simulation & Technology Enhanced Learning
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-01
Subject
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critical care; education; telepresence; simulation; Health Care Sciences & Services; telementoring; mechanical ventilation; society; critical-care medicine; DASH
Creator
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Ciullo A; Yee J; Frey J A; Gothard M D; Benner A; Hammond J; Ballas D; Ahmed R A
Description
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Background Mechanical ventilation is a complex topic that requires an in-depth understanding of the cardiopulmonary system, its associated pathophysiology and comprehensive knowledge of equipment capabilities. Introduction The use of telepresent faculty to train providers in the use of mechanical ventilation using medical simulation as a teaching methodology is not well established. The aim of this study was to compare the efficacy of telepresent faculty versus traditional in-person instruction to teach mechanical ventilation to medical students. Materials and methods Medical students for this small cohort pilot study were instructed using either in-person instruction or telementoring. Initiation and management of mechanical ventilation were reviewed. Effectiveness was evaluated by pre- and post-multiple choice tests, confidence surveys and summative simulation scenarios. Students evaluated faculty debriefing using the Debriefing Assessment for Simulation in Healthcare Student Version (DASH-SV). Results A 3-day pilot curriculum demonstrated significant improvement in the confidence (in person P<0.001; telementoring P=0.001), knowledge (in person P<0.001; telementoring P=0.022) and performance (in person P<0.001; telementoring P<0.002) of medical students in their ability to manage a critically ill patient on mechanical ventilation. Participants favoured the in-person curriculum over telepresent education, however, resultant mean DASH-SV scores rated both approaches as consistently to extremely effective. Discussion While in-person learners demonstrated larger confidence and knowledge gains than telementored learners, improvement was seen in both cases. Learners rated both methods to be effective. Technological issues may have contributed to students providing a more favourable rating of the in-person curriculum. Conclusions Telementoring is a viable option to provide medical education to medical students on the fundamentals of ventilator management at institutions that may not have content experts readily available.
Identifier
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<a href="http://doi.org/10.1136/bmjstel-2017-000254" target="_blank" rel="noreferrer noopener">10.1136/bmjstel-2017-000254</a>
Format
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Journal Article or Conference Abstract Publication
2019
Ahmed R A
Ballas D
Benner A
BMJ simulation & technology enhanced learning
Ciullo A
Critical Care
critical-care medicine
DASH
Department of Obstetrics & Gynecology
Education
Frey J A
Gothard M D
Hammond J
Health Care Sciences & Services
Journal Article or Conference Abstract Publication
mechanical ventilation
NEOMED College of Medicine
simulation
society
Summa Health Akron City Hospital
Telementoring
telepresence
Yee J