Application of virtual simulation-based teaching-examination linkage in anesthesia crisis resource management teaching for standardized residency training
Objective To investigate the application of virtual simulation-based teaching-examination linkage mode based on aneSIM anesthesia simulation system and NW13 difficult airway management model in improving the ability of anesthesia crisis resource management among trainees receiving standardized residency training.Methods A total of 236 trainees(189 trainees with non-anesthesia majors and 47 with anesthesia majors)who received standardized residency training in Department of Anesthesiology in 2021 were selected as control group,and 234 resident trainees(184 trainees with non-anesthesia majors and 50 with anesthesia majors)in 2022 were selected as observation group.The trainees in the control group received traditional theoretical teaching,and those in the observation group received teaching with the aneSIM system.The trainees in both groups received two sessions of online theoretical assessment through the QR code in Bangboss Application,as well as situational simulation training and assessment using the NW13 difficult airway management model.SPSS 26.0 was used to perform the t-test and the chi-square test.Results Compared with the control group,the observation group had a significantly higher score of the second theoretical assessment,significantly better degree of anxiety and score of simulation assessment,and significantly better knowledge mastery and ability improvement(t=7.15,14.31,3.90,6.22,4.23,3.04,all P<0.05).Compared with the control group in terms of the resident trainees with non-anesthesia majors,the observation group had a significantly higher score of the second theoretical assessment,significantly better degree of anxiety and score of simulation assessment,a significantly higher degree of satisfaction with teaching,and significantly better knowledge mastery and ability improvement(t=7.77,5.43,3.09,5.26,3.82,2.19,all P<0.05).Compared with the control group in terms of the resident trainees with anesthesia majors,the observation group had a significantly higher score of simulation assessment,a significantly higher degree of satisfaction with teaching,and significantly better knowledge mastery and ability improvement(t=2.60,3.56,2.01,2.48,P=0.011,0.001,0.047,0.015).Conclusions The mode of virtual simulation-based teaching-examination linkage based on the aneSIM anesthesia simulation system and NW13 difficult airway management model can examine and improve the abilities for difficult airway management and operation among resident trainees,especially those with non-anesthesia majors,thereby showing its application value in the teaching of anesthesia crisis resource management.
Virtual simulationDifficult airwayTeaching methodStandardized residency training