Medical simulation training has rapidly emerged as an effective model of clinical skill development. A validated educational approach, this technique allows practitioners the ability to gain proficiency and confidence in ongoing professional practices such as clinical decision making, procedural techniques, teamwork performance and complex patient interactions. Techniques acquired in medical simulation are directly linked to improved patient outcomes, enhanced duration of skill competency, improved efficiency, and increased confidence. Historically, this emerging field has concentrated on graduate medical education. In the postgraduate period, maintenance of skills acquired during graduate education may be difficult if practice opportunities are unavailable or infrequent. Assessment of competency in these skills is often limited to random chart reviews, lacking direct observation of performance. The application of simulation training to professional development in Hospitalists represents a prime opportunity to enhance clinical skills, teamwork techniques, patient communication, and commonly performed procedures.
To design a curriculum specific to hospitalists that identifies common practices unique to the profession and pairs those practices with a specific simulation and comprehensive performance review focused on applicationbased skill enhancement.
A team of six hospitalists with graduate medical education simulation training experience developed a comprehensive curriculum specific to practicing hospitalists. All institutional hospitalists are invited to participate in each scenario three times yearly. Curriculum includes simulations under development correspond to 4 categories: Deteriorating Emergencies, Procedural Practice, Interviewing Techniques and Documentation Review (Table 1). Each simulation is designed to be performed in a simulation environment with standard patient room amenities. Scenarios are performed solo, or in conjunction with ancillary staff. All simulations are structured to run for 20 minutes followed by 10 minute postscenario debriefings which focus on critical performance issues and specific aims for improvement. Each participant completes a brief postscenario confidence scale. Data processing includes postsimulation confidence score comparisons with longitudinal assessment.
We designed a structured simulation curriculum available to hospitalists interested in enhancing clinical skills through a fun and interactive learning environment. The program is currently in its first year with data in the accrual process.
|Respiratory Distress Simulation|
|STEMI Protocol Simulation|
|Gastrointestinal Bleed Simulations|
|Central Line Placement|
|IV line placement|
|End of life discussions|
|“Difficult Patient” Discussions|
To cite this abstract:Hensley B, Geyer H, Ivanov I, Charles J, Cannon K, Stiefeld R. Developement of Medical Simulation Training for Practicing Hospitalists: Fundamentals of Implementation. Abstract published at Hospital Medicine 2012, April 1-4, San Diego, Calif. Abstract 97746. Journal of Hospital Medicine. 2012; 7 (suppl 2). https://www.shmabstracts.com/abstract/developement-of-medical-simulation-training-for-practicing-hospitalists-fundamentals-of-implementation/. Accessed November 20, 2019.