Distributing the Work-load: Training Simulated Patients in Basic Manikin Based Operations (1090-003718) (Research Abstract Professor Rounds: Group 6)
Start time: Friday, January 29, 2021, 11:30 AM End time: Friday, January 29, 2021, 12:30 PM Session Type: Research Abstracts (Completed Studies)
This project was a necessity for a department with minimal staffing. Training additional operators for manikin-based simulations became high priority due to recent increased usage of our center. Our hypothesis is Simulated Patients (SPs) can gain confidence to operate and trouble-shoot manikin-based technology independently of staff oversight. In order to provide the SPs with the skills necessary to operate manikin technology, SimMan3G training workshop was developed for 14 technology savvy SPs. The ability of SPs to solve manikin technology difficulties during simulations benefits student learning by lessening disruptions currently experienced waiting for center staff to resolve the problems. The SPs ability to work independent of staff oversight permits center staff to focus on other essential job responsibilities during simulations. Adoption of this training modality in simulation centers can provide additional staffing options for manikin-based simulations.
Study subjects were recruited from current SPs (n=14). The recruits did not have previous experience operating the manikins. The 2-day workshop design included a pre- and post- survey of SPs confidence in basic manikin technology and problem solving. These anonymous surveys were 4 items anchored by a four point Likert scale. A training manual was developed and distributed to the participants. Day one, SPs took the pre-survey, received an introduction to the manikins, computer program and supplies available for use. Later, SPs were randomized into four rotating practice groups for development of skills associated with simulation set-up, real-time operation, shut down maintenance and the resetting process. Day two, SPs practiced scenarios and trouble-shooting prior to skill testing. After practice, departmental staff assessed each SP on ability to independently prepare and operate a simulation for volunteer student doctors.
Participants self-reported increased confidence in ability to program, operate and troubleshoot basic manikin tasks. Comparison of pre and post training surveys demonstrate a numerical increase from 7.5 pre-training to 10.8 post training as measured by a four point Likert scale. Additionally, the participants demonstrated increased confidence in medical terminology commonly used by faculty when asking for a change in patient status on the fly during a simulation. Each SP was assessed over basic skills/operation/troubleshooting via checklist. The average checklist score achieved by the participants was 24.5 out of maximum of 26 points. For departmental purposes, a score of 21/26 (80%) was considered mastery of skills to a level of independent operation of manikins.
SPs demonstrated proficiency in manikin operations and problem solving via skills assessment at the completion of training. Our simulation technology trained SPs have greatly enhanced our program’s ability to staff simulation-based curriculum and allows us to offer additional times for events when the center staff is not available. Additionally, the training has significantly improved the SPs confidence in use of the technology when participating in hybrid scenarios. An unintended outcome of the training was the SPs increased confidence to move forward with remote SP encounters with little additional technology training required. Workshops focusing on manikin technology skills for SPs interested in advancing their skills for remote simulations are in development.