Teaching non-technical skills for critical incidents: Crisis resource management training for medical students

被引：0
作者：
A. Krüger
B. Gillmann
C. Hardt
R. Döring
S.K. Beckers
R. Rossaint
机构：
[1] Klinik für Anästhesiologie, Universitätsklinikum Aachen, Rheinisch-Westfälische Technische Hochschule (RWTH), Aachen
[2] Aachener Interdisziplinäres Medizinisches Simulationszentrum (AIXSIM), Aachen
[3] Aachener Interdisziplinäres Trainingszentrum für Medizinische Ausbildung (AIXTRA), Aachen
[4] Klinik für Anästhesiologie, Universitätsklinikum Aachen, Rheinisch-Westfälische Technische Hochschule (RWTH), Aachen 52074
来源：
Der Anaesthesist | 2009年 / 58卷 / 6期
关键词：
Communication; Crisis resource management; Medical education; Non-technical skills; Simulation;
D O I：
10.1007/s00101-009-1511-6
中图分类号：
学科分类号：
摘要：
Background: Physicians have to demonstrate non-technical skills, such as communication and team leading skills, while coping with critical incidents. These skills are not taught during medical education. A crisis resource management (CRM) training was established for 4th to 6th year medical students using a full-scale simulator mannikin (Emergency Care Simulator, ECS®, METI). Patients and methods: The learning objectives of the course were defined according to the key points of Gaba's CRM concept. The training consisted of theoretical and practical parts (3 simulation scenarios with debriefing). Students' self-assessment before and after the training provided the data for evaluation of the training outcome. Results: A total of 65 students took part in the training. The course was well received in terms of overall course quality, debriefings and didactic presentation, the mean overall mark being 1.4 (1: best, 6: worst). After the course students felt significantly more confident when facing incidents in clinical practice. The main learning objectives were achieved. Conclusion: The effectiveness of applying the widely used ECS® full-scale simulator in interdisciplinary teaching has been demonstrated. The training exposes students to crisis resource management issues and motivates them to develop non-technical skills. © 2009 Springer Medizin Verlag.
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页码：582 / 588
页数：6
相关论文
共 17 条
  • [1] Beckers S.K., Sopka S., Fries M., Et al., Anästhesiologie als Pflichtfach in der neuen Approbationsordnung., Anaesthesist, 56, pp. 571-580, (2007)
  • [2] Blum R.H., Raemer D.B., Carroll J.S., Et al., Crisis resource management training for an anaesthesia faculty: A new approach to continuing education, Med Educ, 38, pp. 45-55, (2004)
  • [3] Cooper J.B., Newbower R.S., Long C.D., Et al., Preventable anesthesia mishaps: A study of human factors, Qual Saf Health Care, 11, pp. 277-282, (2002)
  • [4] Flanagan B., Nestel D., Joseph M., Making patient safety the focus: Crisis resource management in the undergraduate curriculum, Med Educ, 38, pp. 56-66, (2004)
  • [5] Gaba D.M., Howard S.K., Fish K.J., Et al., Simulation-based training in anesthesia crisis resource management (ACRM): A decade of experience, Simul Gaming, 32, 2, pp. 175-193, (2001)
  • [6] Gaba D.M., Anaesthesiology as a model for patient safety in health care, BMJ, 320, pp. 785-788, (2000)
  • [7] Gaba D.M., Fish K.J., Howard S.K., Zwischenfälle in der Anästhesie. Prävention und Management, pp. 39-56, (1998)
  • [8] Gaba D.M., Fish K.J., Howard S.K., Crisis management in anesthesiology, pp. 12-36, (1994)
  • [9] Holzman R.S., Cooper J.B., Gaba D.M., Et al., Anesthesia crisis resource management: Real-life simulation training in operating room crises, J Clin Anesth, 7, pp. 675-687, (1995)
  • [10] Howard S.K., Gaba D.M., Fish K.J., Et al., Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents, Aviat Space Environ Med, 63, pp. 763-770, (1992)
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