Video-Assisted Simulation Training in Burn Management: A Comparative Cohort Study on the Assessment of Technical and Non-technical Competencies.


Journal

Injury
ISSN: 1879-0267
Titre abrégé: Injury
Pays: Netherlands
ID NLM: 0226040

Informations de publication

Date de publication:
Aug 2021
Historique:
received: 06 01 2021
revised: 13 03 2021
accepted: 14 03 2021
pubmed: 29 3 2021
medline: 25 8 2021
entrez: 28 3 2021
Statut: ppublish

Résumé

Written material remains one of the most common methods of education, however the current generation of learners may benefit from additional different media. In our study, we aim to quantify the effects of an innovative video instruction on subsequent resident performance in a burn patient simulation. Following IRB approval, 60 Plastic Surgery residents were randomly assigned to two groups. The control group ("non-video" group) (n = 30) was given only written material as preparation. The experimental group ("video" group) (n = 30) was provided access to video training materials in addition to the written material on technical and non-technical skills. Their videotaped performances on simulation were evaluated by a blinded surgical faculty member. The comparison of variables between the two groups was performed using a Mann-Whitney test for non-normal distributions of quantitative variables, and Fisher's Exact Probability test for qualitative data. Statistical significance was set at p < 0.05. Compared to the non-video group, the video group achieved significantly higher scores in the technical skills of assessment of breathing (p = 0.015), disability (p = 0.023), and exposure (p = 0.005) and in the non-technical skills of decision-making (p = 0.035). In residents participating in burn patient simulations, video training in advance of the simulation significantly improved their assessments of breathing, disability, and exposure as well as decision-making. Our video is a valuable tool to enhance trainees' technical and non-technical competencies in managing burn patient simulations.

Sections du résumé

BACKGROUND BACKGROUND
Written material remains one of the most common methods of education, however the current generation of learners may benefit from additional different media. In our study, we aim to quantify the effects of an innovative video instruction on subsequent resident performance in a burn patient simulation.
METHODS METHODS
Following IRB approval, 60 Plastic Surgery residents were randomly assigned to two groups. The control group ("non-video" group) (n = 30) was given only written material as preparation. The experimental group ("video" group) (n = 30) was provided access to video training materials in addition to the written material on technical and non-technical skills. Their videotaped performances on simulation were evaluated by a blinded surgical faculty member. The comparison of variables between the two groups was performed using a Mann-Whitney test for non-normal distributions of quantitative variables, and Fisher's Exact Probability test for qualitative data. Statistical significance was set at p < 0.05.
RESULTS RESULTS
Compared to the non-video group, the video group achieved significantly higher scores in the technical skills of assessment of breathing (p = 0.015), disability (p = 0.023), and exposure (p = 0.005) and in the non-technical skills of decision-making (p = 0.035).
CONCLUSIONS CONCLUSIONS
In residents participating in burn patient simulations, video training in advance of the simulation significantly improved their assessments of breathing, disability, and exposure as well as decision-making. Our video is a valuable tool to enhance trainees' technical and non-technical competencies in managing burn patient simulations.

Identifiants

pubmed: 33773802
pii: S0020-1383(21)00250-3
doi: 10.1016/j.injury.2021.03.032
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2154-2159

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Auteurs

Konstantinos Gasteratos (K)

Department of Plastic and Reconstructive Surgery, Papageorgiou General Hospital, Thessaloniki, Greece.

Joseph Robert Paladino (JR)

Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, United States.

W Bosseau Murray (WB)

Anesthesiology, Pennsylvania State University College of Medicine at Milton S. Hershey Medical Center, Hershey, PA, United States.

Jeremy Goverman (J)

Massachusetts General Hospital, Burns Center, Harvard Medical School, Boston, MA, United States. Electronic address: JGOVERMAN@mgh.harvard.edu.

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Classifications MeSH