The Anesthesia postgraduate (residency) training program embraces interdisciplinary simulation as a valuable learning tool. Simulation allows our residents to participate in crisis scenarios under controlled conditions, complete with post-scenario video review and debriefing. Our residents complete their residency training having experienced firsthand almost all anesthesia crises imaginable; which ultimately results in better patient care and safety in the future.
The Edmonton General Hospital hosts a high-fidelity human simulator and a complete simulated operating room. The anesthesiology residency program utilizes these tools for our annual Anesthesia Crisis Resource Management (ACRM) course as well as our continuing Content-Linked Simulation Program (CLSP). Residents participate annually in the ACRM course which is tailored to generate self-awareness of non-technical skills, such as communication and collaboration with other health professionals, management of OR resources, and professionalism. The CLSP, on the other hand is designed to complement the academic information that residents are learning during their academic half-day seminars. Residents participate in one CLSP simulation every academic block, which results in 4-5 simulations annually for every resident plus observation of 8-10 more.
The residency program also owns a state of the art fibre optic intubation and bronchoscopy simulator and a multitude of low-fidelity simulation devices that aid development of regional anesthesia, vascular access and intubation skills. Future patients will rest assured that our trainees will have simulated and/or performed almost all invasive procedures before attempting them on live patients.
- Concrete experience - reflect on
experience - form abstract
concepts - test new concepts;
Kolb's experiential learning theory
- Effectively achors knowledge;
learning is based on emotions
- Allows for "unfreezing";
develops new knowledge,
skills and attitudes, and
- Provides the opportunity for
Emphasis in our simulation program includes:
- Difficult airway management (algorithms; context-sensitivity)
- Cardiac and respiratory arrest/CPR ("codes")
- Rare and/or important clinical scenarios (i.e. malignant hyperthermia)
- Crisis Resource Management:
- Human factors in errors
- Translating knowledge into clinical action
To improve skills in managing a crisis; "An ounce of prevention is worth a pound of intervention"
Provide residents with the experiences so that they are capable of:
- Establishing and maintaining role clarity
- Establishing effective communication with all team members
- optimizing resources and their utilization, and personnel support
- Maintaining focus while assessing the "big picture"
- Strict credential requirements for trainees
- Assessment/competency-based promotion
- Research and investigations
- Individual learning plans (ILP)
- Expand this to a business centre (revenues, Sustainability)