5 minute read
Committee, Academy, IG Reports
SIMULATION ACADEMY
We've Had a Busy Few Months!
• Our new website has launched! • Emergency Medicine Resident
Simulation Curriculum for Pediatrics (EM ReSCu Peds), a FREE openaccess eBook containing sixteen cases to address critical pediatric topics for
EM residents through simulation has been published. Download it here! • In conjunction with the CORD
Simulation Community, we are excited to offer a simulation consulting service to help troubleshoot simulation education and curricular challenges. (For details, see below) For more Simulation Academy updates, including upcoming events, follow us on twitter: @SAEMSimAcademy
You are the director of simulation at a newly minted emergency medicine residency program. You have developed a longitudinal simulation curriculum for your residency program, but you wonder what other programs around the country are doing.
You are the director of simulation for an established emergency medicine residency program. Your department chair approaches you because there have been multiple residents involved in central line safety issues in the past six months.
You are the associate program director for an established emergency medicine residency program. You have a resident who is lagging his peers in the clinical setting. You would like to put together a remediation program with a simulation component.
Introduction
Simulation is a powerful educational tool universally embraced across emergency medicine residency programs. Successful deployment of simulation curricula depends on a range of factors, including understanding the specific needs of the trainee, the available resources, and the learning environment at each program.
Simulation educators are confronting new and evolving challenges as they strive to provide high-quality education to trainees, such as the need to evaluate trainees based upon competency-based milestones, demand for accountability and documented assessments, and rapid advances in simulation technology. However, training programs vary widely in available faculty and simulation resources, and it is common for residency programs to have only a handful of simulation-trained educators practicing in relative isolation.
As leaders in the SAEM Simulation Academy, we believe that all simulation educators benefit from a forum to share experiences, expertise, and ideas on how to approach common educational dilemmas. Increased collaboration results in increased professional engagement, augmented creativity, and improved outcomes for our trainees. “Simulation educators are confronting new and evolving challenges as they strive to provide high-quality education to trainees, such as the need to evaluate trainees based upon competency-based milestones, demand for accountability and documented assessments, and rapid advances in simulation technology.”
The Simulation Consult Service
The Simulation Consult Service was developed as a collaboration between the SAEM Simulation Academy and the CORD Simulation Community of Practice. This service, which is free to members, provides solutions to common educational dilemmas faced by programs when designing and implementing simulation curriculum. We strive to provide a personalized approach to each educational dilemma, integrating best practices in healthcare simulation and medical education.
How It Works
The SAEM Simulation Academy welcomes new consults by e-mailing the Simulation Consult Service leadership at simconsults@ saem.org.
Once submitted, consults go to a team of simulation educators in the SAEM Simulation Academy, who systematically review each submission and provide feedback, ideas, and resources for taking the next step in curriculum innovation.
Educational Solutions
You reach out to the Simulation Consult Service to see how other established emergency medicine programs are incorporating simulation into residency education. SAEM Simulation Academy members put together an outline of common elements of longitudinal simulation programs at their training sites and provide targeted feedback on your curriculum plan.
Central line training is a critical element of emergency medicine residency training. Multiple members of SAEM Simulation Academy have experience with central line training programs from their respective institutions, including strategies for monitoring trainee progress. These suggestions allow you to kickstart your own surveillance and remediation program.
Simulation can be a valuable component of clinical remediation, as it allows development of clinical reasoning skills without additional patient risk. Members of SAEM Simulation Academy share examples of prior remediation programs at their residency programs, including outcomes and pitfalls encountered. You build upon their experiences to develop a customized remediation program for your at-risk trainee.
New Award to Honor Dr. Rekesh Engineer
The SAEM Evidence Based Healthcare & Implementation Interest Group has announced a new award named in honor of the late Rakesh Engineer, MD, who passed away in 2019. The Rakesh Engineer Award, to be presented for the first time at SAEM22 in New Orleans, is intended to highlight an implementation science abstract exemplifying his spirit.
About Dr. Engineer
As an emergency medicine clinical researcher, Dr. Engineer thrived at the interface of published evidence and pragmatic application at the bedside. At the time of his death, he was finalizing an implementation science presentation on rapid cardiac evaluation in the emergency department for SAEM19. Dr. Engineer earned both his BS and MD at The Ohio State University. After his internship at Barnes-Jewish Hospitals/Washington University in St. Louis, Missouri, he trained in emergency medicine at Spectrum Health (Butterworth Hospital)/Michigan State University in Grand Rapids. Thereafter, he joined the Cleveland Clinic to be with his family, educate the next generation of emergency physicians, and launch his clinical research career. Dr. Engineer epitomized the vision of Implementation Science that “knowing is not enough…we must apply” and therefore this award will forever bear his name.
What is Implementation Science?
“Implementation Science” journal defines this as “the scientific study of methods to promote the uptake of research findings into routine healthcare in clinical, organizational, and policy contexts.” In other words, implementation science programs use the available evidence to achieve measurable improvements in the quality of clinical care. These improvements can occur via implementation, such as adding or improving a process which will improve care, or by de-implementation, which is removing a prior process that has since been shown to be ineffective or harmful to better align with the optimal care.
Award Criteria
Starting at SAEM22, abstracts that are accepted for the SAEM Annual Meeting will be eligible for consideration of this award. The abstract must center on a project or study that evaluates the implementation, or de-implementation, of a process that leads to an evidence-based improvement in patient care. Both implementation and clinical outcomes should be reported, with the focus being on the implementation. Quality improvement projects may be considered if they describe the implementation methods and address the effectiveness of the implementation protocol as well as the corresponding clinical outcomes.
The abstracts will be scored in two phases using a modified RE-AIM (Reach, Effectiveness, Adoption, Implementation Consistency, Maintenance) approach. First, judges will score written abstracts on the reach, effectiveness, adoption, and maintenance. For the top three abstracts, the oral or poster presentation will be then judged live at the SAEM Annual Meeting focusing again on the reach, adoption, and evidence base behind the process change. From these scores, a final winner will be chosen and announced at the conclusion of the SAEM Annual Meeting.
How to Apply
Interested SAEM members can apply through the SAEM website starting in December 2021. Details will be announced later this fall.
