[Combined simulation training: a new concept and workshop is useful for crisis management in gastrointestinal endoscopy].
BACKGROUND
Crisis management as well as realistic emergency situations can be trained in the new developed simulation workshop "Gastrointestinal Endoscopy and Crisis Resource Management" by combining a full-scale simulator and the Erlanger Endoscopy Trainer. The aim of the current study was to evaluate the efficiency of the newly developed simulation workshop.


METHODS
Endoscopists with more than 12 months experience can train their endoscopic skills and crisis resource management with the help of different simulators. In addition, two different scenarios (GI bleeding with significant blood loss and sedation overdoses) embedded in a realistic surrounding (emergency room) have to be managed by the participants. Vital parameters, endoscopic skills, as well as personal interactions were recorded and graded.


RESULTS
100 participants took part in the newly developed workshop (between June and December 2003). The participants showed a significantly better endoscopic performance and a significantly better crisis management after the standardized training program.


CONCLUSIONS
Simulation training plays an essential role in aviation and minimizes the risk for human errors. In the current study it is clearly shown that simulation training is also useful in gastrointestinal endoscopy. The newly developed workshop may thus be of crucial importance to improve personal crisis management. Simulation also leads to an improvement of endoscopic and emergency skills. Accordingly, simulation training should be recommended or offered as an education option in gastrointestinal endoscopy.
Kiesslich
R
R
I. Med. Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz. info@ralf-kiesslich.de
Moenk
S
S
Reinhardt
K
K
Kanzler
S
S
Schilling
D
D
Jakobs
R
R
Denzer
U
U
Neumann
M
M
Vollmer
J
J
Schütz
M
M
Heinrichs
W
W
Neurath
M F
MF
Galle
P R
PR
D003194:Computer-Assisted Instruction / Q000379:methods*; D003422:Critical Care / Q000379:methods*; D004502:Education, Medical, Continuing / Q000379:methods; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005762:Gastroenterology / Q000193:education*; D005858:Germany; D015397:Program Evaluation; D014584:User-Computer Interface