Myers Brett, Obr Clark
Chief Resident, Department of Anesthesiology, University of Iowa Roy J. and Lucille A. Carver College of Medicine.
Clinical Associate Professor, Department of Anesthesiology, University of Iowa Roy J. and Lucille A. Carver College of Medicine.
MedEdPORTAL. 2017 May 8;13:10578. doi: 10.15766/mep_2374-8265.10578.
This simulation on cardiopulmonary bypass (CPB) introduces learners to the relevant critical actions and concepts involved in going onto and off of CPB. It is intended that junior residents experience this simulation immediately prior to beginning their cardiac anesthesia rotation. Thus, this simulation serves to segue to the trainee's initial clinical experience with CPB.
The case is fully presented for facilitators in the simulation case file, which includes a brief narrative description of the case, learning objectives to be covered by the simulation, and a summary of critical actions to be performed by the learner during the educational activity. It is optimal to run this simulation using a high-fidelity human patient simulator with anesthesia machine and relevant monitors.
The simulation was carried out by eight CA-1 or CA-2 residents during the 2016 academic year. Cardiac anesthesia faculties observed a significantly improved learning curve for trainees who had experienced this simulation prior to their first clinical case.
Overall, this simulation has been found to be a very effective learning tool at the University of Iowa. To that end, this simulation has been incorporated into the cardiac anesthesia curriculum, and all junior residents experience this simulation prior to beginning their rotation.
本次体外循环（CPB）模拟向学习者介绍了与CPB启动和停止相关的关键操作及概念。旨在让初级住院医师在开始心脏麻醉轮转前立即体验此模拟。因此，该模拟有助于衔接学员对CPB的初次临床体验。
模拟病例文件中为带教老师完整呈现了病例，其中包括病例的简要叙述性描述、模拟涵盖的学习目标以及学员在教育活动期间要执行的关键操作总结。使用配备麻醉机和相关监测设备的高保真人体患者模拟器进行此模拟最为理想。
2016学年，八名CA-1或CA-2住院医师进行了该模拟。心脏麻醉教员观察到，在首次临床病例前经历过此模拟的学员学习曲线有显著改善。
总体而言，在爱荷华大学，此模拟已被证明是一种非常有效的学习工具。为此，该模拟已纳入心脏麻醉课程，所有初级住院医师在开始轮转前都要体验此模拟。
