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  1. Article ; Online: Simulation-based medical education in Canadian anesthesiology academic institutions: a national survey.

    Gu, Yuqi / Tenenbein, Marshall / Korz, Linda / Busse, Jason W / Chiu, Michelle

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2024  

    Abstract: Purpose: Simulation-based medical education (SBME) is provided by all anesthesiology residency programs in Canada. The purpose of this study was to characterize SBME in Canadian anesthesiology residency training programs.: Methods: We administered a ... ...

    Title translation La formation médicale par simulation dans les établissements canadiens d’enseignement en anesthésiologie : une enquête nationale.
    Abstract Purpose: Simulation-based medical education (SBME) is provided by all anesthesiology residency programs in Canada. The purpose of this study was to characterize SBME in Canadian anesthesiology residency training programs.
    Methods: We administered a 21-question survey to the simulation director/coordinator for all 17 Canadian academic departments of anesthesiology from October 2019 to January 2020. The survey consisted of questions pertaining to the characteristics of the simulation centres, their faculty, learners, curriculum, and assessment processes.
    Results: All 17 residency training programs participated in the survey and reported large variability in the number and formal training of simulation faculty and in content delivery. Five programs (29%) did not provide faculty recognition for curriculum design and running simulation sessions. Most programs offered one to four simulation sessions per academic year for each year of residency. All programs offered mannequin-based and part-task trainers for teaching technical and nontechnical skills. Fourteen programs (82%) offered interprofessional and interdisciplinary simulation sessions, and ten programs (59%) did not include in situ simulation training. Commonly reported barriers to faculty involvement were lack of protected time (12 programs, 71%), lack of financial compensation (ten programs, 59%), and lack of appreciation for SBME (seven programs, 41%).
    Conclusion: Large variability exists in the delivery of SBME in Canadian anesthesiology residency simulation programs, in part because of differences in financial/human resources and educational content. Future studies should explore whether training and patient outcomes differ between SBME programs and, if so, whether additional standardization is warranted.
    Language English
    Publishing date 2024-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-024-02720-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 109: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Introducing Simulation-Based Learning for Trainees in Chronic Pain Medicine: Needs Assessment and Suggestions for Training Scenarios.

    Scheidecker, Anne / Green, Amanda / Syed, Muzammil H / Ling, Celine S / Fiala, Clare / Pakkal, Oya / Monteiro, Sandra / Schandelmaier, Stefan / Korz, Linda

    Medical science educator

    2021  Volume 31, Issue 4, Page(s) 1463–1469

    Abstract: Introduction: Managing patients with chronic pain can be complex and requires specialized clinical knowledge and advanced communication skills. Simulation-based learning has been shown to improve learning outcomes for complex competencies and could be a ...

    Abstract Introduction: Managing patients with chronic pain can be complex and requires specialized clinical knowledge and advanced communication skills. Simulation-based learning has been shown to improve learning outcomes for complex competencies and could be a valuable resource for trainees in chronic pain medicine.
    Methods: We assessed the need for a simulation-based course for trainees in chronic pain medicine at McMaster University in Canada. The needs assessment consisted of three steps: (1) literature review to identify preexisting needs assessments, (2) targeted interviews with six healthcare professionals in chronic pain management, and (3) an analysis of 366 routinely collected patient experience surveys.
    Results: The systematic review identified a small body of related literature and no previous needs assessment. We identified the following key competencies and skills that trainees in pain medicine need to develop: (1) communicating with distressed patients using skills such as de-escalation, active listening, and motivational interviewing, (2) managing patients in difficult emotional situations such as poorly controlled pain or showing signs of opioid misuse, and (3) recognizing and managing mental health issues related to chronic pain using appropriate instruments.
    Discussion: Suggestions for scenarios included the following: (1) consulting a patient with poor pain control and running out of treatment options, (2) managing a patient with suspected inappropriate opioid use, and (3) diagnosing depression in a patient suffering from chronic pain and developing an appropriate treatment plan.
    Conclusion: We propose the development of suggested scenarios into simulation-based courses, and test and refine them together with trainees and experts in pain medicine.
    Supplementary information: The online version contains supplementary material available at 10.1007/s40670-021-01335-6.
    Language English
    Publishing date 2021-06-07
    Publishing country United States
    Document type Journal Article
    ISSN 2156-8650
    ISSN (online) 2156-8650
    DOI 10.1007/s40670-021-01335-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pediatric oncology sedation trial (POST): A double-blind randomized study.

    Nagel, Kim / Willan, Andrew R / Lappan, Janie / Korz, Linda / Buckley, Norman / Barr, Ronald D

    Pediatric blood & cancer

    2008  Volume 51, Issue 5, Page(s) 634–638

    Abstract: Background: There is limited evidence to support the use of an anti-emetic with the administration of intra-thecal chemotherapy. Nor is there adequate clarity on analgesic strategies for children with cancer undergoing painful procedures.: Procedures!# ...

    Abstract Background: There is limited evidence to support the use of an anti-emetic with the administration of intra-thecal chemotherapy. Nor is there adequate clarity on analgesic strategies for children with cancer undergoing painful procedures.
    Procedures: A double-blind, randomized, placebo-controlled, factorial trial was performed in children with acute lymphoblastic leukemia undergoing combined bone marrow aspirations and lumbar punctures during maintenance therapy. The study was designed to measure the effect of adding ondansetron and fentanyl to a standard combination of midazolam and propofol.
    Results: During the first 12 hr following the procedures, patients experienced significantly less vomiting/retching and less disruption of activity while receiving ondansetron, and recorded significantly lower pain scores while receiving fentanyl.
    Conclusions: This study provides evidence that the addition of an analgesic (fentanyl) and an anti-emetic (ondansetron) to the combination of a sedative (midazolam) and an anesthetic (propofol) is of measurable benefit in children who undergo procedures that are painful and risk the consequence of nausea and vomiting.
    MeSH term(s) Adolescent ; Antiemetics/administration & dosage ; Antineoplastic Agents/administration & dosage ; Biopsy, Needle/adverse effects ; Bone Marrow Examination/adverse effects ; Child ; Child, Preschool ; Conscious Sedation/adverse effects ; Conscious Sedation/methods ; Double-Blind Method ; Drug Therapy, Combination ; Female ; Fentanyl/administration & dosage ; Humans ; Hypnotics and Sedatives/administration & dosage ; Hypnotics and Sedatives/adverse effects ; Injections, Spinal ; Male ; Midazolam/administration & dosage ; Ondansetron/administration & dosage ; Pain/etiology ; Pain/prevention & control ; Postoperative Nausea and Vomiting/prevention & control ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy ; Propofol/administration & dosage ; Spinal Puncture/adverse effects
    Chemical Substances Antiemetics ; Antineoplastic Agents ; Hypnotics and Sedatives ; Ondansetron (4AF302ESOS) ; Midazolam (R60L0SM5BC) ; Fentanyl (UF599785JZ) ; Propofol (YI7VU623SF)
    Language English
    Publishing date 2008-11
    Publishing country United States
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2131448-2
    ISSN 1545-5017 ; 1545-5009
    ISSN (online) 1545-5017
    ISSN 1545-5009
    DOI 10.1002/pbc.21669
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1131: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
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