Implementing COVID-19 Simulation Training for Anesthesiology Residents

Bryant E. Hong; Christine C. Myo Bui; Yue Ming Huang; Tristan Grogan; Victor F. Duval; Maxime Cannesson

doi:10.15766/mep_2374-8265.11215

MedEdPORTAL (Jan 2022)

Implementing COVID-19 Simulation Training for Anesthesiology Residents

Bryant E. Hong,
Christine C. Myo Bui,
Yue Ming Huang,
Tristan Grogan,
Victor F. Duval,
Maxime Cannesson

Affiliations

Bryant E. Hong: Resident, Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, David Geffen School of Medicine
Christine C. Myo Bui: Associate Clinical Professor and Associate Residency Program Director, Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, David Geffen School of Medicine
Yue Ming Huang: Interim Executive Director, UCLA Simulation Center; Associate Adjunct Professor, Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, David Geffen School of Medicine
Tristan Grogan: Principal Statistician, Department of Medicine Statistics Core, University of California, Los Angeles, David Geffen School of Medicine
Victor F. Duval: Anesthesiology Liaison and Lead Instructor, UCLA Simulation Center; Associate Clinical Professor, Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, David Geffen School of Medicine
Maxime Cannesson: Professor and Chair, Department of Anesthesiology and Perioperative Medicine, University of California, Los Angeles, David Geffen School of Medicine

DOI: https://doi.org/10.15766/mep_2374-8265.11215
Journal volume & issue: Vol. 18

Abstract

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Introduction During the COVID-19 pandemic, anesthesiology residents faced increased risk of exposure to SARS-CoV-2 while performing aerosolizing procedures. We developed an airway simulation on the out-of-operating-room management of COVID-19 patients. Methods A 90-minute simulation focused on caring for a 45-year-old COVID-19 patient provided training in donning and doffing personal protective equipment, intubation, management of postinduction hypotension, management of ICU ventilators, treatment strategies for acute respiratory distress syndrome (ARDS), interpersonal communication, and resource management. Presimulation, postsimulation, and 3-months postsimulation questionnaires measured changes in confidence, knowledge, and clinical practice. Statistical analysis was completed using related-samples Wilcoxon signed rank tests. Results Twenty-four residents participated in the simulation. Questionnaire response rates were 100% presimulation and postsimulation and 88% 3-months postsimulation. Confidence scores (1 = not at all, 5 = extremely) improved with donning and doffing personal protective equipment (from 3.0 to 4.1, p < .001), ARDS management (from 3.1 to 4.0, p < .001), and COVID-19 airway management (from 2.8 to 4.0, p < .001). Correct answers on 10 knowledge questions increased significantly between presimulation and postsimulation (from 5.1 to 9.0, p < .001) but not between presimulation and 3-months postsimulation (from 5.1 to 5.8, p = .27). All participants who cared for COVID-19 patients at 3 months agreed or strongly agreed that their current management of COVID-19 patients was directly influenced by the simulation session (M = 4.4). Discussion This simulation is a safe, effective method of providing the experiential training necessary to care for actual COVID-19 patients during an active pandemic.

Published in MedEdPORTAL

ISSN: 2374-8265 (Online)
Publisher: Association of American Medical Colleges
Country of publisher: United States
LCC subjects: Medicine: Medicine (General); Education
Website: https://www.mededportal.org/

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