Simulation-based education for transfusion medicine.
BACKGROUND
The administration of blood products is frequently determined by physicians without subspecialty training in transfusion medicine (TM). Education in TM is necessary for appropriate utilization of resources and maintaining patient safety. Our institution developed an efficient simulation-based TM course with the goal of identifying key topics that could be individualized to learners of all levels in various environments while also allowing for practice in an environment where the patient is not placed at risk.


METHODS
A 2.5-hour simulation-based educational activity was designed and taught to undergraduate medical students rotating through anesthesiology and TM elective rotations and to all Clinical Anesthesia Year 1 (CA-1) residents. Content and process evaluation of the activity consisted of multiple-choice tests and course evaluations.


RESULTS
Seventy medical students and seven CA-1 residents were enrolled in the course. There was no significant difference on pretest results between medical students and CA-1 residents. The posttest results for both medical students and CA-1 residents were significantly higher than pretest results. The results of the posttest between medical students and CA-1 residents were not significantly different.


CONCLUSIONS
The TM knowledge gap is not a trivial problem as transfusion of blood products is associated with significant risks. Innovative educational techniques are needed to address the ongoing challenges with knowledge acquisition and retention in already full curricula. Our institution developed a feasible and effective way to integrate TM into the curriculum. Educational activities, such as this, might be a way to improve the safety of transfusions.
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota.
Shanna
S
Morgan
Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada.
Benjamin
B
Rioux-Masse
Department of Family and Community Medicine, University of North Dakota, Grand Forks, North Dakota.
Cristina
C
Oancea
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota.
Claudia
C
Cohn
Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
James
J
Harmon
Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota.
Mojca
M
Konia
D000776:Anesthesiology / Q000193:education; D001803:Blood Transfusion; D003198:Computer Simulation; D003194:Computer-Assisted Instruction; D003479:Curriculum; D004504:Education, Medical, Undergraduate; D004521:Educational Measurement; D005240:Feasibility Studies; D006801:Humans; D007396:Internship and Residency; D013337:Students, Medical; D064826:Transfusion Medicine / Q000193:education*