Wednesday 17 February 2021

The 48th WACEM-ACAIM Special Global Weekly e-Summit on COVISIM2021 (Session II) - Simulation Education in Medicine during COVID19

The 2nd Session (13th Feb 2021) of the COVISIM2021 Saturday Summit began with presentations by the esteemed Academic Emergency Medicine Faculty from The Thomas Jefferson University of Philadelphia which is the Home of The Sidney Kimmel Medical College and Dr. Robert & Dorothy Rector Clinical Skills & Simulation Center. 

Summary of Presentations:

Dr. Shruti Chandra
COVID19 disrupted the educational opportunities the simulation and clinical skills center at Jefferson offers. We described the various modifications we made to our training programs including a grab-and-go model, in-situ simulation to not only teach our regularly scheduled educational programs but also to prepare the emergency department for the pandemic (PPE, intubation etc). We offered solutions to pivot to virtual simulation education and easy to build home models for high fidelity procedural task trainers. We also offered strategies for in-person teaching with focus on distancing, PPE, disinfecting and other adaptations for a successful return to the simulation center.
Lastly, we focused continuing to apply these innovations for simulation education beyond COVID19 pandemic and highlight that elaborate simulation set ups and mannequins are not required for an effective and successful simulation education program. 

Dr. Elizabeth Lee and Dr. Efrat Kean
In-situ simulation allows for deliberate practice of specific roles, identification of latent safety threats, and during the pandemic provided reassurance to practitioners that a clear plan was in place to prevent workplace exposure to Covid-19 virus. We also shared ideas on how to provide task trainers for remote and home learning during the pandemic.

Dr. Ronald Hall
He described the Grab 'n Go model that helps facilitate educational consultation between simulation program coordinator and faculty, where the center has an assembly line of simulation task trainers and itemized checklist and arranges for contents to be returned to drop off site at center and sanitized 

We also described how we reimagined how to perform a physical examination, placed further emphasis on student communication skills and analyzed the effects of alternative learning activities. We tackled the logistics of a Virtual OSCE (Objective Structured Clinical Examination). 

Dr. Jared Kilpatrick and Dr. Kelly Kehm
We used Full Code, a virtual simulation serious game from Minerva Medical for the education of both residents and medical students. Virtual simulation was used across multiple applications for both skill development and assessment. Using virtual simulation afforded faculty new opportunities for improved understanding of learner thought processes.

Dr. Anthony Sielicki
He discussed the use of virtual simulation and telecommunication with a standardized patient to train emergency medicine residents to deliver bad news, as well as best practices to mitigate trainee distress when simulations are planned with poor patient outcomes.

 The 20th February COVISIM2021 Saturday Session will feature Key Note Presentations from Prof. Okuda President Elect of The Society for Simulation in HealthCare, Dr. Brad Peckler from New Zealand and Prof. Mahajan from Michigan University.


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