Innovation and Simulation: Intern Common Critical Care Curriculum

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Presentation transcript:

Innovation and Simulation: Intern Common Critical Care Curriculum Jo Anna Leuck, MD Associate Medical Director, Carolinas Simulation Center

Disclosure No disclosures.

Needs Assessment No consistency in learner experience No consistency in direct observation by faculty PGY-2 residents did not feel prepared to manage critically ill patients

Activation Circumplex Model of Emotion Emotionality of the Experience is the Difference Russell and Feldman Barrett. Journal of Personality and Social Psychology. Vol 76(5) May 1999, 805-819

Basic Assumption We believe that everyone participating in activities at Carolinas Medical Center is intelligent, well-trained, cares about doing their best, and wants to improve.

Curriculum- Flipped Classroom Evidence-based pre-work Articles Cases Questions Procedural video links Post-session work Take Home Points

Global Curriculum Design January-June 2012 Case selection after ICU needs assessment 62 total interns 3 (4 hour sessions) 4 case-based scenarios/session Procedural instruction incorporated Small group discussion/debriefing 4 Interns per session

4C’s Case Design Simulation platform Standardized participants Laerdal Sim-Man 3G Standardized participants RN Family members Patients Labs/Radiology/Consultation

Assessment and Evaluation Global resident assessment Self exploration DASH- Debriefing Assessment for Simulation in Healthcare Pre curricular survey Post curricular survey

Learner Feedback “Status epilepticus pt came in the day after 4C’s & I was able to fully run the case without difficulty…” “I just completed my MICU month and felt comfortable managing critical care patients with minimal assistance from upper levels and attendings….” “I have had several pts in very similar situations in floor codes to those encountered in 4C’s, and felt much more confident because of 4Cs” “I had a pt with acute renal failure, hyperkalemia and bradycardia. I gave the appropriate medications and even paced her with good results…” “I ran a RRT on an anaphylactic patient where an RN almost gave IM dosing epinephrine IV! I was able to intervene due to my knowledge gained at 4C’s”

If offered, would you choose to attend a refresher session or sessions during your PGY2 year? Yes No

Questions?