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Interprofessional Education and ECMO Simulation

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Comprehensive Healthcare Simulation: ECMO Simulation

Part of the book series: Comprehensive Healthcare Simulation ((CHS))

Abstract

This chapter discusses the role of interprofessional education (IPE) in ECMO simulations. IPE simulation allows a multidisciplinary team to learn, practice, refine, and master the skills necessary to promote readiness to provide acute medical care to patients when needed. The strengths of IPE simulation are supported by several educational theories discussed in this chapter. Acquisition and retention of knowledge can be described through Miller’s pyramid in which a learner advances from the base (acquisition of cognitive knowledge) to the top (integration of knowledge through performance behaviors). Translating Miller’s Pyramid to IPE ECMO simulation provides a framework and practical guide for the development of educational programming in which team members build upon the foundation of discipline-specific knowledge, through team simulation, debriefing, and reflection on performance ultimately leading to improved patient care. While there are many benefits to IPE simulation, there are many challenges as well. Overcoming these challenges involves advanced planning, training of educators in simulation design and debriefing, commitment from the healthcare team, and support from the healthcare institution.

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References

  1. Edwards M. Interprofessional education and medical libraries: partnering for success. Lanham: Rowman & Littlefield Publishers; 2016. Accessed 10/10/2018.

    Google Scholar 

  2. Barr HLH. Introducing interprofessional education; 2013.

    Book  Google Scholar 

  3. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65(9 Suppl):S63–7.

    Article  CAS  PubMed  Google Scholar 

  4. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10 Suppl):S70–81.

    Article  PubMed  Google Scholar 

  5. Kilgore RV, Langford RW. Reducing the failure risk of interdisciplinary healthcare teams. Crit Care Nurs Q. 2009;32(2):81–8.

    Article  PubMed  Google Scholar 

  6. Ballard J. Theories underlying interprofesional education. In: Edwards M, editor. Interprofessional education and medical libraries : partnering for success. Lanham: Rowman & Littlefield; 2016. p. 13–31.

    Google Scholar 

  7. Johnston L, Williams SB, Ades A. Education for ECMO providers: using education science to bridge the gap between clinical and educational expertise. Semin Perinatol. 2018;42(2):138–46.

    Article  PubMed  Google Scholar 

  8. Knowles MS. Application in continuing education for the health professions: chapter five of “Andragogy in Action”. Mobius. 1985;5(2):80–100.

    CAS  PubMed  Google Scholar 

  9. Mezirow J. Transformative learing: theory to practics. In: Merriam S, editor. New directions for adult and continuing education. San Fransisco: Jossey Bass; 1997.

    Google Scholar 

  10. Pecukonis E, Doyle O, Bliss DL. Reducing barriers to interprofessional training: promoting interprofessional cultural competence. J Interprof Care. 2008;22(4):417–28.

    Article  PubMed  Google Scholar 

  11. J P. Transformative learning in healthcare. PAACE J Lifelong Learn. 2010;19:39–54.

    Google Scholar 

  12. Leape LL, Berwick DM. Five years after to err is human: what have we learned? JAMA. 2005;293(19):2384–90.

    Article  CAS  PubMed  Google Scholar 

  13. Health HPNNMHRf. Framework for action on interprofessional education & collaborative practice. Geneva: World Health Organization; 2010.

    Google Scholar 

  14. Meurling L, Hedman L, Fellander-Tsai L, Wallin CJ. Leaders’ and followers’ individual experiences during the early phase of simulation-based team training: an exploratory study. BMJ Qual Saf. 2013;22(6):459–67.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Lo L, The Canadian Patient Safety Institute. Teamwork and communication in healthcare: a literature review. 2011. Accessed 03/19/2018.

    Google Scholar 

  16. Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214–7.

    Article  PubMed  Google Scholar 

  17. Low XM, Horrigan D, Brewster DJ. The effects of team-training in intensive care medicine: a narrative review. J Crit Care. 2018;48:283–9.

    Article  CAS  PubMed  Google Scholar 

  18. Cheng A, Donoghue A, Gilfoyle E, Eppich W. Simulation-based crisis resource management training for pediatric critical care medicine: a review for instructors. Pediatr Crit Care Med. 2012;13(2):197–203.

    Article  PubMed  Google Scholar 

  19. Gaba DMHS, Fish KJ, Smith BE, Sowb YA. Simulation-based training in anesthesia crisis resource management (ACRM): a decade of experience. Simul Gaming. 2001;32(2):175–93.

    Article  Google Scholar 

  20. Cook DA, Hatala R, Brydges R, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306(9):978–88.

    Article  CAS  PubMed  Google Scholar 

  21. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011;86(6):706–11.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Anderson JM, Boyle KB, Murphy AA, Yaeger KA, LeFlore J, Halamek LP. Simulating extracorporeal membrane oxygenation emergencies to improve human performance. Part I: methodologic and technologic innovations. Simul Healthc. 2006;1(4):220–7.

    Article  PubMed  Google Scholar 

  23. McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ. 2010;44(1):50–63.

    Article  PubMed  Google Scholar 

  24. Nelson S, White CF, Hodges BD, Tassone M. Interprofessional team training at the prelicensure level: a review of the literature. Acad Med. 2017;92(5):709–16.

    Article  PubMed  Google Scholar 

  25. Weems MF, Friedlich PS, Nelson LP, et al. The role of extracorporeal membrane oxygenation simulation training at extracorporeal life support organization centers in the United States. Simul Healthc. 2017;12(4):233–9.

    Article  PubMed  Google Scholar 

  26. Zwischenberger JBSR, Bartlett RH. Extracorporeal cardiopulmonary support in critical care. Ann Arbor: Extracorporeal Life Support Organization (ELSO); 2000.

    Google Scholar 

  27. ECLS registry report international summary. Extracorporeal life support organization; January 2016.

    Google Scholar 

  28. Burton KS, Pendergrass TL, Byczkowski TL, et al. Impact of simulation-based extracorporeal membrane oxygenation training in the simulation laboratory and clinical environment. Simul Healthc. 2011;6(5):284–91.

    Article  PubMed  Google Scholar 

  29. Zakhary BM, Kam LM, Kaufman BS, Felner KJ. The utility of high-fidelity simulation for training critical care fellows in the management of extracorporeal membrane oxygenation emergencies: a randomized controlled trial. Crit Care Med. 2017;45(8):1367–73.

    Article  PubMed  Google Scholar 

  30. Nimmo GRWG, Scarth J, Simpson J, Gracie E, Torrance I, Liddell M, Davies C. Critical events simulation for neonatal and paediatric ECMO. J Int Care Soc. 2008;4:160–2.

    Google Scholar 

  31. Burkhart HM, Riley JB, Lynch JJ, et al. Simulation-based postcardiotomy extracorporeal membrane oxygenation crisis training for thoracic surgery residents. Ann Thorac Surg. 2013;95(3):901–6.

    Article  PubMed  Google Scholar 

  32. Su L, Spaeder MC, Jones MB, et al. Implementation of an extracorporeal cardiopulmonary resuscitation simulation program reduces extracorporeal cardiopulmonary resuscitation times in real patients. Pediatr Crit Care Med. 2014;15(9):856–60.

    Article  PubMed  Google Scholar 

  33. Sanchez-Glanville C, Brindle ME, Spence T, et al. Evaluating the introduction of extracorporeal life support technology to a tertiary-care pediatric institution: smoothing the learning curve through interprofessional simulation training. J Pediatr Surg. 2015;50(5):798–804.

    Article  PubMed  Google Scholar 

  34. Anderson JM, Murphy AA, Boyle KB, Yaeger KA, Halamek LP. Simulating extracorporeal membrane oxygenation emergencies to improve human performance. Part II: assessment of technical and behavioral skills. Simul Healthc. 2006;1(4):228–32.

    Article  PubMed  Google Scholar 

  35. Allan CK, Pigula F, Bacha EA, et al. An extracorporeal membrane oxygenation cannulation curriculum featuring a novel integrated skills trainer leads to improved performance among pediatric cardiac surgery trainees. Simul Healthc. 2013;8(4):221–8.

    Article  PubMed  Google Scholar 

  36. Allan CK, Thiagarajan RR, Beke D, et al. Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams. J Thorac Cardiovasc Surg. 2010;140(3):646–52.

    Article  PubMed  Google Scholar 

  37. Brum R, Rajani R, Gelandt E, et al. Simulation training for extracorporeal membrane oxygenation. Ann Card Anaesth. 2015;18(2):185–90.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Ogino MTFC, Moore EA. Education and training. In: Brogan TVLL, Lorussa R, MacLaren G, Peek G, editors. Extracorporeal life support: the ELSO red book. Ann Arbor: Extracorporeal Life Support Agency; 2017.

    Google Scholar 

  39. Johnston L, Oldenburg G. Simulation for neonatal extracorporeal membrane oxygenation teams. Semin Perinatol. 2016;40(7):421–9.

    Article  PubMed  Google Scholar 

  40. McKee L, Charles K, Dixon-Woods M, Willars J, Martin G. ‘New’ and distributed leadership in quality and safety in health care, or ‘old’ and hierarchical? An interview study with strategic stakeholders. J Health Serv Res Policy. 2013;18(2 Suppl):11–9.

    Article  PubMed  Google Scholar 

  41. Muratore S, Beilman G, John R, Brunsvold M. Extracorporeal membrane oxygenation credentialing: where do we stand? Am J Surg. 2015;210(4):655–660 e652.

    Article  PubMed  Google Scholar 

  42. Alinier G, Hassan IF, Alsalemi A, et al. Addressing the challenges of ECMO simulation. Perfusion. 2018;33(7):568–76.

    Article  PubMed  Google Scholar 

  43. Brogan TVLL, Lorusso R, MacLaren G, Peek G. Extracorporeal life support: The ELSO red book, vol. 5. Ann Arbor: Extracorporeal Life Support Organization; 2017.

    Google Scholar 

  44. Chan SY, Figueroa M, Spentzas T, Powell A, Holloway R, Shah S. Prospective assessment of novice learners in a simulation-based extracorporeal membrane oxygenation (ECMO) education program. Pediatr Cardiol. 2013;34(3):543–52.

    Article  PubMed  Google Scholar 

  45. Sawyer T, White M, Zaveri P, et al. Learn, see, practice, prove, do, maintain: an evidence-based pedagogical framework for procedural skill training in medicine. Acad Med. 2015;90(8):1025–33.

    Article  PubMed  Google Scholar 

  46. Persky AM, McLaughlin JE. The flipped classroom - from theory to practice in health professional education. Am J Pharm Educ. 2017;81(6):118.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Silverman E, Tucker SA, Imsdahl S, et al. Conducting elite performance training. Surg Clin North Am. 2015;95(4):839–54.

    Article  PubMed  Google Scholar 

  48. Randall L. Rethinking faculty development: toward sustaining a community of learners. Senate Forum. 2008;24(1):18–22.

    Google Scholar 

  49. Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways flight 1549. Chest. 2009;136(3):910–7.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

    Summer Elshenawy

  2. The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Christine D. Franciscovich & Susan B. Williams

  3. Division of Neonatology, Department of Pediatrics, The Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    Heather M. French

Authors
  1. Summer Elshenawy
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  2. Christine D. Franciscovich
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  3. Susan B. Williams
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  4. Heather M. French
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Corresponding author

Correspondence to Heather M. French .

Editor information

Editors and Affiliations

  1. School of Medicine, Yale University, New Haven, CT, USA

    Lindsay C. Johnston

  2. School of Medicine, Stanford University, Stanford, CA, USA

    Lillian Su

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Elshenawy, S., Franciscovich, C.D., Williams, S.B., French, H.M. (2021). Interprofessional Education and ECMO Simulation. In: Johnston, L.C., Su, L. (eds) Comprehensive Healthcare Simulation: ECMO Simulation. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-53844-6_10

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  • DOI: https://doi.org/10.1007/978-3-030-53844-6_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-53843-9

  • Online ISBN: 978-3-030-53844-6

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