Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration

Introduction For many training programs, including hematology, there are limited structured opportunities to practice collaboration as a competency. Training is often limited to ad hoc interactions during clinical rotations. Accordingly, there is further need for immersive and standardized collabora...

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Autores principales:	Zachary Liederman, Brandon Tse, Calum Slapnicar, Kristen Daly, Christine Leger, Jessica Petrucci, Douglas Campbell, Martina Trinkaus
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Simulation Hematology Collaboration CanMEDS Interprofessional Education Clinical Teaching/Bedside Teaching Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/8aacd26ccc5e428cb71c196405a5fe0c
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spelling	oai:doaj.org-article:8aacd26ccc5e428cb71c196405a5fe0c2021-11-19T15:21:19ZImprovement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration10.15766/mep_2374-8265.110502374-8265https://doaj.org/article/8aacd26ccc5e428cb71c196405a5fe0c2020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11050https://doaj.org/toc/2374-8265Introduction For many training programs, including hematology, there are limited structured opportunities to practice collaboration as a competency. Training is often limited to ad hoc interactions during clinical rotations. Accordingly, there is further need for immersive and standardized collaboration educational programs. This pilot study explored simulation for developing and assessing collaboration competency among hematology residents. Methods Two standardized simulation center scenarios were developed that required residents to work in interprofessional teams. The objectives were to develop collaboration competence and confidence through experiential learning and facilitated reflection. Team members included education and simulation experts as well as hematology nurses as embedded participants. Case 1 presented a 72-year-old male with stage 4 lymphoma experiencing shortness of breath during a rituximab infusion. Case 2 presented a 68-year-old male who suffered a provoked pulmonary embolism. Both cases utilized a simulated clinic space. Pre, post, and 3-month questionnaires (self-assessed collaboration competency and simulation evaluation) were completed. Each session included structured debriefing with facilitated reflection focused on collaboration. Results Seven senior hematology subspecialty residents participated. Despite residents entering the simulation cases with confidence in collaboration, higher collaboration confidence ratings were observed on postsimulation questionnaires (8.2 vs. 7.6 on a 10-point Likert scale). Residents demonstrated awareness of appropriate collaboration skills, but at times failed to implement knowledge into action. Facilitated reflection during the debrief helped residents critique their collaboration performance and develop improvement plans. Discussion Simulation is a promising tool for teaching and assessing collaboration within hematology training.Zachary LiedermanBrandon TseCalum SlapnicarKristen DalyChristine LegerJessica PetrucciDouglas CampbellMartina TrinkausAssociation of American Medical CollegesarticleSimulationHematologyCollaborationCanMEDSInterprofessional EducationClinical Teaching/Bedside TeachingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Hematology Collaboration CanMEDS Interprofessional Education Clinical Teaching/Bedside Teaching Medicine (General) R5-920 Education L
spellingShingle	Simulation Hematology Collaboration CanMEDS Interprofessional Education Clinical Teaching/Bedside Teaching Medicine (General) R5-920 Education L Zachary Liederman Brandon Tse Calum Slapnicar Kristen Daly Christine Leger Jessica Petrucci Douglas Campbell Martina Trinkaus Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration
description	Introduction For many training programs, including hematology, there are limited structured opportunities to practice collaboration as a competency. Training is often limited to ad hoc interactions during clinical rotations. Accordingly, there is further need for immersive and standardized collaboration educational programs. This pilot study explored simulation for developing and assessing collaboration competency among hematology residents. Methods Two standardized simulation center scenarios were developed that required residents to work in interprofessional teams. The objectives were to develop collaboration competence and confidence through experiential learning and facilitated reflection. Team members included education and simulation experts as well as hematology nurses as embedded participants. Case 1 presented a 72-year-old male with stage 4 lymphoma experiencing shortness of breath during a rituximab infusion. Case 2 presented a 68-year-old male who suffered a provoked pulmonary embolism. Both cases utilized a simulated clinic space. Pre, post, and 3-month questionnaires (self-assessed collaboration competency and simulation evaluation) were completed. Each session included structured debriefing with facilitated reflection focused on collaboration. Results Seven senior hematology subspecialty residents participated. Despite residents entering the simulation cases with confidence in collaboration, higher collaboration confidence ratings were observed on postsimulation questionnaires (8.2 vs. 7.6 on a 10-point Likert scale). Residents demonstrated awareness of appropriate collaboration skills, but at times failed to implement knowledge into action. Facilitated reflection during the debrief helped residents critique their collaboration performance and develop improvement plans. Discussion Simulation is a promising tool for teaching and assessing collaboration within hematology training.
format	article
author	Zachary Liederman Brandon Tse Calum Slapnicar Kristen Daly Christine Leger Jessica Petrucci Douglas Campbell Martina Trinkaus
author_facet	Zachary Liederman Brandon Tse Calum Slapnicar Kristen Daly Christine Leger Jessica Petrucci Douglas Campbell Martina Trinkaus
author_sort	Zachary Liederman
title	Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration
title_short	Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration
title_full	Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration
title_fullStr	Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration
title_full_unstemmed	Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration
title_sort	improvement in hematology interprofessional care: simulation with an emphasis on collaboration
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/8aacd26ccc5e428cb71c196405a5fe0c
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Improvement in Hematology Interprofessional Care: Simulation With an Emphasis on Collaboration

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