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Simming It Up STAT

Simming It Up STAT. LTC Jay Baker, M.D. Faculty Development Fellow Madigan Army Medical Center. Objectives. Learned why medical simulation is a superior teaching technique Applied the STAT method for– D eveloping scenarios D ebriefing critical actions Achieving learning objectives.

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Simming It Up STAT

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  1. Simming It Up STAT LTC Jay Baker, M.D. Faculty Development Fellow Madigan Army Medical Center

  2. Objectives • Learned why medical simulation is a superior teaching technique • Applied the STAT method for– • Developing scenarios • Debriefing critical actions • Achieving learning objectives

  3. Why sim?

  4. Technology Enhanced Simulation for Health Professions Education: A Systematic Review and Meta-Analysis Results

  5. Learning Zone Comfort Zone

  6. Sim is fun!

  7. Learning Objectives Scenario Debriefing Critical Actions

  8. Learning Objectives Develop Case Write Critical Actions Scenario Debriefing Determine Learning Objectives Critical Actions

  9. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  10. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. First Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  11. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. Then Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  12. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. Finally Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  13. Exercise #1 SCENARIO ALGORITHM SET UP Actor with bee sting O2 mask, Epipen PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. Recognize anaphylaxis 2. 3. Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  14. Lower the learning barrier • Introduce learners to sim environment • Acknowledge sim deficiencies • Contract– The Basic Assumption “We believe that everyone participating in simulation activities is intelligent, capable, cares about doing their best, and wants to improve.”

  15. Learning Objectives Develop Case Summary Phase Identify Critical Actions Teaching Phase Scenario Debriefing DetermineLearning Objectives Reaction Phase Critical Actions

  16. Reaction Phase • Elicit and recognize concerns • Clarify facts of case • Incorporate concerns into teaching

  17. Teaching Phase

  18. Teaching Styles

  19. Summary Phase • “What did you do well?” • “What did you learn?” OR • “Take aways?”

  20. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Run the scenario Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. Observe performance Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  21. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Run the scenario Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. Assess gaps Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  22. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Run the scenario Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. Take notes Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  23. SCENARIO ALGORITHM SET UP PRE ARRIVAL ARRIVAL PRIMARY SURVEY SECONDARY SURVEY LABS & IMAGES DISPOSITION Debrief the scenario Simulation Training Assessment Tool (STAT) Date: Examiner: Examinee(s): Learning Objectives 1. 2. 3. Debrief performance Introduce the Debriefing Phases Reaction– Blow off steam and elicit concerns Teaching—Address performance related to critical actions Summary– What did you do well? What did you learn for next time? ME = Meets Expectations; NI = Needs Improvement

  24. Exercise #2 • Introduce learner to environment • Run your scenario with a “learner” • Identify performance gaps • Debrief the “learner” • Close gaps through teaching • I will debrief your debriefing

  25. Milestones • EM Milestones “Suggested Evaluation Methods” –

  26. Simulation Training and Assessment Tool (STAT)– Stable Atrial Fibrillation with Rapid Ventricular Rate Milestones Date: Instructor(s): Learner(s): • Learning Objectives: • Assess patient as stable vs. unstable and diagnose atrial fibrillation • Conduct appropriate work up of recent onset atrial fibrillation w/ rapid ventricular rate • Appropriately treat and disposition ME = Meets Expectations; NI = Needs Improvement

  27. Objectives • Learned why medical simulation is a superior teaching technique • Applied the STAT method for– • Developing scenarios • Debriefing critical actions • Achieving learning objectives

  28. Questions? simmingitup.blogspot.com

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