Simulation The Gordon Center for Research in Medical Education Effective Uses of Simulation in BLS & ACLS Training Improving Efficiencies in Simulation Education, Blended Learning in Basic and Advanced Cardiac Life Support Training Geoffrey T. Miller Associate Director, Research and Curriculum Development Division of Prehospital and Emergency Healthcare Gordon Center for Research in Medical Education University of Miami Miller School of Medicine
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The Gordon Center for Research in Medical Education Effective Uses of Simulation in BLS & ACLS Training Improving Efficiencies in Simulation Education,
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Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Improving Efficiencies in Simulation Education, Blended Learning in Basic and Advanced
Cardiac Life Support TrainingGeoffrey T. Miller
Associate Director, Research and Curriculum Development
Division of Prehospital and Emergency HealthcareGordon Center for Research in Medical Education
University of Miami Miller School of Medicine
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Session aims
In the context of BLS and ACLS training:◦Review the fundamental benefits of simulation ◦Discuss various examples of simulation◦Discuss key questions surrounding blended learning◦Explore practical applications of simulation◦Participate in simulation activities for BLS and ACLS
training (Part 2)
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
What’s new in medical simulation…
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
What is medical simulation?
“In general, medical simulations aim to imitate real patients, anatomic regions, or clinical tasks, or to mirror real-life situations in which medical services are rendered.”
“simulation refers broadly to any device or set of conditions… that attempts to present patient problems authentically, whereas a simulator, more narrowly defined, is a simulation device.”
Issenberg, SB, Scalese, RJ. Simulation in Healthcare Education. Perspectives in Biology and Medicine. Vol. 51, No. 1: 31-46.
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Why use simulation?
Benefits of medical simulation◦ Safe environment, mistake forgiving◦ Trainee focused vs. patient focused◦ Controlled, structured, proactive clinical exposure◦ Reproducible, standardized, objective◦ Debriefing as a norm in everyday practice◦ public trust in profession◦ Deliberate and repetitive practice
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Why use simulation?
Assessment of professional competence◦Patient care◦Medical knowledge◦Practice-based learning & improvement◦Communication skills◦Professionalism◦Systems-based practice
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Why use simulation?
What does the science say…◦Overwhelmingly positive and favors use of simulation
Examples:2. A longitudinal study of
internal medicine residents’ retention of advanced cardiac life support skills – Wayne DB, et. al. Academic Medicine, 2006.
“ACLS skill improved significantly… cohort followed for 14 months and the skills did not decay”
3. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study – Wayne DB, et. al. Chest, 2008.
“Simulation-based educational program significantly improved the quality of care during actual events”
1. Written evaluation is not a predictor for skills performance in Advanced Cardiovascular Life Support course – Rodgers DL, et. al. Resuscitation 2010
“The ACLS written evaluation was not a predictor of participant skills in managing a simulated cardiac arrest event”
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Food for thought… and discussion
"Excellence is an art won by training and habituation. We are what we repeatedly do. Excellence, then, is not an act but a habit."
Aristotle
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Another interesting thought…
How could learning style affect awareness,pattern recognition and “habits”?
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
A quick case study
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
Inattentional blindness
Inattentional blindness is the phenomenon of not being able to perceive things that are in plain sight◦Can result from:
no internal frame of reference, or mental focus or attention which
cause mental distractions
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training
‘Right conditions’ for learning in simulation
Feedback should be provided during the learning experience Learners should engage in repetitive practice Simulation should be integrated into the overall curriculum Learners should practice with increasing levels of difficulty Multiple learning strategies should be employed Simulations should represent clinical variation The simulation environment should be controlled Simulations should foster individualized learning Outcomes must be clearly defined and measured The simulator should be valid as a representation of a human or
situation
Issenberg SB,McGaghie WC, Petrusa ER, Gordon D, Scalese RJ (2005). Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical Teacher 27(1): 10–28.
Simulation The Gordon Center for Research in Medical Education
Effective Uses of Simulation in BLS & ACLS Training