Cognitive versus technical debriefing after simulation training

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
William F BondPat Croskerry

Abstract

Recent literature describes "cognitive dispositions to respond" (CDRs) that may lead physicians to err in their clinical reasoning. To assess learner perception of high-fidelity mannequin-based simulation and debriefing to improve understanding of CDRs. Emergency medicine (EM) residents were exposed to two simulations designed to bring out the CDR concept known as "vertical line failure." Residents were then block-randomized to a technical/knowledge debriefing covering the medical subject matter or a CDR debriefing covering vertical line failure. They then completed a written survey and were interviewed by an ethnographer. Four investigators blinded to group assignment reviewed the interview transcripts and coded the comments. The comments were qualitatively analyzed and those upon which three out of four raters agreed were quantified. A random sample of 84 comments was assessed for interrater reliability using a kappa statistic. Sixty-two residents from two EM residencies participated. Survey results were compared by technical (group A, n = 32) or cognitive (group B, n = 30) debriefing. There were 255 group A and 176 group B comments quantified. The kappa statistic for coding the interview comments was 0.42. The CDR debriefing...Continue Reading

Citations

Jul 31, 2013·Nurse Education Today·Claudine Dufrene, Anne Young
Jul 1, 2007·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Ruth M Fanning, David M Gaba
Sep 20, 2011·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Daniel RaemerGeorges Savoldelli
Feb 17, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·William F BondUNKNOWN Society for Academic Emergency Medicine Simulation Task Force
Jun 23, 2010·Pediatrics·Hardeep SinghGeeta Singhal
Jun 30, 2018·The Journal of Nursing Education·Sandra JohnstonRobyn Nash
Jul 22, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Thomas P NoellerKathleen R Rosen
Jul 22, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steve McLaughlinUNKNOWN SAEM Technology in Medical Education Committee and the Simulation Interest Group
Dec 30, 2018·BMJ Evidence-based Medicine·Claudia Caroline DoblerCelia C Kamath
Jun 23, 2015·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Adam ChengWalter Eppich
Feb 25, 2015·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Adam ChengVincent Grant

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.