Transfer of Non-technical Skills From Simulation to Clinical Practice

Are the Non Technical Skills Taught to Residents in Anesthesiology During in Situ Simulation Sessions Transferred to Clinical Practice

Since 1988, simulation has been proposed as a teaching tool in Anesthesia. The simulation environment allows to teach learners non-technical skills which are a combination of cognitive, social, and personal resources complementary to procedural skills that contribute to an efficient and safe performance.

Non-technical skills traditionally used in Anesthesia are task management, situational awareness, teamwork and decision making. They can be indirectly measured with validated scales (e.g. Anesthesia Non-Technical Skills (ANTS) system). In addition to these basic skills, specific skills such as Anesthesia Crisis Resource Management (ACRM) are required when the patient presents a critical clinical situation.

Simulation, as proposed by Gaba, was initially practiced in centers specifically designed for this purpose. More recently, we have proposed the model of in situ simulation, i.e. in the usual workplace with the usual work team, as another option for the practice of simulation.

There are many theories about the transfer of learning. Transfer can be defined as what remains of the completed training that the learner actually uses, i.e. the final real effect.

Nevertheless, almost 30 years after the introduction of simulation in the training of anesthesiologists, data demonstrating the interest of this teaching in terms of transfer of learning of non-technical skills to clinical practice or benefits for patients are rare.

The main objective of this study is to evaluate the transfer of non-technical skills taught in a training program including in situ simulation to clinical practice by anesthesiology residents.

Study Overview

• Status: Enrolling by invitation
• Conditions: in Situ Simulation
• Intervention / Treatment: Other: in Situ Simulation

• Study Type: Interventional
• Enrollment (Anticipated): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Belgium
  • Liège, Belgium, 4000
    • CHU de Liège - Sart-Tilman

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

- Internship in the ambulatory surgery unit

Exclusion Criteria:

- Refusal to participate

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control group; Anesthesiology residents do not receive any in situ simulation sessions during the observation period
Experimental: Simulation group; Anesthesiology residents receive in situ simulations sessions during the observation period	Other: in Situ Simulation; 2 sessions of in situ simulation with 4 crisis scenarios and debriefing focused on non technical skills

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
ANTS (Anesthesia non technical skills) score	15 items - From 1(poor) to 4 (good) for each item - Minimum 15 - Maximum 60	Once a day for 5 consecutive days between the first and the 15th day after enrollment in the study
ANTS (Anesthesia non technical skills) score	15 items - From 1(poor) to 4 (good) for each item - Minimum 15 - Maximum 60	Once a day for 5 consecutive days between the 30th and 45th day after enrollment
ANTS (Anesthesia non technical skills) score	15 items - From 1(poor) to 4 (good) for each item - Minimum 15 - Maximum 60	Once a day for 5 consecutive days between the 3rd and the 4th month after enrollment

Secondary Outcome Measures

Outcome Measure	Time Frame
DOPS (Direct Observation of Procedural Skills) scale	Once within the first 15 days of enrollment
DOPS (Direct Observation of Procedural Skills) scale	Once between the 30th and the 45th day after enrollment
DOPS (Direct Observation of Procedural Skills) scale	Once between the 3rd and the 4th month after enrollment

Collaborators and Investigators

• Sponsor: Jean François Brichant

Study record dates

Study Major Dates

• Study Start (Actual): May 28, 2021
• Primary Completion (Anticipated): September 30, 2024
• Study Completion (Anticipated): September 30, 2024

Study Registration Dates

• First Submitted: June 4, 2021
• First Submitted That Met QC Criteria: June 9, 2021
• First Posted (Actual): June 10, 2021

Study Record Updates

• Last Update Posted (Actual): June 10, 2021
• Last Update Submitted That Met QC Criteria: June 9, 2021
• Last Verified: June 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: 2018-71

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No