Development and implementation of a novel, mandatory competency-based medical education simulation program for pediatric emergency medicine faculty

Advances in Simulation

Carrie Glanfield¹  Mireille Gharib²  Anna Kempinska²  Laura Simone²  Jabeen Fayyaz²  Jonathan Pirie² 

[1] Division of Emergency Medicine, The Hospital for Sick Children, 555 University Ave., M5G 1X8, Toronto, ON, Canada;PEM Simulation Program, Toronto, Canada;Division of Emergency Medicine, The Hospital for Sick Children, 555 University Ave., M5G 1X8, Toronto, ON, Canada;PEM Simulation Program, Toronto, Canada;University of Toronto, Toronto, Canada;

关键词: Simulation;    Competency-based medical education;    Procedures;    Resuscitation;    Continuing professional development;   

DOI  :  10.1186/s41077-021-00170-4

来源: Springer

【 摘 要 】

BackgroundMaintaining acute care physician competence is critically important. Current maintenance of certification (MOC) programs has started to incorporate simulation-based education (SBE). However, competency expectations have not been defined. This article describes the development of a mandatory annual SBE, competency-based simulation program for technical and resuscitation skills for pediatric emergency medicine (PEM) physicians.MethodsThe competency-based medical education (CBME) program was introduced in 2016. Procedural skill requirements were based on a needs assessment derived from Royal College PEM training guidelines. Resuscitation scenarios were modified versions of pre-existing in-situ mock codes or critical incident cases. All full-time faculty were required to participate annually in both sessions. Delivery of educational content included a flipped classroom website, deliberate practice, and stop-pause debriefing. All stations required competency checklists and global rating scales.ResultsBetween 2016 and 2018, 40 physicians and 48 registered nurses attended these courses. Overall course evaluations in 2018 were 4.92/5 and 4.93/5. Barriers to implementation include the need for many simulation education experts, time commitment, and clinical scheduling during course events.ConclusionWe have developed a mandatory simulation-based, technical, and resuscitation CBME program for PEM faculty. This simulation-based CBME program could be adapted to other acute care disciplines. Further research is required to determine if these skills are enhanced both in a simulated and real environment and if there is an impact on patient outcomes.

【 授权许可】

CC BY