Abstract Immersive learning environments that use virtual simulation ( VS ) technology are increasingly relevant as medical learners train in an environment of restricted clinical training hours and a heightened focus on patient safety. We conducted consensus process with breakout group the 2017 Academic Emergency Medicine Consensus Conference “Catalyzing System Change Through Health Care Simulation: Systems, Competency, Outcomes.” This examined current uses assessment, including limitations...

The use of medical simulation has grown dramatically over the past decade, yet national data on prevalence and growth among individual specialty training programs are lacking. objectives this study were to describe current role in emergency medicine (EM) residency quantify technology 5 years.In follow-up a 2006 (2003 data), authors distributed an updated survey program directors (PDs) all 179 EM operating early 2008 (140 Accreditation Council Graduate Medical Education [ACGME]-approved...

Recent literature defines certain cognitive errors that emergency physicians will likely encounter. The authors have utilized simulation and debriefing to teach the concepts of metacognition error avoidance.The conducted a qualitative study an educational intervention at Lehigh Valley Hospital during academic year 2002-03. Fifteen medicine residents--eight from postgraduate three (PGY3) seven two (PGY2)--experienced difficult simulator lab scenario designed lead them into trap. was...

Simulations are exercises designed to mimic real-life situations in which learners given the opportunity reason through a clinical problem and make critical decisions without potential of harming actual patients. Simulation, using variety formats, is useful for assessing core competencies-particularly patient care (decision making, prioritizing, procedural skills), interpersonal skills (team leadership, communication), systems-based practice structure utilization, resource use)....

Medical simulation is a rapidly expanding area within medical education. In 2005, the Society for Academic Emergency Medicine Simulation Task Force was created to ensure that and its members had adequate access information resources regarding this new important topic. One of objectives task force create research agenda use in emergency The authors present here consensus document from suggested areas research. These include opportunities study reflective experiential learning, behavioral team...

Background: Advance care planning (ACP) documents patient wishes and increases awareness of palliative options. Objective: To study the association outpatient ACP with advanced directive documentation, utilization, costs care. Design: This was a case–control cases who died matched 1:1 controls. We used 12 months data pre-ACP/prematch predeath. compared rates documentation logit model regression conducted difference-in-difference analysis using generalized linear models for utilization costs....

Purpose Scoring postencounter patient notes (PNs) yields significant insights into student performance, but the resource intensity of scoring limits its use. Recent advances in natural language processing (NLP) and machine learning allow application automated short answer grading (ASAG) for this task. This retrospective study evaluated psychometric characteristics reliability an ASAG system PNs factors contributing to implementation, including feasibility case-specific phrase annotation...

Background/Objectives: Maternal mortality occurs at alarming rates in the United States. In 2018, there were 17 maternal deaths for every 100,000 births-double that of other high-income countries, including France and Canada. Postpartum hemorrhage (i.e., excessive blood loss during delivery or within 24 h following) is a leading cause treatable condition if identified managed timely manner. One aspect work impacts patient care postpartum safety culture. The culture beliefs, values, norms...

All residency programs in the United States are required to report their residents' progress on milestones Accreditation Council for Graduate Medical Education (ACGME) biannually. Since development and institution of this competency-based assessment framework, have been attempting ascertain best ways assess resident performance these metrics. Simulation was recommended by ACGME as one method many milestone subcompetencies. We developed three simulation scenarios with scenario-specific...

Background: Recent literature describes “cognitive dispositions to respond” (CDRs) that may lead physicians err in their clinical reasoning. Objectives: To assess learner perception of high‐fidelity mannequin‐based simulation and debriefing improve understanding CDRs. Methods: Emergency medicine (EM) residents were exposed two simulations designed bring out the CDR concept known as “vertical line failure.” Residents then block‐randomized a technical/knowledge covering medical subject matter...

Introduction: The objective of this study was to describe the availability and current use high-fidelity mannequin-based simulation (HFMB) in emergency medicine (EM) training programs. Methods: A 12-item survey instrument used collect data on status human at 126 approved EM residencies 30 accredited osteopathic residencies. Results: In all, 114 out 156 programs completed for a response rate 73%. There are 54 (47%) with HFMB simulators their institution, 38 (33%) access these simulators, 33...

Abstract This consensus group from the 2008 Academic Emergency Medicine Consensus Conference, “The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise,” held Washington, DC, May 28, 2008, focused on use simulation for development individual expertise emergency medicine (EM). Methodologically sound qualitative quantitative research will be needed to illuminate, refine, test hypotheses this area. The discussion around six primary topics: study behavior experts,...

AbstractObjectives. To ascertain the level of acceptance a human patient simulator as training tool among diverse group health care providers. Secondary objectives were to elucidate its most useful aspects for and find ways improve upon simulation experience. Methods. A satisfaction survey was conducted regarding use from July 1999 February 2000. The consisted five questions with five-point Likert scale (5 being favorable score) three that asked qualitative written feedback on handed 78...

Abstract Objectives: Chemical, biological, radiological, nuclear, and explosive (CBRNE) incidents are low frequency, high impact events that require specialized train-ing outside of usual clinical practice. Educational modalities must recreate these scenarios in order to provide realistic first responder/receiver training. Methods: High fidelity, mannequin-based (HFMB) simulation video vignettes were used create a simulation-based CBRNE course directed at the recognition, triage,...

Introduction: Our objective was to establish competency and ensure retention in the steps of lumbar puncture procedure. Methods: This a prospective cohort study first- second-year emergency medicine residents. Residents completed survey then viewed 5-minute PowerPoint™ slide presentation 15-minute video on performing They baseline assessment using simulator, received feedback their performance, practiced self-recorded number practice attempts performed second procedure for assessment. Within...

To examine the predictive validity of a TUG test for falls risk, quantified using body-worn sensors (QTUG) in people with Parkinson's Disease (PD). We also sought to inter-session reliability QTUG sensor measures and their association Unified Rating Scale (UPDRS) motor score.A six-month longitudinal study 15 patients disease. Participants were asked complete weekly diary recording any activity six months following baseline assessment. assessed monthly, Timed Up Go test, sensors, placed on...

Virtual reality simulation may significantly benefit a geographically dispersed learner demographic in the medical outpatient setting. Our research used an immersive virtual platform as novel way to recreate high-risk scenarios targeted for office-based emergencies. Using design-based approach we designed virtual-reality-based prepare interprofessional office personnel Learners were connected using laptop computers, via browser interface, with controlled team member avatars and educator...

Introduction High-value care (HVC) suggests that good history taking and physical examination should lead to risk stratification drives the use or withholding of diagnostic testing. This study describes development a series virtual standardized patient (VSP) cases provides preliminary evidence supports their ability provide experiential learning in HVC. Methods pilot used VSPs, natural language processing–based avatars, within USC Standard Patient platform. Faculty consensus was develop...