Tanoubi Issam, Perron Roger, Bélanger Marie-Ève, Georgescu Mihai, Robitaille Arnaud, Drolet Pierre
Medical Simulation Centre, Centre D'apprentissage des Attitudes et Habiletés Cliniques (CAAHC), Université de Montréal, Pavillon Roger-Gaudry, 2900, Boulevard Édouard-Montpetit, 8e étage, Local N-805, Montréal, QC H3T 1J4, Canada.
Eur J Investig Health Psychol Educ. 2022 Jan 24;12(2):91-97. doi: 10.3390/ejihpe12020008.
Dental surgery includes invasive procedures performed under sedation or monitored anesthesia care (MAC). It is associated with respiratory risks, resulting in death or neurological sequelae without prompt and appropriate management. Management of airway complications also implies mastering crisis resource management (CRM) principles, essentially non-technical skills to improve patient safety. In response to the need to enhance patient safety and to securely perform surgical procedures outside the operating room due to reduced surgical activity during the worldwide spread of the COVID-19 pandemic, we realized, in our simulation center, a course based on high fidelity simulation to teach procedural sedation and management of related complications. The simulation center accredited this educational program as a continuing professional development formation. The course includes technical skills practice, theoretical presentation, and mastering non-technical skills related to CRM principles. This brief report describes a relatively innovative teaching technique in dentistry, highlights its interest, and reports the subjective opinion of learners as to the pedagogical and professional impact of this training. A learner's satisfaction survey supports the utility of our sedation and CRM programs. A high degree of satisfaction and perceived value reflect robust learners' engagement. All medical specialties should encourage high-fidelity simulation continuing professional development courses that incorporate technical skills and crisis management principles.
牙科手术包括在镇静或监护麻醉（MAC）下进行的侵入性操作。它与呼吸风险相关，如果没有及时且恰当的处理，可能导致死亡或神经后遗症。气道并发症的处理还意味着要掌握危机资源管理（CRM）原则，这主要是提高患者安全的非技术技能。为应对在COVID-19大流行全球蔓延期间，由于手术活动减少，需要提高患者安全并在手术室之外安全地进行外科手术的需求，我们在模拟中心开展了一门基于高保真模拟的课程，以教授程序性镇静及相关并发症的处理。模拟中心认可该教育项目为继续职业发展培训。该课程包括技术技能练习、理论讲授以及掌握与CRM原则相关的非技术技能。这份简短报告描述了牙科领域一种相对创新的教学技术，强调了其价值，并报告了学习者对该培训在教学和专业方面影响的主观意见。一项学习者满意度调查证实了我们的镇静和CRM项目的实用性。高度的满意度和感知价值反映出学习者积极的参与度。所有医学专业都应鼓励开展包含技术技能和危机管理原则的高保真模拟继续职业发展课程。
