Development of a Canadian National Anesthesiology Simulation Curriculum (CanNASC) Dr Michelle Chiu October 25, 2014

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1 Development of a Canadian National Anesthesiology Simulation Curriculum (CanNASC) Dr Michelle Chiu October 25, 2014

2 I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. Author: Dr Michelle Chiu Date: October 25, 2014

3 CanNASC Task Force Members Laine Bosma (UBC) Jessica Burjorjee (Queens) Megan Hayter (Calgary) Noel O Regan (MUN) Rich Cherry/AndreasAntoniou(UWO) Greg Peachey (McMaster) Gilles Chiniara (Laval) Neil Cowie (Saskatchewan) Simone Crooks (Ottawa) Arnaud Robitaille (Montreal) Marshall Tenenbein (Manitoba) Narendra Vakharia(Dalhousie) Kate Doyle (Alberta) David Dubois (Sherbrooke) Natalie Dupuis (NOSM) Tobias Everett (Toronto) Nat Buu/Rachel Fisher (McGill) Michelle Chiu (Chair) Jordan Tarshis (RC Mem. at Large) Viren Naik (RC) Mike Sullivan (Spec. Comm. Chair) 3

4 CanNASC Task Force Mission Our mission is to develop and implement a set of standardized mannequin-based simulation scenarios that will be completed by every trainee during residency.» Rare, but important clinical situations that may not even be seen, let alone experienced in a finite residency.» Clinical scenarios that are critical to competency as an anesthesiologist. All scenarios will have learning objectives grounded in the National Curriculum for Canadian Anesthesia Residency. 4

5 CanNASC Work Plan Needs assessment (2013) We created, distributed nationally and analyzed a needs assessment survey regarding simulation scenario content. National simulation activity (2013) We accounted for resources and current curriculum in each institution s simulation center. Curriculum content (2013) We achieved consensus on a set of scenarios regarding both important and technically feasible scenario content to be included in the curriculum. 5

6 CanNASC Work Plan Standardized scenario template (2013) We developed a standardized template for the delivery of simulation based education activities. Creation of scenarios (2014) We created the first scenario using the standardized template document. The entire Task Force will approve each final scenario (CanNASC Simulation Milestone). Assessment rubric (2014) We agreed upon the Managing Emergencies in Pediatric Anesthesia (MEPA) GRS as our primary assessment tool, to be informed by a scenario-specific checklist & the Anesthesia Non-Technical Skills (ANTS) GRS. 6

7 MEPA GRS Please rate the overall performance in this simulation scenario from 1 to 6. Scores of 1 3 are unsatisfactory for an anesthesiologist in independent practice and would constitute a failing performance in a high stakes examination such as the Royal College exam. Scores of 4 6 are satisfactory for an anesthesiologist in independent practice. Everett TC et al. The Managing Emergencies in Paediatric Anaesthesia global rating scale is a reliable tool for simulation-based assessment in pediatric anesthesia crisis management. Pediatric Anesthesia 2013; 23:

8 ANTS Scale Fletcher G, et al. Anaesthetists non-technical skills (ANTS). Evaluation of a behavioural marker system. Br J Anaesth 2003; 90:

9 CanNASC Work Plan National Rollout (Academic year ) We will begin with one scenario at all 17 institutions. We established scenario implementation guidelines and rater training videos, guide & commentary. Concurrent Scenario Development (2014) We are now in the process of concurrently developing 4 additional scenarios & scenario-specific checklists. Next Steps 9

10 CanNASC Next Steps Implementation of CanNASC nationally Implementation Data Collection Continuous quality improvement 10

11 CanNASC Next Steps Implementation of CanNASC nationally Implementation Data Collection Continuous quality improvement 11

12 Acknowledgements Royal College Office of Health Systems, Innovation and External Relations» Practice, Performance and Innovation Unit 12

13 Questions? 13

14 Help us improve. Your input matters. Download the ICRE App; Visit the evaluation area in Pre-function Hall B, near Registration; or Go to: icreevaluations to complete the session evaluation. Aidons-nous à nous améliorer. Votre opinion compte. Téléchargez l application de la CIFR; Visitez la zone d évaluation, au vestibule de la salle B, près du kiosque d inscription; ou Visitez le afin de remplir une évaluation de la séance. You could be entered to win 1 of 3 $100 gift cards. Vous courrez la chance de gagner l un des trois chèques-cadeaux d une valeur de 100 $.

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