Utility of High-Fidelity Simulation In the Education and Assessment of Residents in the Recognition and Management of the Sepsis Syndrome

NCT01992120 | Terminated

• 1 other identifier: VA01419
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of the proposed study will be to determine if a multi-modality teaching curriculum utilizing high-fidelity simulation and didactic lecture will result in sustained improvement by internal medicine residents in written knowledge and clinical performance when compared to residents receiving a curriculum utilizing only didactic lecture. The investigators hypothesis is that the addition of high-fidelity simulation to a traditional didactic lecture curriculum will result in sustained and superior written knowledge and practical performance when compared to a group receiving only didactic lecture on the same topic. Specifically, the investigators will be assessing internal medicine resident knowledge and performance in the area of sepsis in the hospitalized patient, and will shape the investigators teaching curriculum around this focus.

Conditions

Medical Knowledge; Clinical Performance

Keywords

Simulation; Sepsis; High-fidelity; Severe Sepsis; Septic Shock; Education

Outcome Measures

Primary Outcomes (2)

• Performance on a written assessment of the recognition and management of early sepsis in the hospitalized patient.

  Written test

  2-4 months after intervention

• Performance on a practical assessment of the recognition and management of early sepsis in the hospitalized patient.

  Graded performance in simulated sepsis scenario utilizing high-fidelity simulation

  2-4 months after intervention

Secondary Outcomes (1)

• Self-assessment of knowledge and ability in the recognition and management of early sepsis in the hospitalized patient.

  2-4 months after intervention

Study Arms (2)

Debriefing of high-fidelity sepsis simulation scenarios

EXPERIMENTAL

First visit: * Subjects will fill out a self-assessment focusing on perceptions of their knowledge and ability in the recognition and management of sepsis in hospitalized patient * Subjects will be specifically exposed to high-fidelity simulated sepsis scenarios and be debriefed on their performance in these scenarios (intervention) * Subjects will take a written test focusing on early recognition and management of sepsis * Subjects will receive a didactic teaching session focusing on recognition and management of early sepsis in the hospitalized patient In the second visit: * Subjects will be exposed to a number of high-fidelity simulated sepsis scenarios and be scored on their performance in management of these scenarios * Subjects will take a written test of knowledge focusing on early recognition and management of sepsis * Subjects will then be debriefed specifically on their performance in the simulation scenarios

Other: Debriefing of high-fidelity sepsis simulation scenarios

Debriefing of high-fidelity non-sepsis simulation scenarios

PLACEBO COMPARATOR

First visit: * Subjects will fill out a self-assessment survey of their perceptions of their knowledge and ability in the recognition and management of sepsis in the hospitalized patient * Subjects will be exposed to high-fidelity simulation scenarios (non-sepsis) and be debriefed in terms of their performance in these scenarios * Subjects will take a written test of knowledge focusing on early recognition and management of sepsis * Subjects will receive a didactic teaching session focusing on recognition and management of early sepsis in the hospitalized patient In the second visit: * Subjects will be exposed to a number of high-fidelity simulated sepsis scenarios and be scored on their performance in management of the scenarios * Subjects will take a written test of knowledge focusing on early recognition and management of sepsis * Subjects will then be debriefed specifically on their performance in the simulation scenarios

Other: Placebo: Debriefing of high-fidelity non-sepsis simulation scenarios

Interventions

Debriefing of high-fidelity sepsis simulation scenarios OTHER

Educational intervention

Also known as: Education, High-fidelity simulation, Debriefing

Debriefing of high-fidelity sepsis simulation scenarios

Placebo: Debriefing of high-fidelity non-sepsis simulation scenarios OTHER

Debriefing of high-fidelity non-sepsis simulation scenarios

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• English-speaking internal medicine resident trainees

Sponsors & Collaborators

• NYU Langone Health: lead
• VA Office of Research and Development: collaborator

Study Sites (1)

VA Harbor Simulation Center

New York, New York, 10010, United States

Location

MeSH Terms

Conditions

Sepsis; Shock, Septic

Interventions

Educational Status; Crisis Intervention

Condition Hierarchy (Ancestors)

Infections; Systemic Inflammatory Response Syndrome; Inflammation; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Shock

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics; Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 30, 2013
• First Posted: November 25, 2013
• Study Start: November 1, 2013
• Primary Completion: July 1, 2014
• Study Completion: July 1, 2014
• Last Updated: December 8, 2015

Record last verified: 2015-12

Locations

US (1)