title: [Combined simulation training: a new concept and workshop is useful for crisis management in gastrointestinal endoscopy].
abstract: 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.
authors.affiliation: I. Med. Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz. info@ralf-kiesslich.de
authors.forename: R
authors.initials: R
authors.lastname: Kiesslich
authors.forename: S
authors.initials: S
authors.lastname: Moenk
authors.forename: K
authors.initials: K
authors.lastname: Reinhardt
authors.forename: S
authors.initials: S
authors.lastname: Kanzler
authors.forename: D
authors.initials: D
authors.lastname: Schilling
authors.forename: R
authors.initials: R
authors.lastname: Jakobs
authors.forename: U
authors.initials: U
authors.lastname: Denzer
authors.forename: M
authors.initials: M
authors.lastname: Neumann
authors.forename: J
authors.initials: J
authors.lastname: Vollmer
authors.forename: M
authors.initials: M
authors.lastname: Schütz
authors.forename: W
authors.initials: W
authors.lastname: Heinrichs
authors.forename: M F
authors.initials: MF
authors.lastname: Neurath
authors.forename: P R
authors.initials: PR
authors.lastname: Galle
mesh_terms: 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