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Simulation-based research in emergency medicine in Canada: Priorities and perspectives

  • Timothy Chaplin (a1), Brent Thoma (a2), Andrew Petrosoniak (a3), Kyla Caners (a4), Tamara McColl (a5), Chantal Forristal (a6), Christa Dakin (a7), Jean-Francois Deshaies (a8), Eliane Raymond-Dufresne (a9), Mary Fotheringham (a6), David Ha (a10), Nicole Holm (a7), James Huffman (a11), Ann-Marie Lonergan (a12), George Mastoras (a13), Michael O'Brien (a13), Marie-Rose Paradis (a12), Nicholas Sowers (a14), Errol Stern (a15) and Andrew K. Hall (a1)...

Abstract

Objective

Simulation plays an integral role in the Canadian healthcare system with applications in quality improvement, systems development, and medical education. High-quality, simulation-based research will ensure its effective use. This study sought to summarize simulation-based research activity and its facilitators and barriers, as well as establish priorities for simulation-based research in Canadian emergency medicine (EM).

Methods

Simulation-leads from Canadian departments or divisions of EM associated with a general FRCP-EM training program surveyed and documented active EM simulation-based research at their institutions and identified the perceived facilitators and barriers. Priorities for simulation-based research were generated by simulation-leads via a second survey; these were grouped into themes and finally endorsed by consensus during an in-person meeting of simulation leads. Priority themes were also reviewed by senior simulation educators.

Results

Twenty simulation-leads representing all 14 invited institutions participated in the study between February and May, 2018. Sixty-two active, simulation-based research projects were identified (median per institution = 4.5, IQR 4), as well as six common facilitators and five barriers. Forty-nine priorities for simulation-based research were reported and summarized into eight themes: simulation in competency-based medical education, simulation for inter-professional learning, simulation for summative assessment, simulation for continuing professional development, national curricular development, best practices in simulation-based education, simulation-based education outcomes, and simulation as an investigative methodology.

Conclusion

This study summarized simulation-based research activity in EM in Canada, identified its perceived facilitators and barriers, and built national consensus on priority research themes. This represents the first step in the development of a simulation-based research agenda specific to Canadian EM.

Introduction

La simulation joue maintenant un rôle essentiel dans le système de soins de santé au Canada, avec différentes applications dans l'amélioration de la qualité, l’élaboration de systèmes ou la formation médicale. Or, son utilisation efficace est tributaire de la recherche fondée sur la simulation de qualité. L’étude visait donc à dresser le tableau des activités de recherche fondée sur la simulation, à cerner les facteurs facilitants et les obstacles ainsi qu’à établir les priorités de la recherche fondée sur la simulation, en médecine d'urgence (MU), au Canada.

Méthode

Des responsables de la simulation provenant de départements ou de divisions de MU, au Canada, associés au programme de formation générale du Collège royal des médecins et chirurgiens du Canada en MU ont mené une enquête sur les projets de recherche fondée sur la simulation en MU, en cours dans leur établissement; les ont documentés, puis ont relevé différents éléments considérés comme des facteurs facilitants ou des obstacles. Ces responsables ont par la suite monté une liste de priorités de recherche fondée sur la simulation à l'aide d'une seconde enquête, après quoi celles-ci ont été groupées en thèmes, puis acceptées par consensus au cours d'une réunion tenue en personne par ces mêmes experts. Les thèmes prioritaires ont également fait l'objet d'examen par des éducateurs chevronnés en simulation.

Résultats

Vingt responsables de la simulation, représentant les 14 établissements invités, ont participé à l’étude, entre février et mai 2018. Ont été relevés 62 projets actifs de recherche fondée sur la simulation (médiane par établissement : 4,5; écart interquartile : 4), 6 facteurs facilitants et 5 obstacles communs. Par la suite, l'enquête a permis de recenser 49 priorités de recherche fondée sur la simulation, groupées en 8 thèmes : la simulation dans la formation médicale axée sur les compétences, la simulation dans l'apprentissage interprofessionnel, la simulation dans l’évaluation sommative, la simulation dans la formation professionnelle continue, le développement du curriculum national, les pratiques exemplaires dans la formation fondée sur la simulation, les résultats de la formation fondée sur la simulation et la simulation comme moyen de recherche.

Conclusion

L’étude a permis de dresser le tableau des activités de recherche fondée sur la simulation en MU au Canada, de faire ressortir les éléments considérés comme des facteurs facilitants ou des obstacles, et d'atteindre un consensus national sur les thèmes prioritaires de recherche. Voilà qui constitue la première étape de l’élaboration d'un programme de recherche fondée sur la simulation, propre à la MU au Canada.

Copyright

Corresponding author

Correspondence to: Dr. Tim Chaplin, Department of Emergency Medicine, Queen's University Kingston Health Sciences Centre, 76 Stuart Street, Kingston, ON K7L 2V7 Email: chaplintim2@gmail.com

References

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Simulation-based research in emergency medicine in Canada: Priorities and perspectives

  • Timothy Chaplin (a1), Brent Thoma (a2), Andrew Petrosoniak (a3), Kyla Caners (a4), Tamara McColl (a5), Chantal Forristal (a6), Christa Dakin (a7), Jean-Francois Deshaies (a8), Eliane Raymond-Dufresne (a9), Mary Fotheringham (a6), David Ha (a10), Nicole Holm (a7), James Huffman (a11), Ann-Marie Lonergan (a12), George Mastoras (a13), Michael O'Brien (a13), Marie-Rose Paradis (a12), Nicholas Sowers (a14), Errol Stern (a15) and Andrew K. Hall (a1)...

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