Campbell Sinead, Corbett Sarah, Burlacu Crina L
CAST, College of Anaesthesiologists of Ireland, Dublin, Ireland.
Department of Anaesthesia, Intensive Care and Pain Medicine, St Vincent's University Hospital, Dublin, Ireland.
BMJ Simul Technol Enhanc Learn. 2021 Jun 28;7(6):575-580. doi: 10.1136/bmjstel-2021-000894. eCollection 2021.
With the introduction of strict public health measures due to the coronavirus pandemic, we have had to change how we deliver simulation training. In order to reinstate the College of Anaesthesiologists Simulation Training (CAST) programme safely, we have had to make significant logistical changes. We discuss the process of reopening a national simulation anaesthesiology programme during a pandemic.
We approached how to reinstate the programme with three distinct but intertwined projects, as in the following: (1) a survey of effects of the pandemic on training opportunities for anaesthesiology trainees, (2) proposals for methods of reinstating simulation were developed under the headings and . A small online video-assisted simulation pilot was carried out to test the method, (3) having opted for combined (onsite with smaller participant numbers and safety measures) and (with other regional centres), a postreinstatement evaluation during a 4-month period was carried out.
(1) Eighty-five per cent of 64 trainees surveyed felt that they had missed out not only just on simulation-based education (43%) but also on other training opportunities, (2) when five trainees were asked to state on a 1 to 5 Likert scale (strongly disagree, disagree, undecided, agree and strongly agree) whether online video-assisted simulation was similar to face-to-face simulation in four categories (realism, immersion, sense of crisis and stress), only 9 (45%) of the 20 answers agreed they were similar, (3) When onsite simulation was reinstated, the majority of trainees felt that training was similar to prepandemic and were happy to continue with this format.
In order to reinstate simulation, we have identified that and best suited the CAST while failed to rank high among trainees' preferences. Onsite courses will continue to be delivered safely while meeting the high standards our trainees have come to expect.
由于新冠疫情实施了严格的公共卫生措施，我们不得不改变模拟培训的方式。为了安全恢复麻醉医师学院模拟培训（CAST）项目，我们不得不进行重大的后勤调整。我们讨论了在疫情期间重新启动全国模拟麻醉项目的过程。
我们通过三个不同但相互交织的项目来探讨如何恢复该项目，具体如下：（1）对疫情对麻醉学实习生培训机会的影响进行调查，（2）在[具体标题1]和[具体标题2]的标题下制定恢复模拟的方法建议。开展了一个小型在线视频辅助模拟试点来测试[具体方法1]，（3）选择了现场模拟（参与者人数较少并采取安全措施）和[具体方式2]（与其他地区中心合作）相结合的方式，在4个月期间进行了恢复后的评估。
（1）在接受调查的64名实习生中，85%的人认为他们不仅错过了基于模拟的教育（43%），还错过了其他培训机会，（2）当要求五名实习生在1至5李克特量表（强烈不同意、不同意、不确定、同意和强烈同意）上表明在线视频辅助模拟在四个类别（真实感、沉浸感、危机感和压力）中是否与面对面模拟相似时，20个回答中只有9个（45%）同意它们相似，（3）当恢复现场模拟时，大多数实习生认为培训与疫情前相似，并乐于继续采用这种形式。
为了恢复模拟培训，我们发现[具体方式1]和[具体方式2]最适合CAST项目，而[具体方式3]在实习生的偏好中排名不高。现场课程将继续安全开展，同时满足我们实习生所期望的高标准。
