• Resident Clinical Simulations

    The Anesthesia Resident Simulation Program relies on a team-based approach comprised of residents of varying CA-levels and embeds them in peri-operative emergency scenarios.  These scenarios are designed to teach our residents the strengths of team training and crisis management in accordance with clinical emergencies they are likely to encounter in practice.  The lead role is assigned to the senior residents in the group to allow them the opportunity to function as attending anesthesiologists in the simulated crisis.

    Our program conducts simulations in a 49,000 square-foot, state-of-the-art simulation facility.  The simulations consist of scenarios incorporating advanced clinical simulators, high-fidelity training environments (operating rooms, PACU, ICU, L&D suites, trauma bays), embedded participants (actors), simulation technicians, and simulation facilitators/instructors to help re-create and foster a dynamic, interactive clinical learning environment for the participant.
    Resident’s receive protected time for simulation which takes place every Tuesday.  The day is split into half with three residents participating in the morning and three residents in the afternoon.  Two anesthesia faculty facilitate the scenarios over the course of the day, providing a faculty to resident ratio of 2:3.   On average every resident participates in simulation 4 times a year.
    One of the core elements of simulation is to maintain a safe learning environment.  As such, the residents are debriefed after each session using a video-assisted debriefing model with experienced anesthesia faculty who have been formally trained as simulation instructors.  It is during this debrief where learning really takes place as we discuss the clinical concepts underlying the simulated situations, but more importantly highlight and teach the importance of TeamSTEPPS®, an AHRQ team training framework.  Having a faculty to resident ratio of 2:3 allows these instructors to focus closely on the individual residents, see how these individuals function as part of the greater team, identify areas for improvement in the team dynamics, and devise strategies to help the residents function more effectively in their daily clinical practice.

     

     SIMULATION COURSE OFFERINGS

    Here is just a short list of some of the various opportunities offered by the UTSW Department of Anesthesiology Simulation Team:

    INTERNS

    PGY-1 Vapor Camp: The month prior to entering the operating room environment, UTSW anesthesia interns are immersed over the course of a week to over 100 mini-simulations, that underscore many of the basic anesthetic principles they will encounter almost immediately upon the first days of entering the operating room as anesthesia residents. This curriculum serves as the resident’s first exposure to the foundations of safe anesthetic practice, upon which we build and expand throughout the residency.

    RESIDENTS

    • CA-1: The first year simulation curriculum in anesthesia is broad, with over 150 fully-integrated and validated scenarios, spanning the entire gamut of anesthetic practice. The goals of the first year curriculum are heavily weighted on crisis resource management training. There is also a particular focus on the core principles of critical care medicine central to perioperative medicine, as well as the unique knowledge base of the anesthesiologist as the definitive airway manager, resuscitation expert, and peri-operative pharmacologist
    • CA-2&3: As the resident matriculates to subspecialty rotations (obstetrics, cardiac, pediatric, acute regional, ICU), we incorporate advanced simulation scenarios into these subspecialty rotations. These simulation courses are designed to challenge a graduating anesthesiologist, and enable our residents to nurture their clinical judgment skills, and ultimately to develop their voice as a perioperative consultant
    • ACGME Milestone Metrics Evaluations: Medical knowledge and patient care metrics are evaluated by the simulation lab for the anesthesia residency. Specifically, residents matriculate through airway simulation and are evaluated against benchmarks deemed appropriate for their level of training
    • We also make sure our simulation training caters to the new OSCEs that all Anesthesia Residents are now expected to pass in order to be board certified.  Click here for more information about the OSCE from the ABA!

    TEAM TRAINING

    • High-Risk Obstetric Team Training: We have developed and implemented team-training exercises for horizontal integration of healthcare providers involved in the care of High-Risk Obstetric Patients. Participants include Obstetrics residents, Anesthesia residents, and Labor and Delivery nurses. Seasoned OB/GYN, Anesthesia, and Nursing faculty work together to implement scenarios centered around high-fidelity obstetric crises. These scenarios serve as a launching pad to discuss modifications of behavioral characteristics needed to optimize the management of a crisis using TeamSTEPPS principles
    • Code Response Team Training: In the Zale-Lipshy ICU, we have implemented mock codes to align the various members of the Code Response teams in this particular hospital system. Moreover, there is also a emphasis highlighting the importance of CRM and TeamSTEPPS® in effectively managing a code.
  • <---Our residents in Sim Lab!