The Preparing Residents for International Medical Experiences (PRIME) Simulation Workshop: Equipping Surgery and Anesthesia Trainees for International Rotations

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The Preparing Residents for International Medical Experiences (PRIME) Simulation Workshop: Equipping Surgery and Anesthesia Trainees for International Rotations


JournalThe Journal of Teaching and Learning Resources
Article typeJournal research article – Clinical research
Publication date – Feb – 2021
Authors – J. Matthew Kynes, Rondi Kauffmann, Camila B. Walters, Christopher Sizemore, MD, Arna Banerjee
KeywordsAnesthesiology, Global Health, Low-and middle-income countries, OB/GYN Simulation, surgery
Open access – Yes
SpecialityAnaesthesia, Obstetrics and Gynaecology, Surgical Education
World region Global

Language – English
Submitted to the One Surgery Index on February 16, 2021 at 7:43 am
Abstract:

Abstract
Introduction: Although global health training expands clinical and sociocultural expertise for graduate medical trainees and is increasingly in demand, evidence-based courses are limited. To improve self-assessed competence for clinical scenarios encountered during international rotations, we developed and assessed a simulation-based workshop called Preparing Residents for International Medical Experiences. Methods: High-fidelity simulation activities for anesthesiology, surgery, and OB/GYN trainees involved three scenarios. The first was a mass casualty in a low-resource setting requiring distribution of human and material resources. In the second, learners managed a septic operative patient and coordinated postoperative care without an ICU bed available. The final scenario had learners evaluate a non-English-speaking patient with pre-eclampsia. We paired simulation with small-group discussion to address socio-behavioural factors, stress, and teaching skills. Participants evaluated the quality of the teaching provided. In addition, we measured anesthesiology trainees’ self-assessed competence before and after the workshop. Results: The workshop included 23 learners over two iterations. Fifteen trainees (65%) completed the course evaluation, 93% of whom strongly agreed that the training met the stated objectives. Thirteen out of 15 (87%) anesthesiology trainees completed the competence survey. After the training, more trainees indicated confidence in providing clinical care with indirect supervision or independently. Mean self-assessed competency scores on a scale of 1–5 increased for all areas, with a mean competency increase of 0.3 (95% CI, 0.2–0.5). Discussion: Including simulation in a pretravel workshop can improve trainees’ self-assessed competence for a variety of scenarios involving clinical care in limited-resource settings

OSI Number – 20937

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