Gu Yuqi, Tenenbein Marshall, Korz Linda, Busse Jason W, Chiu Michelle
Department of Anesthesiology and Pain Medicine, University of Ottawa and The Ottawa Hospital, 501 Smyth Rd, Critical Care Wing 1401, Ottawa, ON, K1H 8L6, Canada.
Department of Anesthesiology, Perioperative and Pain Medicine, University of Manitoba, Winnipeg, MB, Canada.
Can J Anaesth. 2024 Dec;71(12):1725-1734. doi: 10.1007/s12630-024-02720-6. Epub 2024 Mar 7.
Simulation-based medical education (SBME) is provided by all anesthesiology residency programs in Canada. The purpose of this study was to characterize SBME in Canadian anesthesiology residency training programs.
We administered a 21-question survey to the simulation director/coordinator for all 17 Canadian academic departments of anesthesiology from October 2019 to January 2020. The survey consisted of questions pertaining to the characteristics of the simulation centres, their faculty, learners, curriculum, and assessment processes.
All 17 residency training programs participated in the survey and reported large variability in the number and formal training of simulation faculty and in content delivery. Five programs (29%) did not provide faculty recognition for curriculum design and running simulation sessions. Most programs offered one to four simulation sessions per academic year for each year of residency. All programs offered mannequin-based and part-task trainers for teaching technical and nontechnical skills. Fourteen programs (82%) offered interprofessional and interdisciplinary simulation sessions, and ten programs (59%) did not include in situ simulation training. Commonly reported barriers to faculty involvement were lack of protected time (12 programs, 71%), lack of financial compensation (ten programs, 59%), and lack of appreciation for SBME (seven programs, 41%).
Large variability exists in the delivery of SBME in Canadian anesthesiology residency simulation programs, in part because of differences in financial/human resources and educational content. Future studies should explore whether training and patient outcomes differ between SBME programs and, if so, whether additional standardization is warranted.
加拿大所有麻醉学住院医师培训项目均提供基于模拟的医学教育（SBME）。本研究的目的是描述加拿大麻醉学住院医师培训项目中的SBME情况。
2019年10月至2020年1月，我们对加拿大所有17个麻醉学学术部门的模拟主任/协调员进行了一项包含21个问题的调查。该调查包括与模拟中心的特点、其教员、学员、课程设置和评估过程相关的问题。
所有17个住院医师培训项目都参与了调查，结果显示模拟教员的数量和正规培训以及内容提供方面存在很大差异。五个项目（29%）未对课程设计和开展模拟课程的教员给予认可。大多数项目在住院医师培训的每一年中，每个学年提供一至四次模拟课程。所有项目都提供基于人体模型的培训器和部分任务培训器来教授技术和非技术技能。14个项目（82%）提供跨专业和跨学科模拟课程，10个项目（59%）未包括现场模拟培训。常见的教员参与障碍包括缺乏受保护时间（12个项目，71%）、缺乏经济补偿（10个项目，59%）以及对SBME缺乏重视（7个项目，41%）。
加拿大麻醉学住院医师模拟项目中SBME的实施存在很大差异，部分原因是财务/人力资源和教育内容方面的差异。未来的研究应探讨SBME项目之间的培训和患者结局是否不同，如果是，是否需要进一步标准化。
