Looking in the mirror: self-debriefing versus instructor debriefing for simulated crises.

Objective: To examine the effectiveness of self-debriefing as compared to instructor debriefing in the change of nontechnical skills performance of anesthesiology residents.

Design: Prospective, randomized, controlled study.

Setting: A university hospital simulation center.

Personalized oral debriefing versus standardized multimedia instruction after patient crisis simulation.

Background: Simulation experience alone without debriefing is insufficient for learning. Standardized multimedia instruction has been shown to be useful in teaching surgical skills but has not been evaluated for use as an adjunct in crisis management training. Our primary purpose in this study was to determine whether standardized computer-based multimedia instruction is effective for learning, and whether the learning is retained 5 wk later.

Fiberoptic oral intubation: the effect of model fidelity on training for transfer to patient care.

Background: Previous studies have indicated that fiberoptic orotracheal intubation (FOI) skills can be learned outside the operating room. The purpose of this study was to determine which of two educational interventions allows learners to gain greater capacity for performing the procedure.

Methods: Respiratory therapists were randomly assigned to a low-fidelity or high-fidelity training model group.

Fibreoptic airway training: correlation of simulator performance and clinical skill.

Purpose: Simulation centres, where trainees can practise technical procedures on models of varying fidelity, provide a training option that allows them to acquire skills in a controlled environment prior to clinical performance. It has been proposed that the time to complete a simulator task may translate to proficiency in the clinical setting. The objective of this study was to determine whether time to complete a simulator task translates to clinical fibreoptic manipulation (FOM) performance.

An assessment tool for brachial plexus regional anesthesia performance: establishing construct validity and reliability.

Background And Objectives: Technical proficiency in regional anesthesia is often determined subjectively through in-training evaluations. Objective assessment tools improve these evaluations by providing criteria for measurement. However, any evaluation instrument needs to be valid and reliable before it is adopted into a curriculum.

Management of simulated oxygen supply failure: is there a gap in the curriculum?

In this study we evaluated, in our residency program, the understanding and management of a simulated oxygen pipeline failure. Performances of 20 residents were evaluated by 2 raters. Fourth-year residents did not perform better than second-year residents (P = NS).