Abstract
The COVID-19 pandemic has led to an immense need to develop training on case recognition and management, with a focus on patients' and health professionals' safety at several levels of healthcare settings in Brazil. Different simulation strategies can be included in the diverse clinical care phases for these patients. To suggest a complete simulation-based training program for Brazilian hospitals and/or academic institutions at this moment of the pandemic. Descriptive analysis on possible simulated clinical cases using different methodologies, thereby supporting suspected or confirmed COVID-19 patients. This was a reflective theoretical descriptive study on an educational program based on clinical simulation, with four practical phases at different performance and complexity levels. Wearing, handling and adequately disposing of personal protective equipment, along with specific respiratory procedures in different healthcare settings up to intensive care for seriously infected patients were addressed. This program was designed for application at different Brazilian healthcare levels through different clinical simulation strategies. Summaries of expected performance were suggested in order to standardize technical capacity within these simulation settings, so as to serve these levels. Developing training programs for situations such as the current COVID-19 pandemic promotes safety not only for patients but also for healthcare workers. In the present context, clear definition of which patients need hospital outpatient or inpatient care will avoid collapse of the Brazilian healthcare system. Institutions that do not have simulated environments can, through the examples described, adopt procedures to promote didactic information in order to help healthcare professionals during this time.
Highlights
The current global pandemic of coronavirus disease (COVID-19) has forced medical trainees throughout the world to suspend their clinical training and transition largely to online lectures
Clinical simulation has the objective of replicating scenarios that are as close as possible to reality, in order to train healthcare professionals in diverse clinical situations that demand clinical thinking, as well as simultaneous attitudinal and procedural abilities.[2]
Equipment for specific procedures such as respirators (i.e. N95 or FFP2 standard or equivalent) and aprons was addressed, in different healthcare settings up to intensive care for seriously infected patients. This program was designed to be applied at different levels of Brazilian healthcare through different clinical simulation strategies
Summary
The current global pandemic of coronavirus disease (COVID-19) has forced medical trainees throughout the world to suspend their clinical training and transition largely to online lectures. Simulation-based medical education (SBME) is a tool within medical training that has quickly expanded in use over recent years and has enabled great advances. It has been lauded for its improvement of medical education, coupled with cost savings and protection of patients.[3]. OBJECTIVE: To suggest a complete simulation-based training program for Brazilian hospitals and/or academic institutions at this moment of the pandemic. DESIGN AND SETTING: Descriptive analysis on possible simulated clinical cases using different methodologies, thereby supporting suspected or confirmed COVID-19 patients. METHODS: This was a reflective theoretical descriptive study on an educational program based on clinical simulation, with four practical phases at different performance and complexity levels. Institutions that do not have simulated environments can, through the examples described, adopt procedures to promote didactic information in order to help healthcare professionals during this time
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