A novel biosimulation task trainer for the deliberate practice of resuscitative hysterotomy.

摘要: Resuscitative hysterotomy is a daunting and rarely performed procedure in the emergency department (ED). Given paucity of clinical exposure to this intervention, resuscitative an ideal opportunity for simulation-mediated deliberate practice. The authors propose novel training program using homegrown, realistic, simulation device as means practice hysterotomy. Two high-fidelity, tissue-based task-trainer models were constructed tested on convenience sample 14 medicine (EM) residents. simulated human placenta, bladder, amniotic sac, uterus through use porcine skin, stomach, transparent plastic bag, Foley tubing, squid mantle, all secured with nylon sutures. A Gaumard S500 Articulating Newborn was inserted uterus, entire model placed into Childbirth Simulator. Each required less than 1 h assembly. Emergent first demonstrated by EM faculty facilitator, followed hands-on Formal feedback learners’ self-reported confidence satisfaction levels solicited at end workshop survey previously cited low-fidelity Quantitative evaluation session extracted 5-item questionnaire 5-point Likert-type scale (i.e., from 1, strongly disagree, 5, agree). Item scores added cumulative total score, possible maximum score 25 minimum 5. Responses overwhelmingly positive [24.13 (± 1.36)]. Qualitative open-ended questions; these responses highlighted appreciation development novel, task trainer. All participants recommended be available future learners. high-stakes, low-frequency that demands provider confidence. Our hybrid, represents feasible training. cost conscious, easily reproducible, portable allows ample