Background : Procedural training, especially for low-frequency, high risk-procedures, poses a unique challenge in resident education. Simulation and task-trainers have been developed to allow learners to can gain hands-on experience with limited supervision in a controlled environment that does not compromise patient safety, but the cost burden of many task-specific trainers is high. This activity tasked groups of residents with producing cost-effective, low-fidelity simulation models, and with entering this model in a friendly contest with their peers.
Objective : The purpose of this activity and format was threefold: First, by utilizing gamification, we hoped to improve resident buy-in and enthusiasm for the project as a whole and specifically their own simulation model. Second, we wanted to provide a diverse training environment that stepped outside of the traditional conference and lecture format. Lastly, we wanted to demonstrate that low-fidelity simulation is a cost-effect training modality for procedural training in Emergency Medicine (EM) resident education.
Methods : 30 EM Residents were randomized into groups and tasked with building a task-specific simulation model within 30 days with a budget of $100. They also created a training session and pre-post questionnaire to assess procedural knowledge, and confidence. Confidence was assessed on a 9-point Likert scale and procedural knowledge using (6-13) multiple-choice questions. A Final follow up survey was utilized to assess resident perception of the activity as a whole (using a 5-point Likert Scale).
Outcomes : Models included: Fiberoptics, cricothyrotomy, lateral canthotomy, Blakemore tube, and lumbar puncture. With the exception of the lumber puncture model, they all produced a statistically significant increase in procedural confidence. The fiberoptic model was elected as the best technical model, and the best overall model. The Blakemore tube model was elected as the best teaching model. Additionally, 86% of final survey respondents replied either “agree” or “strongly agree” that they would recommend this activity to peers.