Accepted Type
Oral
Code
OE3-2-1
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Other
Presenter Other
Faculty and clinician
Affiliation
Considered for Poster
yes
Title
Using a simulation-based emergency airway mastery curriculum for CCFP-EM residents to teach airway management skills
Length of Presentation
Background/Purpose
Emergency airway management requires complex skills typically taught through short courses and clinical exposure however, it is unlikely that robust learning occurs with this model. Using cognitive load theory (CTL), mastery approach, and the 4 Component Instructional Design (4CID) we designed a course including 12 monthly modules, high volume deliberate practice, and intermittent reinforcement using mental rehearsal. This research question guided our study: does such an approach to airway learning reliably produce mastery of the full spectrum of airway management skills?
Methods
10 CCFP-EM residents in the 2019/2020 academic year completed the modules, 5 locally-developed Objective Structured Assessments of Technical Skills (OSATS), and 2 validated Objective Structured Clinical Evaluations (OSCE)s. A secondary task distraction (a buzzer that needed silencing) was present throughout the tests in order to increase the difficulty. OSATS were scored using validated Global Rating Index of Technical Skill (GRIT) and OSCEs using Queen's Simulation Assessment Tool (QSAT).
Results
The average grade on OSCE 1 was 4.1 (+/-0.54) and on OSCE 2 4.1 (+/-0.54). 9/10 of learners achieved the Superior GPR (Global Performance Rating) or higher on both. The average GRA on OSATS 1-5 were 4.4 (+/- 0.80), 4.1 (+/-0.70), 4.3 (+/-0.64), 4.0 (+/-0.89) and 4.0 (+/- 0.77) with 9/10 learners achieving Superior or higher on 4/5 tests and 1 learner achieving Competent on all 5 tests.
Conclusion
Our course reliably produced mastery on both OSCEs and OSATs, with 90% of the learners achieving the Superior or higher performance, despite the vide variety of skills sampled and the distracting secondary task.
Keyword 1
Airway management
Keyword 2
family medicine
Keyword 3
simulation
Level of Training
Post Graduate
Abstract Themes
Curriculum
Curriculum
General
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Fil Gilic
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
