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Minerva Anestesiologica 2021 November;87(11):1174-82

DOI: 10.23736/S0375-9393.21.15427-6

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Acquisition of skills in critical emergency medicine: an experimental study on the SIAARTI Academy CREM experience

Denise BATTAGLINI 1, 2 , Alessandra IONESCU MADDALENA 3, 4, Roberta R. CAPORUSSO 5, Eugenio GAROFALO 6, Andrea BRUNI 6, Maria G. BOCCI 4, Emiliano CINGOLANI 7, Antonino GIARRATANO 8, 9, Flavia PETRINI 10, the SIAARTI ACADEMY CREM Group 

1 Anesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy; 2 Department of Medicine, University of Barcelona, Barcelona, Spain; 3 Unit of Anesthesia and Intensive Care, PO Balcolle ASL, Viterbo, Italy; 4 Department of Intensive Care and Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy; 5 Section of Anesthesia and Intensive Care, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy; 6 Department of Medical and Surgical Sciences, Mater Domini University Hospital, Catanzaro, Italy; 7 UOSD Shock e Trauma, Dipartimento di Emergenza, Accettazione e delle Chirurgie Specialistiche, Azienda Ospedaliera San Camillo Forlanini, Rome, Italy; 8 Department of Surgical, Oncological and Oral Science, University of Palermo, Palermo, Italy; 9 Department of Anesthesia, Intensive Care and Emergency, Paolo Giaccalone Polyclinic, Palermo, Italy; 10 SIAARTI President, Rome, Italy



BACKGROUND: In 2019 the SIAARTI developed a seven-days course for residents, focused on critical emergency medicine (CREM) in a hostile environment, that grounds on simulation-based education and training with hands-on simulation, high-fidelity simulators and part-task trainers. This project aimed to evaluate the efficacy of this course in comparison to traditional learning programs in term of technical (TS) and non-technical (NTS) skills. We assessed the improvement in TS and NTS over time, and the ability to involve trainees in corporate activities.
METHODS: Three-hundred and twenty-seven trainees completed the study. Trainees were allocated into three groups: those who joined the SIAARTI-Academy-CREM course and received a study kit (SA-kit, N.=124), those who received only a study kit (kit, N.=108), and control (N.=95). Eighty-five tests were administered to investigate skills at three timepoints: T0 (baseline), T1 (post-training/kit), and T2 (four months later).
RESULTS: TS differed among groups (P<0.0001), with the highest points in the SA-kit group at T1 (post-hoc comparison, P<0.0001 vs. kit; P<0.0001 vs. control), and T2 (post-hoc comparison, P<0.0001 vs. kit; P<0.0001 vs. control). NTS differed among groups (P=0.0406), with the highest points in the SA-kit group at T1 (post-hoc comparison, P=0.0337 vs. kit; P=0.0416 vs. control), and T2 (post-hoc comparison, P=0.0073 vs. kit; P=0.3308 vs. control). SA-kit group significantly improved TS (P<0.0001) and NTS (P=0.0006) over time. Involvement in corporate activities of SA-kit was significantly higher than kit and control (P=0.0012).
CONCLUSIONS: SA-kit improvement in TS and NTS was higher than kit and control and was maintained over time. Participation in this course implemented participation in corporate activities among attendees.


KEY WORDS: Education; Professional competence; Anesthesia

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