THE ROLE OF SIMULATION TRAINING FOR TEACHING (IN TEACHING) ANESTHESIOLOGIST INTERNS: A TWO-WAY SURVEY

Abstract

Resume. In the modern system of training intern anesthesiologists, simulation training is becoming an increasingly common tool for achieving educational goals. The simulation ensures the acquisition of professional competencies without the risk of harm to the patient and enables teachers to objectively assess the level of professional training of each intern. There is a growing need to review traditional approaches to the interaction between a teacher and an intern with the increasing use of simulation technologies. The purpose of the study was to determine the role of simulation training in the teaching of anesthesiologist interns. Materials and method. A prospective audit was conducted at the Department of Surgery, Anesthesiology and Intensive Care of the O.O. Bogomolets National Medical University in the period from April to June 2023. Interns of the 2nd year of training in 2023 in the speciality «Anesthesiology and intensive care» were trained in a 1-day simulation training «Critical incidents during anaesthesia". We examine data (lower-level outcomes) assessing the role of simulation training on learning outcomes and willingness to work independently from the perspective of interns and faculty using an anonymous questionnaire at the end of the training. Results: the audit included 36 responses from interns and 10 from teachers. Many intern doctors noted an increase in their motivation to study, achievement of educational goals and correction of errors as a result of debriefing thanks to the conducted simulation training. Intern doctors noted that such training was very close to real conditions, it increased confidence in working with patients and readiness for emergencies, helped identify knowledge gaps and was more effective compared to traditional training (lectures, seminars). The results of the teachers' survey confirm the importance of simulation training as an effective means of training interns, which ensures the achievement of educational goals without risks for patients, accelerates the process of acquisition of competencies by learners, increases their motivation to study and objectively reflects the level of skills and knowledge of interns. Conclusions. Our research has proven that simulation training should be a mandatory component of the training program of the clinical internship in the speciality «Anesthesiology and intensive care» with an increase in their share in the training program of specialists. Creating conditions of mutual trust between interns and teachers is the key to the social mission of ensuring the quality of postgraduate education. Conducting a debriefing after working out each simulation scenario lays the foundation for the formation of critical thinking in future doctors and helps to avoid mistakes in real clinical practice. The role of systematic simulation training at the postgraduate level to improve outcomes in real clinical practice may be the subject of further research.