Abstract
BackgroundWe aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management.MethodsTwenty two clinicians participated in 3 different simulated ward based scenarios of deteriorating post-operative patients. Continuous ECG recordings were made for all participants to monitor stress levels using heart rate variability (HRV) indices. Video recordings of simulated scenarios augmented with real time stress biofeedback were replayed to participants. They were then asked to self-assess their performance using an objective assessment tool. Participants attitudes were explored using a post study questionnaire.ResultsUsing HRV stress indices, we demonstrated higher stress levels in novice participants. Self-assessment scores were significantly higher in more experienced participants. Overall, participants felt that video replay and augmented stress biofeedback were useful in self-assessment.ConclusionSelf-assessment using an objective self-assessment tool alongside video replay augmented with stress biofeedback is feasible in a simulated setting and well liked by participants.
Highlights
We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management
The primary aim of this study is to explore the feasibility and trainee attitudes towards using video replay augmented with real time stress quantification for the selfassessment of surgical ward crisis management
Root mean squared of successive differences (RMSSD)
Summary
We aimed to explore the feasibility and attitudes towards using video replay augmented with real time stress quantification for the self-assessment of clinical skills during simulated surgical ward crisis management. High demands are placed on surgical trainees to acquire technical and non-technical skills to perform successful operations and to manage unwell patients post-operatively. It is the junior members of the team who often execute the management of postoperative emergencies on the surgical ward. Assessment and feedback are integral components of simulation training This has been traditionally performed by independent assessors, evidence suggests that selfassessment is reliable [3]. Accurate self-assessment may improve the cost-effectiveness of ward crisis simulation training permitting for more widespread adoption and a sustainable solution to simulation training
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