First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing

Introduction Medical students may graduate with limited experience in managing acutely decompensating patients independently. As interns they often assume that mantle of responsibility. This first call simulation-based training provided fourth-year medical students with a guided experience in creati...

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Autores principales:	Andrew Musits, Gianna Petrone, David Lindquist, Paul George
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Simulation Diagnostic Reasoning Peri-Scenario Debriefing Large-Group Simulation Internship Preparation Acute Care Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/f3d12cb759ba405d926a86c25586994b
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spelling	oai:doaj.org-article:f3d12cb759ba405d926a86c25586994b2021-11-19T14:48:00ZFirst Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing10.15766/mep_2374-8265.109822374-8265https://doaj.org/article/f3d12cb759ba405d926a86c25586994b2020-09-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10982https://doaj.org/toc/2374-8265Introduction Medical students may graduate with limited experience in managing acutely decompensating patients independently. As interns they often assume that mantle of responsibility. This first call simulation-based training provided fourth-year medical students with a guided experience in creating differential diagnoses and initiating diagnostic plans while resuscitating patients. Methods This simulation session was designed as a 3-hour session as part of a larger internship preparatory course for fourth-year medical students. The session contained three high-fidelity simulation scenarios involving a decompensating patient with a focus on developing a broad differential diagnosis and initiating treatment. The medical student leader for each patient encounter rotated with the remaining medical students actively involved in the peri-scenario debriefing process. The simulation effectiveness tool (SET-M), a published instrument to measure a learner's perception of how effective the simulation met their learning needs, was completed at the end of the session. Results Twenty students participated in the session and completed the SET-M. Ninety-five percent of students strongly agreed they were better prepared to respond to changes in a patient's condition and felt empowered to make clinical decisions. Of students, 100% strongly agreed that the debriefing was valuable in helping to improve their clinical judgment and contributed to their learning. Discussion Simulation-based training with facilitated, peri-scenario debriefing may be an effective method to develop confidence and clinical reasoning skills. This may help fourth-year medical students prepare for the impending responsibility to evaluate and initiate care for acutely decompensating patients.Andrew MusitsGianna PetroneDavid LindquistPaul GeorgeAssociation of American Medical CollegesarticleSimulationDiagnostic ReasoningPeri-Scenario DebriefingLarge-Group SimulationInternship PreparationAcute CareMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Diagnostic Reasoning Peri-Scenario Debriefing Large-Group Simulation Internship Preparation Acute Care Medicine (General) R5-920 Education L
spellingShingle	Simulation Diagnostic Reasoning Peri-Scenario Debriefing Large-Group Simulation Internship Preparation Acute Care Medicine (General) R5-920 Education L Andrew Musits Gianna Petrone David Lindquist Paul George First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing
description	Introduction Medical students may graduate with limited experience in managing acutely decompensating patients independently. As interns they often assume that mantle of responsibility. This first call simulation-based training provided fourth-year medical students with a guided experience in creating differential diagnoses and initiating diagnostic plans while resuscitating patients. Methods This simulation session was designed as a 3-hour session as part of a larger internship preparatory course for fourth-year medical students. The session contained three high-fidelity simulation scenarios involving a decompensating patient with a focus on developing a broad differential diagnosis and initiating treatment. The medical student leader for each patient encounter rotated with the remaining medical students actively involved in the peri-scenario debriefing process. The simulation effectiveness tool (SET-M), a published instrument to measure a learner's perception of how effective the simulation met their learning needs, was completed at the end of the session. Results Twenty students participated in the session and completed the SET-M. Ninety-five percent of students strongly agreed they were better prepared to respond to changes in a patient's condition and felt empowered to make clinical decisions. Of students, 100% strongly agreed that the debriefing was valuable in helping to improve their clinical judgment and contributed to their learning. Discussion Simulation-based training with facilitated, peri-scenario debriefing may be an effective method to develop confidence and clinical reasoning skills. This may help fourth-year medical students prepare for the impending responsibility to evaluate and initiate care for acutely decompensating patients.
format	article
author	Andrew Musits Gianna Petrone David Lindquist Paul George
author_facet	Andrew Musits Gianna Petrone David Lindquist Paul George
author_sort	Andrew Musits
title	First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing
title_short	First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing
title_full	First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing
title_fullStr	First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing
title_full_unstemmed	First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing
title_sort	first call simulation: preparing for acute patient decompensation with facilitated, peri-scenario debriefing
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/f3d12cb759ba405d926a86c25586994b
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First Call Simulation: Preparing for Acute Patient Decompensation with Facilitated, Peri-Scenario Debriefing

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