Neuro-critical care skills training using a human patient simulator.

Neurocritical Care
Michael J MusacchioRichard W Byrne

Abstract

Neurosurgical trainees regularly encounter critical care situations. Traditionally, education was accomplished through lecture and experience. Increasingly, human patient simulators (HPS) are employed, allowing trainees to sharpen skills in a safe and realistic environment. We describe our experience using HPS in neurosurgical training. We developed a critical care training program for residents and medical students using HPS. We used a hi-fidelity, lifelike Human Patient Simulator™ (HPS™) produced by Medical Education Technologies, Inc.™ to simulate realistic scenarios for trainee education. Topics included spinal shock, closed head injury, and cerebral vasospasm. A three-way evaluation model was employed to test validity, including pre- and post-exercise testing, survey feedback, and videotaped replay. The simulation exercises were conducted by a neuro-critical care attending, a senior neurosurgical resident, and a HPS technician. We currently have 29 participants. On a 20-point critical care multiple-choice exam for these participants, average improvement has been 4.5 points or 25%. In subgroup analysis, average improvement was 4.75 points (24%) amongst neurosurgery residents, 3.07 points (18%) amongst neurology residents, 7...Continue Reading

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Citations

Sep 11, 2010·Neurocritical Care·Alexander Papangelou, Wendy Ziai
Jan 10, 2014·Journal of Graduate Medical Education·Farzad MoazedDiane B Wayne
Jun 21, 2014·Journal of Neurosurgery·Matthew A KirkmanNick Sevdalis
Oct 7, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Roberta RehderAlan R Cohen
Nov 2, 2015·Nurse Education in Practice·Bryan Boling, Melanie Hardin-Pierce
Apr 5, 2013·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·P McColganM O McCarron
Nov 16, 2011·Disease-a-month : DM·Steven B GreenbergStephen Small
Jan 10, 2012·The Clinical Teacher·Johnny Lyon-Maris, Samantha Scallan
May 1, 2015·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Giuseppe MicieliGianfranco Gensini
Aug 26, 2015·Clinics in Chest Medicine·Dominique Piquette, Vicki R LeBlanc
Sep 30, 2016·Medical Education Online·Abdelrahman Ibrahim Abushouk, Nguyen Minh Duc
Oct 27, 2018·Neurocritical Care·Nicholas A MorrisAarti Sarwal
Sep 15, 2012·Critical Care Medicine·Henry E Fessler
Aug 7, 2013·The Journal of the American Osteopathic Association·David Matthew ErmakMilind J Kothari

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