Summary of our Meeting “Do changes introduced in your practice go nowhere, are bogged down by negativism, distractions, disinterest, or even active resistance?.“ JOP. 2010;6(5):257-9. The “Bringing It Home” Challenge Jeff Riley, Mayo Clinic, Rochester MN USA “Bringing It Home” Disclosure: I have advised, or managed grants to or clinical trials at Mayo Clinic in the areas of simulation and perfusion technology with the following groups: Sorin USA Specialty Care Medtronic Maquet Getinge Group Global Blood Resources Terumo Cardiovascular • Simulation workshop feedback report • What can we take home? • How have participants experienced this meeting? • Goal setting for 2011 and beyond
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Summary of our Meeting “Do changes introduced in your practice go nowhere, are bogged down by negativism, distractions, disinterest, or even active resistance?.“
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Summary of our Meeting“Do changes introduced in your practice go nowhere, are bogged down by negativism,
distractions, disinterest, or even active resistance?.“ JOP. 2010;6(5):257-9.
The “Bringing It Home” Challenge
Jeff Riley, Mayo Clinic, Rochester MN USA
“Bringing It Home”
Disclosure:I have advised, or managed grants to or clinical trials at Mayo Clinic in the areas of simulation and perfusion technology with the following groups:
Having experienced the content of this meeting, I would still register for the meeting again.
1 2
0%0%
1. Yes
2. No
Sim Workshop vs. In Situ SimDelegates reported a format preference
Favorite Simulation Workstation
7.40%
25.90%
18.50%22.20%
22.20%3.70%
Checklist completion Power/battery failure
Aortic cannulation Vacuum assist
Oxygenator failure Simulation pedagogy
0%33.30%
22.20%22.20%
16.70%5.60%
Checklist completion Power/battery failure
Aortic cannulation Vacuum assist
Oxygenator failure Simulation pedagogy
Thursday Friday
n = 9 - 28 n = 6 - 24
Power/Battery Failure WorkstationThursday Friday
0%0%
54.60%
45.40%
The station was not very useful to my practic...
The station was interesting, we might use it ...
We will use some of what we learned at the st...
Very useful: We will emulate the station in o...
0% 10%
30%60%
The station was not very useful to my practic...
The station was interesting, we might use it ...
We will use some of what we learned at the st...
Very useful: We will emulate the station in o...
n = 11 n = 9
Vacuum Assist Workstation
Thursday Friday
33.30%
0%33.30%
33.30%
The station was not very useful to my practic...
The station was interesting, we might use it ...
We will use some of what we learned at the st...
Very useful: We will emulate the station in o...
0%0%33.30%
66.70%
The station was not very useful to my practic...
The station was interesting, we might use it ...
We will use some of what we learned at the st...
Very useful: We will emulate the station in o...
n = 12 n = 9
Preference for Workshop vs. Individual In Situ Sim
Thursday Friday
10.70%
21.40%
39.30%
28.60%
Not as useful to me as an individual
Somewhat more useful to me
Is more useful to me
I prefer the workshop model
68.40%
21%
5.30% 5.30%
The workshop model is is preferable
The workshop model is okay
Might have gained more from the individual ex...
Would prefer the individual simulation statio...
n = 28 n = 20
Are AmSECT and the ICEBP headed in the right direction with simulation?
Thursday Friday
0% 10%0%
5%
85%
I do not know w hat AmSECT is doing
No – AmSECT is not moving fast enough
No – AmSECT should not spend time and energy ...
Developing simulation for perfusion is anothe...
Yes – keep going
3.60% 7.10% 0%
3.60%
85.70%
I do not know w hat AmSECT is doingNo – AmSECT is not moving fast enoughNo – AmSECT should not spend time and energy ...Developing simulation for perfusion is anothe...Yes – keep going
n = 28 n = 20
Notes from the Sim Workshop Debrief
• valued the team sharing workshop aspects versus the promise of an individual In Situ simulation experience
• generally reported that the workshop station content and activities were transferable to home
• expressed concern regarding cost and equipment issues with a national re-certification effort for practicing perfusionists
Delegates:
55%
45%
Yes No
Like our anesthesiology colleagues, perfusionists should have to complete simulation-based educational activities as part of their re-certification requirements.
n = 20
Versus In Situ simulation individual rooms and the workshop format, what do you recommend?
66.70%
33.30%0%
Repeat workshop format Combination of formats
Individual experiences only n = 21
How have delegates experienced the meeting?
• What can you take home with you?– Ideas for action
• Potential pay-off for idea at home• Ease of adoption for the idea