Utility of High-Fidelity Simulation In the Education and Assessment of Residents in the Recognition and Management of the Sepsis Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Performance on a practical assessment of the recognition and management of early sepsis in the hospitalized patient.
研究概览
简要总结
The primary objective of the proposed study will be to determine if a multi-modality teaching curriculum utilizing high-fidelity simulation and didactic lecture will result in sustained improvement by internal medicine residents in written knowledge and clinical performance when compared to residents receiving a curriculum utilizing only didactic lecture. The investigators hypothesis is that the addition of high-fidelity simulation to a traditional didactic lecture curriculum will result in sustained and superior written knowledge and practical performance when compared to a group receiving only didactic lecture on the same topic. Specifically, the investigators will be assessing internal medicine resident knowledge and performance in the area of sepsis in the hospitalized patient, and will shape the investigators teaching curriculum around this focus.
详细描述
This is a randomized prospective single-blinded pilot study. Residents from the internal medicine residency program will be assigned a unique number to de-identify them, and then randomized, stratified by post-graduate year (PGY) level, by random number generator to intervention and control groups. Only de-identified information will be used in subsequent analysis, and no individual results will be used. Residents will not know to which group they have been randomized.
Both the intervention and control groups will take a pre-course survey assessing their level of training, area of specialty/interest, and level of confidence in the recognition and management of sepsis.
Both the intervention and control groups will then be put through 2-4 simulated scenarios using high-fidelity simulation. In the intervention group, these scenarios will be sepsis syndrome scenarios. In the control group, non-sepsis scenarios will be administered.
Immediately following the scenarios, a written knowledge quiz focusing on recognition and management of sepsis will be administered to subjects in both groups.
Following the quiz, there will be a debrief session for subjects in both groups of the simulation scenarios, pointing out what was done correctly and what was not.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •English-speaking internal medicine resident trainees
排除标准
- •Anyone not meeting inclusion criteria
研究组 & 干预措施
Debriefing of high-fidelity sepsis simulation scenarios
First visit:
- Subjects will fill out a self-assessment focusing on perceptions of their knowledge and ability in the recognition and management of sepsis in hospitalized patient
- Subjects will be specifically exposed to high-fidelity simulated sepsis scenarios and be debriefed on their performance in these scenarios (intervention)
- Subjects will take a written test focusing on early recognition and management of sepsis
- Subjects will receive a didactic teaching session focusing on recognition and management of early sepsis in the hospitalized patient
In the second visit:
- Subjects will be exposed to a number of high-fidelity simulated sepsis scenarios and be scored on their performance in management of these scenarios
- Subjects will take a written test of knowledge focusing on early recognition and management of sepsis
- Subjects will then be debriefed specifically on their performance in the simulation scenarios
干预措施: Debriefing of high-fidelity sepsis simulation scenarios (Other)
Debriefing of high-fidelity non-sepsis simulation scenarios
First visit:
- Subjects will fill out a self-assessment survey of their perceptions of their knowledge and ability in the recognition and management of sepsis in the hospitalized patient
- Subjects will be exposed to high-fidelity simulation scenarios (non-sepsis) and be debriefed in terms of their performance in these scenarios
- Subjects will take a written test of knowledge focusing on early recognition and management of sepsis
- Subjects will receive a didactic teaching session focusing on recognition and management of early sepsis in the hospitalized patient
In the second visit:
- Subjects will be exposed to a number of high-fidelity simulated sepsis scenarios and be scored on their performance in management of the scenarios
- Subjects will take a written test of knowledge focusing on early recognition and management of sepsis
- Subjects will then be debriefed specifically on their performance in the simulation scenarios
干预措施: Placebo: Debriefing of high-fidelity non-sepsis simulation scenarios (Other)
结局指标
主要结局
Performance on a practical assessment of the recognition and management of early sepsis in the hospitalized patient.
时间窗: 2-4 months after intervention
Graded performance in simulated sepsis scenario utilizing high-fidelity simulation
Performance on a written assessment of the recognition and management of early sepsis in the hospitalized patient.
时间窗: 2-4 months after intervention
Written test
次要结局
- Self-assessment of knowledge and ability in the recognition and management of early sepsis in the hospitalized patient.(2-4 months after intervention)