Time-efficient, goal-directed, and evidence-based teaching in the ICU

Current Opinion in Anaesthesiology
Marek BrzezinskiJohn D Mitchell

Abstract

Teaching in the stressful, high-acuity environment of the ICU is challenging. The intensivist-educator must use teaching strategies that are both effective and time-efficient, as well as evidence-based approaches to the ICU curriculum. This review provides an overview of pertinent educational theories and their implications on educational practices, a selection of effective teaching techniques, and a review on feedback. Evidence supports the role of conceptual frameworks in providing the educator with a key perspective to obtain a deeper understanding of the factors contributing to an effective and goal-directed education in the ICU. The role of simulation training for technical and nontechnical skills acquisition is growing. Feedback is difficult to provide, but critical to facilitate learner success; frameworks, and approaches are becoming more standardized. Direct teaching should be goal-oriented, sequential, and adjusted to the level of the learner. The ICU curriculum should optimize cognitive load, reduce stress that is unrelated to the activity, include resilience training, and help trainees deal with stressful clinical situations better. Simulation is a powerful tool to promote technical and nontechnical skills. Providin...Continue Reading

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Citations

Nov 18, 2020·Anesthesia and Analgesia·Susan M MartinelliJohn D Mitchell
May 29, 2020·Journal of General Internal Medicine·Lekshmi Santhosh, Justin Sewell

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