Ageing and Acute Care Physicians' Performance

NCT02683447 | Completed Results

• 1 other identifier: 140-2015
• Study Type: observational
• Target: 48
• Locations: 1 country
• Sites: 2

Brief Summary

The proportion of older acute care physicians (ACPs) has been increasing. Ageing is associated with physiological changes and research investigating how such age-related physiological changes affect clinical performance is lacking. Specifically, Crisis Resource Management (CRM) consists of essential clinical skills in acute care specialties which when absent, can significantly impact patient safety. As such, the goals of this study are to investigate whether ageing has a correlation with baseline CRM skills of ACPs and whether ageing influences learning from high fidelity simulation.

Conditions

Ageing

Keywords

Continuing Medical Education; Simulation; Non-technical Skills; Crisis Resource Management

Outcome Measures

Primary Outcomes (2)

• CRM Performance During First Sim Scenario Assessed by Ottawa Global Rating Scale (GRS)

  Ottawa GRS score correlated with chronological age. The Ottawa GRS assesses non-technical CRM skills on a 7-point scale (minimum 1, maximum 7), with higher scores indicating better performance.

  After managing first simulation scenario - Day 1

• CRM Performance During First Sim Scenario Assessed by ACLS Checklist

  ACLS (Advanced Cardiac Life Support) score will be correlated with chronological age. Items on the checklist were separated into two components: 1) the ACLS correct score (minimum score 0, maximum score 30), where higher scores indicate better performance, and 2) the ACLS risk score (minimum score 0, maximum score 17) where higher scores indicate worse performance.

  After managing first simulation scenario - Day 1

Secondary Outcomes (2)

• Learning From High-fidelity Simulation Education Assessed by Ottawa Global Rating Scale

  After managing second simulation scenario - Day 1

• Learning From High-fidelity Simulation Education Assessed by ACLS Checklist

  After managing second simulation scenario - Day 1

Other Outcomes (2)

• Retention of Learning From Simulation as Assessed by Ottawa Global Rating Scale

  3 months after completing first two scenarios - Day 90

• Retention of Learning From Simulation as Assessed by ACLS Checklist

  3 months after completing first two scenarios - Day 90

Study Arms (1)

CRM Simulation

Each participant will manage a PEA arrest scenario (pre-test) and then be debriefed on their CRM skills by a trained facilitator for 20 minutes. They will then manage another crisis scenario (PEA arrest with a different inciting event) as an immediate post-test. Three months afterwards participants will return to manage a third PEA arrest scenario, which will serve as a retention post-test.

Other: CRM Simulation

Interventions

CRM Simulation OTHER

Each participant will manage a PEA arrest scenario (pre-test) and then be debriefed on their CRM skills by a trained facilitator for 20 minutes. They will then manage another crisis scenario (PEA arrest with a different inciting event) as an immediate post-test. Three months afterwards participants will return to manage a third PEA arrest scenario, which will serve as a retention post-test.

CRM Simulation

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Practicing emergency, critical care and anesthesia staff with a minimum 5 years of practice post residency will be approached for participation.

You may qualify if:

• Emergency physicians
• Critical care physicians
• Anesthesiologists
• minimum 5 years of practice post-residency

You may not qualify if:

• Post-call day of participation

Sponsors & Collaborators

• Sunnybrook Health Sciences Centre: lead
• University of Toronto: collaborator
• University of Ottawa: collaborator

Study Sites (2)

University of Ottawa

Ottawa, Ontario, K1H 8L6, Canada

Location

Sunnybrook Health Sciences Centre

Toronto, Ontario, M4N3M5, Canada

Location

Related Publications (25)

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  BACKGROUND

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• Kim J, Neilipovitz D, Cardinal P, Chiu M, Clinch J. A pilot study using high-fidelity simulation to formally evaluate performance in the resuscitation of critically ill patients: The University of Ottawa Critical Care Medicine, High-Fidelity Simulation, and Crisis Resource Management I Study. Crit Care Med. 2006 Aug;34(8):2167-74. doi: 10.1097/01.CCM.0000229877.45125.CC.

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• McEvoy MD, Smalley JC, Nietert PJ, Field LC, Furse CM, Blenko JW, Cobb BG, Walters JL, Pendarvis A, Dalal NS, Schaefer JJ 3rd. Validation of a detailed scoring checklist for use during advanced cardiac life support certification. Simul Healthc. 2012 Aug;7(4):222-35. doi: 10.1097/SIH.0b013e3182590b07.

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• Alam F, LeBlanc VR, Baxter A, Tarshis J, Piquette D, Gu Y, Filipowska C, Krywenky A, Kester-Greene N, Cardinal P, Au S, Lam S, Boet S, Clinical Trials Group PA. Does the age of acute care physicians impact their (1) crisis management performance and (2) learning after simulation-based education? A protocol for a multicentre prospective cohort study in Toronto and Ottawa, Canada. BMJ Open. 2018 Apr 21;8(4):e020940. doi: 10.1136/bmjopen-2017-020940.

  PMID: 29680811 DERIVED

Results Point of Contact

• Title: Dr. Fahad Alam
• Organization: Sunnybrook Health Sciences Centre

fahad.alam@sunnybrook.ca

416-480-4864

Study Officials

• Fahad Alam, MD, FRCPC

  Sunnybrook Health Sciences Centre

  PRINCIPAL INVESTIGATOR

• Sylvain Boet, MD, MEd, PhD

  University of Ottawa

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Anesthesiologist

Study Record Dates

• First Submitted: February 9, 2016
• First Posted: February 17, 2016
• Study Start: January 1, 2017
• Primary Completion: January 1, 2020
• Study Completion: January 1, 2020
• Last Updated: January 20, 2025
• Results First Posted: January 20, 2025

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

CA (2)