Jack J Scala, Hannah Cha, Kiarash Shamardani, Emma R Rashes, Lehi Acosta-Alvarez, Rishi P Mediratta
Training the next generation of community-engaged physicians: a mixed-methods evaluation of a novel course for medical service learning in the COVID-19 era
BMC medical education
healthcare professionals expected make rapid correct decisions critical situations despite may lack real practical experience particular crisis situation successful resolution medical crisis depends upon demonstration appropriate technical skills also key behavioral skills eg leadership communication teamwork developed handson high fidelity simulationbased training program ecmo sim provide healthcare professionals opportunity learn practice technical behavioral skills necessary manage ecmo emergencies nine ecmo nurse specialists participated two sequential randomly assigned simulated ecmo emergencies simulated emergencies captured videotape reviewed subjects facilitated debriefings occurred immediately following scenario videotapes scored key technical behavioral skills reviewers blinded sequence scenarios ratings subjects technical behavioral skills scenario compared subjects performed key technical skills correctly often second simulated ecmo emergency addition response times three five specific technical tasks improved first second simulated emergency average 27 seconds subjects behavioral skills rated highly masked reviewers second simulated ecmo emergency improvement comprehensive behavioral scores first second scenario reached statistical significance eight nine subjects exposure highfidelity simulated ecmo emergencies subjects demonstrated significant improvements technical behavioral skills ecmo sim creates learning environment readily supports acquisition technical behavioral skills important solving clinically significant potentially lifethreatening problems occur patients ecmo