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academies
Current Pediatric Research| Volume: 22
November 28-29, 2018 | Dubai, UAE
15
th
World Congress on
Pediatrics, Clinical Pediatrics and Nutrition
28
th
International Conference on
Nursing Practice
Joint Event
&
Impact of medical simulation on Pediatric R1 trainee under Saudi commission for health specialty
Sawsan Alyousef
King Fahad Medical City, Saudi Arabia
C
rew Resource Simulation was introduced in the aviation
industry during NASA workshop in 1979, designed as a
training programto improve air safety and reduce the increasing
number of fatal accidents attributable to human error. The
primary cause of the majority of aviation accidents occurring
at that time were due to human error 85% and the leading
causes of which were failures of interpersonal communication,
leadership, and decision making in the cockpit. David Gaba
,American anaesthetist, trained as a pilot recognized similarities
in high stake environment of the operating theatre and cockpit
and so developed anaesthesia crises simulation resources
management. Medical simulations aim to imitate real patients,
anatomic regions, clinical tasks, virtual reality devices and
electronic manikins or to mirror real-life situations in which
medical services are rendered. Simulation – based learning
(SBL) applies these modalities. Benefits of medical simulation
includes safe environment, mistake forgiving, trainee focused
vs. patient focused, controlled, structured, proactive clinical
exposure, reproducible, standardized, debriefing, deliberate
and repetitive practice. Medical simulation can assess
professional competence as patient care, medical knowledge,
practice-based learning & improvement, communication skills,
professionalism and systems-based practice. Patient safety
priorities are at the forefront of health providers’ concerns . Best
summarized by “ simulators have the potential to take the early
and dangerous part of the learning curve away from patients”.
Simulationhas rapidly evolved as a learning tool and technology.
From June 2017- May 2018 an condensed simulation course
for pediatric R1 training resident under Saudi commission for
health specialty was conducted once per month at CRESENT,
KFMC, the course is 5 days include the following simulation
sessions: pediatric airway management with crew resource
management , central line insertion under US guidance, chest
X-ray andABG interpretation, LungUltrasound, thoracocentesis,
bone marrow aspiration and biopsy, lumbar puncture, basic to
advance cardiac simulation session. Total of 125 candidates
were involved , in which all of them had undergone pre course
knowledge and clinical assessment test followed by post
course knowledge and clinical assessment test at the end of
the course (similar to the pre test) plus the candidates had
retention assessment test 6 months later with similar to pre
and post assessment tests. The preliminary result showed
100% improvement in the scores at post knowledge and clinical
assessment test compared to pre assessment test and non
had decline results. The retention assessment test is pending
but the preliminary result is promising as till now the scores
were above precourse assessment test. 100% of them found
these courses are enjoyable, safe, not stressful and very useful
training methods, 97% enjoyed it mostly because it is repetitive
and mistakes are forgiven with zero hazards to patients.100%
feels video debriefment following medical scenarios is very
helpful as it clarify areas for improvement much better than
conventional training. In conclusion, although Simulation
courses is expensive but it plays important role in patient safety
so at the end it is cost effective so would encourage to make it
mandatory in the curriculum for pediatric residents and fellows.
Speaker Biography
Sawsan Alyousef is a Senior Consultant of Pediatric Intensive Care at King Fahad Medical
City & Professor at King Saud Bin Abdulaziz University and Health Science in Riyadh,
Saudi Arabia. She is a Medical Doctor by background and qualification, she completed
her Bachelor’s degree in Medicine and Surgery in 1991 from King Saud University, Riyadh
(Saudi Arabia) where then she joined pediatric residency program at Security Forces
Hospital (SFH) and successfully got her PhD with the Arab and Saudi Board in Pediatric
(1997). Her strong fervor in the field of medicine propelled her for further academic
pursuits so she gained fellowship in clinical and research pediatric critical care from the
University of Western Ontario in London, Canada and Pediatric Pulmonary training at Sick
Kids Toronto, Canada (2003). Since then She has been assigned as Pediatric Intensive care
and pulmonology consultant at King Fahad Medical City (KFMC) and appointed as Director
of PICU fellowship program at KFMC and Director of Post graduate Simulation Department
at KFMC. She had directed, organized and lectured in several conferences, courses and
workshops and served as a Saudi Board examiner, and also headed the examination
committee for PICU fellowship at Saudi Council for Health Specialties. She had various
speakershipengagements innumerousforumsandconferences, locallyand internationally.
e:
sawsan_35@hotmail.comSawsan Alyousef, Pediatrics and Clinical Pediatrics 2018
& Nursing Practice 2018, Volume 22
DOI: 10.4066/0971-9032-C2-005