1 / 26

Assessing and Enhancing Clinical Competency with Simulation

Assessing and Enhancing Clinical Competency with Simulation. Norbert Werner City of Edmonton Emergency Medical Services EMS Program Development Norbert.Werner@Edmonton.ca. The painful post-lunch lecture!!. Presentation Objectives:. At the end of this brief session, you will be able to:

anila
Download Presentation

Assessing and Enhancing Clinical Competency with Simulation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Assessing and Enhancing Clinical Competency with Simulation Norbert Werner City of Edmonton Emergency Medical Services EMS Program Development Norbert.Werner@Edmonton.ca

  2. The painful post-lunch lecture!!

  3. Presentation Objectives: At the end of this brief session, you will be able to: 1. Appreciate the need and importance of assessing competency in your staff. 2. Discuss a few benefits of full-scale medical simulation and its potential to enhance clinical competency. 3. Apply several innovative and practical tools regarding simulation that can be used in your workplace.

  4. Important Questions • How do we produce a competent student? • How well prepared are our graduates and future employees? • Are there ways to supplement the clinical practicum experience? • As employers and educators, how do we maintain and enhance clinical competency in our staff and students?

  5. CMA Conjoint Accreditation Goal: • To ensure that educational programs enable their students to acquire the knowledge, skills, and attitudes to function as a competent health practitioner for the benefit of all Canadians. • What happens after graduation? • What about 1, 5, or 25 years after graduation?

  6. Simulation... …is simply a tool.

  7. Aviation Industry Purpose of Simulation: • To prevent error and death • Accelerates your experiential learning curve. • Mastery of knowledge or skill in safe environment

  8. Clinical Care Corrections during performance Others point out errors Others tell you how you performed You move on to the next clinical task Simulation Consequences of decisions seen You realize/prioritize errors You observe how you performed You repeat the challenge Ideal Learning Environment

  9. University of Calgary Study:PI: Dr. Rob Hall BSc, MDStudy Question HUMAN PATIENT SIMULATOR (SIM group) OPERATING ROOM (OR group) versus

  10. University of Calgary Study:Overall Intubation Success Rate Difference of 3.0%

  11. Implications • Paramedic students should be trained ETI on a patient simulator prior to the OR rotation • Improved airway training • Reduce OR time • Simulator training should not entirely replace the OR experience

  12. Medical Control Guidelines Continuing Education Program Purpose: • Continuous training • Maintenance and enhancement of skill-sets and knowledge • Proactive, regular face-to-face needs assessment

  13. Part A: Quarterly con-ed module Topic based on one or two MCG’s Topic driven by staff Interactive design Medical Control Guidelines Continuing Education Program

  14. Medical Control Guidelines Continuing Education Program Part B: • Simulation educational session for all staff • No fore-warning/ random selection • Simulator or live standardized patient • Debriefing time

  15. What Makes Simulation Successful? The 6 R’s: • Real time • Real environment • Real people • Real actions • Real drugs • Real stress

  16. Most importantly….Real fun!!

  17. Debriefing Session:

  18. Debriefing Session: • Create a safe, non-threatening environment • Encourage experiential learning • Encourage feedback and self-evaluation • Allow the participant to vent, affirm, or redeem their performance

  19. Debriefing Session: • What NOT to do! • Instead, encourage student-driven learning and discovery

  20. Assessment of Students Performance Two categories for evaluation: 1. Team behaviors 2. Critical actions Debriefing session includes: • Reviewing key learning objectives • Individually-targeted training • Addressing everyone’s unique needs

  21. Cardiac Arrest Simulation

  22. Is Simulation Worth the Effort? Three “feel good” stories: 1. Junior crew: difficult airway/GSW 2. Cricothyrotomy success 3. Cardiac dysrhythmia patient

  23. Questions to Ask Ourselves • Do we encourage lifelong learning in our students/staff? Is training a priority? • As educators and employers, do we offer safe, non-threatening opportunities for remediation and enhancement of competency? • As an educator or clinical preceptor, how do I currently maintain my own competency?

  24. Summary • Assessing clinical competency of staff needs to be a priority. • Simulation and other forms of technology can enhance competency of students and employees. • Simulation can supplement or “fill the gaps” in the clinical education that you currently offer your staff and students.

  25. Thank you!!

More Related