Introduction: In order to provide safe, timely, and effective care for our patients, it is imperative that surgical interns are prepared to recognize and manage acute postoperative complications, particularly those emergencies which are life-threatening. Thus, we designed this series of skills sessions aimed to improve surgical intern readiness for responding to life-threatening issues encountered in surgical care. Methods: This technology-enhanced course for surgical interns incorporates didactics and simulation. It aims to improve surgical intern readiness for responding to life-threatening issues encountered in surgical care. This curricular development is uniquely distinct in its emphasis upon simulation. Results: Upon course completion, participants reported high confidence in executing skills, suggesting improved readiness for acute care of the surgical inpatient. Learners demonstrated objective improvement in testing of cognitive skills and performance in simulated scenarios. Discussion: We have looked at outcomes following this intervention and feel that we have significantly augmented intern readiness, thereby heightening patient safety. Furthermore, we believe that our experience demonstrates the importance of simulation as a key tool in preparing interns for acute inpatient management.
- Define/recognize clinical signs of hypoxia, hypotension, shock, electrolyte abnormalities, glucose abnormalities, acid-base disorders, and cardiac arrhythmias.
- Generate differential diagnoses for each of the above listed disorders.
- Prioritize treatment algorithms for each of the above listed disorders.
- List alterations to normal respiratory and cardiovascular physiology in postoperative patients
- Identify various modes of pacemakers and how to troubleshoot problems with pacing.
- Recognize various types of ventricular assist device (VADs), normal hemodynamic parameters for patients with VADs, and how to troubleshoot problems with VADs.
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Antonoff MB, Shelstad R, Reihsen T, et al. A technology-enhanced curriculum for surgical interns improves readiness for acute inpatient care. Presented at: University of Minnesota Academic Health Center Best Practices Institute; May 20, 2008; Minneapolis, MN.
Antonoff MB, Shelstad R, Reihsen T, et al. A novel critical skills curriculum for surgical interns incorporating simulation training improves readiness for acute inpatient care. Presented at: American College of Surgeons 94th Annual Clinical Congress; October 16, 2008; San Francisco, CA.
Antonoff MB, Shelstad R, Reihsen T, et al. A critical skills curriculum for surgical interns including simulation improves readiness for acute inpatient care. Presented at: Minnesota Surgical Society Fall Meeting; October 25, 2008; Alexandria, MN.
Antonoff MB, Shelstad R, Reihsen T, et al. Preparing interns for acute surgical inpatient care: design and implementation of a novel simulation-based curriculum. Presented at: Association for Surgical Education, Surgical Education Week; April 29, 2009; Salt Lake City, UT.
Antonoff MB, Shelstad RC, Chipman JG, et al. Development and implementation of a simulation-based critical skills course for surgical interns: lessons learned. Presented at: American College of Surgeons 95th Annual Clinical Congress; October 14, 2009; Chicago, IL.
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