Effects of an Experiential Trauma Bootcamp on PGY 3 Anesthesiology Residents' Knowledge and Confidence Levels.

Brittney Clark, Erin E Blanchard, Grace Rafield, Lee Ann Riesenberg, Bhavika N Patel, Andrew Hackney, Michelle Tubinis
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Abstract

Background: Bootcamp-style education involves short, intense educational sessions and is a proven educational modality in anesthesia medical education. However, rarely has it been used with senior anesthesiology residents and never in exposing these residents to a curriculum aimed at care of the trauma patient. The purpose of this study was to design and implement an experiential bootcamp to prepare anesthesiology residents to take senior trauma call at a Level 1 trauma center in the Southeastern United States.

Methods: Before taking senior trauma call, 21 postgraduate year 3 anesthesiology residents took part in an 8-hour trauma bootcamp that combined flipped classroom-style education with immersive, procedural, and augmented reality simulation facilitated by subject matter experts. Before and after the bootcamp, residents completed 17-item confidence and 20-item knowledge questionnaires developed by the study authors. Results were compared before and after the bootcamp to determine overall change in confidence and knowledge levels pertaining to caring for trauma patients and taking senior trauma call. Additionally, residents completed an evaluation measuring their perceptions of the benefit of the educational offering.

Results: Statistically significant increases were seen in 16 out of 17 confidence questions (P < .001) and 12 out of 20 knowledge questions (P < .001). Additionally, respondents indicated that they found the content to be valuable and likely to improve their care delivery within the clinical setting.

Conclusions: Following this bootcamp, postcourse surveys demonstrated that residents' knowledge and confidence increased significantly through simulation combined with a flipped-classroom approach in preparation for senior trauma call.

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体验式创伤训练营对麻醉科 PGY 3 住院医生知识和信心水平的影响。
背景:训练营式教育包括短期、高强度的教育课程,是麻醉医学教育中一种行之有效的教育模式。然而,这种方式很少用于高年资麻醉科住院医师,也从未让这些住院医师接触过以创伤患者护理为目标的课程。本研究的目的是设计并实施一个体验式训练营,为麻醉科住院医师在美国东南部的一级创伤中心接受高级创伤呼叫做好准备:在接受高级创伤呼叫之前,21 名麻醉学研究生三年级的住院医师参加了一个 8 小时的创伤训练营,该训练营结合了翻转课堂式教育、沉浸式、程序化和增强现实模拟,并由主题专家提供帮助。在训练营前后,住院医师完成了由研究作者开发的 17 项信心问卷和 20 项知识问卷。对训练营前后的结果进行比较,以确定在护理创伤患者和接听高级创伤呼叫方面的信心和知识水平的总体变化。此外,住院医师们还完成了一项评估,以衡量他们对教育活动益处的看法:在 17 个信心问题中,有 16 个问题(P < .001)和 20 个知识问题中,有 12 个问题(P < .001)在统计学上有明显提高。此外,受访者表示他们认为这些内容很有价值,有可能改善他们在临床环境中的护理服务:此次训练营结束后进行的课后调查显示,在为高级创伤呼叫做准备的过程中,通过结合翻转课堂方法的模拟训练,住院医师的知识和信心都得到了显著提高。
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