부산대학교 도서관

1. Describe a model for incorporating a virtual simulation-based mastery learning curriculum on breaking bad news into resident education. Breaking bad news (BBN) is an essential skill for emergency medicine (EM) physicians. Competency-based simulation education is commonly used for procedural skills training but is uncommon in EM communication skills training. The purpose of this study is to assess the feasibility and impact of a multisite virtual simulation-based mastery learning (vSBML) BBN training program for EM interns. EM interns at three academic medical centers participated in the training during scheduled didactics. After a virtual pretest encounter with a standardized patient (SP), learners received focused feedback using a previously published BBN assessment tool. All interns then participated in a 3-hour virtual workshop with deliberate practice using small-group roleplay with SPs. Participants completed a virtual posttest after the workshop. Participants who did not meet a predetermined minimum passing standard (MPS) at initial posttest received additional virtual deliberate practice until they met the MPS on a repeat posttest. Pre- and posttest scores on the assessment tool were compared to evaluate the impact of the training program. 31 interns were eligible for the study and 28 (90%) completed all components. Although 64% of interns reported prior formal training in BBN, 89% did not meet the MPS at pretest. Checklist performance significantly improved from a mean of 56% (SD=20%) to 92% (SD= 6%; p<0.001) of items observed. There was statistically significant improvement in all scaled items assessing quality of communication. All interns achieved the MPS at posttest. Ninety-three percent of participants agreed/strongly agreed that they enjoyed the workshop and would recommend it to colleagues. A multisite vSBML training program for EM interns was feasible and brought all learners to mastery in the core EM communication skill of BBN. Multisite vSBML represents a model whereby EM training programs can deliver and ensure competency in communication skills for all trainees. [ABSTRACT FROM AUTHOR]