The MIDAS touch: Frameworks for procedural model innovation and validation

Author:

Stapleton Stephanie N.1ORCID,Cassara Michael2ORCID,Roth Benjamin3ORCID,Matulis Christina4,Desmond Clare4ORCID,Wong Ambrose H.5ORCID,Cardell Annemarie6ORCID,Moadel Tiffany7ORCID,Lei Charles8ORCID,Munzer Brendan W.9ORCID,Moss Hillary10ORCID,Nadir Nur Ain1112ORCID

Affiliation:

1. Department of Emergency Medicine Boston University School of Medicine, Boston Medical Center Boston Massachusetts USA

2. Department of Emergency Medicine North Shore University Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health Patient Safety Institute/Emergency Medical Institute Hempstead New York USA

3. Department of Emergency Medicine Prisma Health Upstate University of South Carolina School of Medicine at Greenville Greenville South Carolina USA

4. Division of Emergency Medicine NorthShore University Health System Evanston Illinois USA

5. Department of Emergency Medicine Yale School of Medicine New Haven Connecticut USA

6. Maimonides Medical Center Brooklyn New York USA

7. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Hempstead New York USA

8. Department of Emergency Medicine Hennepin County Medical Center Minneapolis MN USA

9. Department of Emergency Medicine Trinity Health Ann Arbor Ann Arbor Michigan USA

10. Department of Emergency Medicine Montefiore Medical Center Moses Campus, Einstein College of Medicine Bronx New York USA

11. Department of Clinical Sciences Kaiser Permanente Bernard Tyson School of Medicine Pasadena California USA

12. Department of Emergency Medicine Kaiser Permanente Central Valley Modesto California USA

Abstract

AbstractBackgroundSimulation‐based procedural practice is crucial to emergency medicine skills training and maintenance. However, many commercial procedural models are either nonexistent or lacking in key elements. Simulationists often create their own novel models with minimal framework for designing, building, and validation. We propose two interlinked frameworks with the goal to systematically build and validate models for the desired educational outcomes.MethodsSimulation Academy Research Committee and members with novel model development expertise assembled as the MIDAS (Model Innovation, Development and Assessment for Simulation) working group. This working group focused on improving novel model creation and validation beginning with a preconference workshop at 2023 Society for Academic Emergency Medicine Annual Meeting. The MIDAS group sought to (1) assess the current state of novel model validation and (2) develop frameworks for the broader simulation community to create, improve, and validate procedural models.FindingsWorkshop participants completed 17 surveys for a response rate of 100%. Many simulationists have created models but few have validated them. The most common barriers to validation were lack of standardized guidelines and familiarity with the validation process.We have combined principles from education and engineering fields into two interlinked frameworks. The first is centered on steps involved with model creation and refinement. The second is a framework for novel model validation processes.ImplicationsThese frameworks emphasize development of models through a deliberate, form‐follows‐function methodology, aimed at ensuring training quality through novel models. Following a blueprint of how to create, test, and improve models can save innovators time and energy, which in turn can yield greater and more plentiful innovation at lower time and financial cost. This guideline allows for more standardized approaches to model creation, thus improving future scholarship on novel models.

Publisher

Wiley

Reference29 articles.

1. Simulation, Mastery Learning and Healthcare

2. Applying educational theory and best practices to solve common challenges of simulation‐based procedural training in emergency medicine;Cassara M;AEM Educ Train,2020

3. Review Committee for Emergency Medicine.Emergency Medicine Defined Key Index Procedure Minimums. Accreditation Council for Graduate Medical Education (ACGME).2017. Accessed September 15 2023.https://www.acgme.org/globalassets/pfassets/programresources/em_key_index_procedure_minimums_103117.pdf

4. The 2019 Model of the Clinical Practice of Emergency Medicine

5. Procedural task trainer gaps in emergency medicine: A rift in the simulation universe

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1. Erratum;AEM Education and Training;2024-08

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