ORIGINAL ARTICLE   Free access

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

DOI: 10.23736/S0375-9393.21.15427-6

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

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