SEA UK Project Grant

Principal Applicant
Dr Henry Reynolds
Anaesthesia Leadership and Management Fellow, Bradford Royal Infirmary

Title
Does repeating a scenario after debriefing, in anaesthetic simulation training, improve acquisition on non-technical skills?

Amount
£3,000 jointly funded with the Association of Anaesthetists of Great Britain & Ireland.

Scientific Abstract
Research questions
(1) Does a repetitive scenario simulation design (15 minute scenario, 20 minute debrief, 10 minute re-run first scenario) lead to demonstration of greater Anaesthetic Non-Technical Skills on a new scenario, compared with a single scenario design (15 minute scenario, 30 minute debrief)?
(2) Do trainees give higher feedback ratings on the repetitive scenario protocol compared with a single scenario protocol?
(3) Do trainees find a repetitive scenario an acceptable way to learn as measured by a semi-structured interview?

Background
Repeating a surgical procedure improves technical skills. A recent study suggested repeating paediatric resuscitation scenarios after debriefing, led to increased participant perception of knowledge and skills improvement.

Experimental design and methods
We will attempt to test all anaesthetic trainees at Bradford Royal Infirmary (hoping to recruit around 30) randomising them to repeat or single scenarios. The video-recorded 'new' scenario will be rated by 2 blinded examiners familiar with Anaesthetic Non-Technical skills assessment. The interview afterwards will consist of Likert scale rating and more open ended questions. Likert scale data and Anaesthetic Non-Technical Skills ratings will be analysed using a Mann Witney U test.