Title: Assessment of Retention of Skills with Simulator based Training among Anaesthesiology Residents
Authors: Jithumol Thankam Thomas, Bhagyalakshmi R, Rachel Cherian Koshy
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.219
Abstract
Background and Aims: A continuing attempt in graduate education is to devise more effective methods to assess and train the residents. Life sized simulators are nowadays being used as a novel technique for this purpose .The aim of this study was to evaluate the effectiveness of simulator based training and retention of learnt skills among anesthesiology residents.
Methods: This interventional study was conducted on the 20 postgraduate (pg) residents in our institute, who were divided into 3 groups, based on their years of training - PG Level 1,2 and 3. Each participant was given 3 scenarios for simulation on Advanced Life Support (ALS) SIMULATOR which included A) Endotracheal intubation, B)Advanced care life support and C)Epidural technique. At the end of scenario, participants were debriefed and simulator based training provided. The study was then repeated after an interval of 4 weeks. The scores before and after simulator training was compared for each scenario. Also scores between the pg levels were compared. Statistical tests used were Kruskal- Wallis one way Analysis of variance (ANOVA) and Wilcoxon Signed Rank Test.
Results: A significant improvement in scores were noted after 4 weeks of the initial simulator training for all scenarios (p value of 0.000 for all 3 scenarios). While the more experienced final year residents outscored less experienced ones in scenarios A and B, first years scored equally well as their seniors after simulator training for scenario C.
Conclusion: Simulator training can be effectively used to train and refine skills among residents and anaesthesiologists.
Keywords: Simulation, Anaesthesia, Residents, Training, Simulator.
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