Abstract
BackgroundThe application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. The aim of this study was to analyze a skill-training aiming to enhance ICU-fellows´ performance.MethodsA skill-training was prepared for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Supervision levels (SL) for entrustable professional activities (EPA) were applied to evaluate skill performance. Pre- and post-training, SL and fellows´ self- versus consultants´ external assessment was compared. Time on skill training was compared to conventional training in the ICU-setting.ResultsComparison of pre/post external assessment showed reduced required SL for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Self- and external assessed SL did not significantly correlate for pre-training/post-training pericardiocentesis and post-training cricothyroidotomy. Correlations were observed for self- and external assessment SL for chest tube insertion and pre-assessment for cricothyroidotomy. Compared to conventional training in the ICU-setting, chest tube insertion training may further be time-saving.ConclusionsEmergency skill training separated from a daily clinical ICU-setting appeared feasible and useful to enhance skill performance in ICU fellows and may reduce respective SL. We observed that in dedicated skill-training sessions, required time resources would be somewhat reduced compared to conventional training methods.
Highlights
The application of manual emergency skills is essential in intensive care medicine
Intensive care physicians should be familiar with emergency skill procedures such as chest tube insertion, pericardiocentesis and cricothyroidotomy
Self- and external assessed pre-training/posttraining supervision levels were observed to correlate (r = 0.65, 95%-Confidence interval (CI) 0.37–0.82, p = 0.0002; r = 0.46, 95%CI 0.1–0.71, p = 0.01, respectively)
Summary
The application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. Intensive care physicians should be familiar with emergency skill procedures such as chest tube insertion, pericardiocentesis and cricothyroidotomy. For previous familiarization with the theoretical content, the flipped classroom concept seems beneficial to focus on skill performance in subsequent trainings [7, 8]. In the flipped classroom concept, learners are familiarized to the educational content and in. Zante and Schefold BMC Medical Education (2020) 20:498 subsequent training they can apply new knowledge. In this concept, the andragogy theory of involves principles of adult learning [9]. The flipped classroom concept ensures to adapt the volume of learning time, aligned by the learners’ needs and previous information
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