title: Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study.
abstract: Objectives. Management of mechanically ventilated patients may pose a challenge to novice residents, many of which may not have received formal dedicated critical care instruction prior to starting their residency training. There is a paucity of data regarding simulation and mechanical ventilation training in the medical education literature. The purpose of this study was to develop a curriculum to educate first-year residents on addressing and troubleshooting ventilator alarms. Methods. Prospective evaluation was conducted of seventeen residents undergoing a twelve-hour three-day curriculum. Residents were assessed using a predetermined critical action checklist for each case, as well as pre- and postcurriculum multiple-choice cognitive knowledge questionnaires and confidence surveys. Results. Significant improvements in cognitive knowledge, critical actions, and self-reported confidence were demonstrated. The mean change in test score from before to after intervention was +26.8%, and a median score increase of 25% was noted. The ARDS and the mucus plugging cases had statistically significant improvements in critical actions, p < 0.001. A mean increase in self-reported confidence was realized (1.55 to 3.64), p = 0.049. Conclusions. A three-day simulation curriculum for residents was effective in increasing competency, knowledge, and confidence with ventilator management.
authors.affiliation: Summa Health System Akron City Hospital, Akron, OH 44304, USA; Northeast Ohio Medical University, Rootstown, OH 44272, USA; Western Reserve Hospital, Cuyahoga Falls, OH 44223, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Yee
authors.affiliation: Summa Health System Akron City Hospital, Akron, OH 44304, USA; Northeast Ohio Medical University, Rootstown, OH 44272, USA; Western Reserve Hospital, Cuyahoga Falls, OH 44223, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Fuenning
authors.affiliation: Summa Health System Akron City Hospital, Akron, OH 44304, USA; Northeast Ohio Medical University, Rootstown, OH 44272, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: George
authors.affiliation: Summa Health System Akron City Hospital, Akron, OH 44304, USA.
authors.forename: Rana
authors.initials: R
authors.lastname: Hejal
authors.affiliation: Akron Children's Hospital, Akron, OH 44308, USA.
authors.forename: Nhi
authors.initials: N
authors.lastname: Haines
authors.affiliation: Akron Children's Hospital, Akron, OH 44308, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Dunn
authors.affiliation: BIOSTATS, Inc., East Canton, OH 44730, USA.
authors.forename: M David
authors.initials: MD
authors.lastname: Gothard
authors.affiliation: Summa Health System Akron City Hospital, Akron, OH 44304, USA; Northeast Ohio Medical University, Rootstown, OH 44272, USA; Western Reserve Hospital, Cuyahoga Falls, OH 44223, USA.
authors.forename: Rami A
authors.initials: RA
authors.lastname: Ahmed