Associate Professor, Department of Emergency Medicine, Baylor College of Medicine; Medical Director, Simulation and Standardized Patient Program, Baylor College of Medicine.
Clinical Professor, University of Houston College of Pharmacy.
MedEdPORTAL. 2020 Dec 11;16:11054. doi: 10.15766/mep_2374-8265.11054.
To achieve high-quality, patient-centered care, teaching programs across health professions must prepare their learners to work in effective teams. We created a simulation activity to formatively assess interprofessional objectives in graduating medical, nursing, and pharmacy students. This simulation also gave learners an opportunity to practice clinical airway resuscitation skills.
The simulation featured a decompensating adult asthmatic with a chief complaint of shortness of breath and a final diagnosis of severe asthma exacerbation and respiratory failure. Students completed a prebrief to formulate a plan and then interacted with a mannequin. Faculty led a debriefing and completed assessments of the team's performance. The students completed a questionnaire assessing their own and the team's performance.
Four sessions were held over a 2-year period. A total of 91 graduating students participated in the activity: 33 from Baylor College of Medicine, 26 from University of Houston College of Pharmacy, and 28 from Texas Woman's University Nelda C. Stark College of Nursing. Postsession questionnaire data demonstrated very good overall team performance and good individual performance. Student comments demonstrated an understanding of the importance of teamwork and thoughtful reflection on their own areas for improvement. All students rated the activity as valuable and effective. Multirater assessments of the students found that most met three of the four objectives.
This activity allows for real-time formative assessment with a focus on roles, communication, and managing difficult situations. The debriefing demonstrates the students' understanding of interprofessional goals in providing effective patient-centered care.
为了实现高质量、以患者为中心的护理，各医疗专业的教学项目必须培养学习者以有效地团队合作。我们创建了一项模拟活动，以形成性评估即将毕业的医学生、护理学生和药剂学生的跨专业目标。该模拟还为学习者提供了练习临床气道复苏技能的机会。
该模拟以一名病情恶化的成年哮喘患者为特色，主诉为呼吸急促，最终诊断为严重哮喘发作和呼吸衰竭。学生们完成预简报以制定计划，然后与模型互动。教师进行总结并评估团队的表现。学生们完成一份问卷，评估自己和团队的表现。
在两年的时间里共进行了四场模拟。共有 91 名即将毕业的学生参加了这项活动：来自贝勒医学院的 33 名，休斯顿大学药学院的 26 名，德克萨斯女子大学内尔达 C.斯塔克护理学院的 28 名。课后问卷数据表明团队整体表现非常出色，个人表现也很好。学生的反馈表明他们理解团队合作的重要性，并对自己需要改进的领域进行了深思熟虑的反思。所有学生都认为该活动非常有价值且有效。对学生的多评价者评估发现，大多数学生达到了四个目标中的三个。
该活动允许实时形成性评估，重点关注角色、沟通和处理困难情况。总结展示了学生对提供有效以患者为中心护理的跨专业目标的理解。
