Use of an Observer Tool and Learning of Non-technical Skills

NCT05397756 | Unknown

• 1 other identifier: LabForSims-006
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The use of simulation is recommended in anesthesiology education. Given a large number of residents, all of them will not be active participants during high-fidelity simulation sessions but will only be observers. To increase the positive effects of the simulation when the learner is in the role of observer, some authors have proposed to strengthen the educational effect through the use of an observer tool that observers must complete by analyzing the progress of the task performed by their colleagues. This is a list describing the set of key points to be achieved. However, data concerning the educational value of these observer tools are limited. Studies on the use of these tools during crisis management training in the operating room assessed by high-fidelity simulation have shown improved learning outcomes for technical skills but no study has evaluated yet their effect on non-technical skills. The effect on these skills can hardly be assessed by measuring the resident's perception or knowledge and an objective assessment of performance is necessary. The objective of this study will be to evaluate if using an observer tool (OT) dedicated to non-technical skills improves the learning of these skills in anesthesia residents during high-fidelity simulation.

Conditions

Simulation; Education

Keywords

simulation; education; observer tool; non-technical skills

Outcome Measures

Primary Outcomes (1)

• individual performance of non-technical skills

  The primary outcome will be the individual performance of non-technical skills assessed by the ANTS score measured by an external evaluator analyzing each video (Kirkpatrick level 2) . The Anaesthetist Non-Technical Skills (ANTS) tool previously published by Fletcher et al. translated in French. The ANTS scoring system uses four categories assessing task management, teamworking, situation awareness and decision-making (1 to 4 points by categories). The minimum score is 4 and the maximum 16.

  30 min by video after the end of the session by an external evaluator

Secondary Outcomes (4)

• each category of the ANTS score

  10 min by video after the end of the session by an external evaluator

• Team performance

  10 min by video after the end of the session by an external evaluator

• level of Satisfaction

  1 min and the end of the session by all residents

• future professional impact

  1 min and the end of the session by all residents

Study Arms (2)

group (OT+)

EXPERIMENTAL

In this group (OT +), during the whole training day, the observers will use an observer tool (based on non-technical skills) when they will be not role role-playing

Other: observer tool

group (OT-)

NO INTERVENTION

In this group (OT-), the resident will not be given the observer tool and will observe other residents without any physical support.

Interventions

observer tool OTHER

The observer tool used will be the Anaesthetist Non-Technical Skills (ANTS) tool previously published by Fletcher et al. and translated in French. The ANTS scoring system uses four categories assessing task management, teamworking, situation awareness and decision-making. The observers will use an observer tool it when they will be not role role-playing

group (OT+)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• all anesthesiology residents of Paris participating in a full-day of crisis management training at the LabforSIMS-Faculty of Medicine Paris-Saclay

You may not qualify if:

• declines active participation in the session
• previously included in a CRM training session at LabforSIMS
• no video-recorded

Sponsors & Collaborators

• Université Paris-Sud: lead

Study Sites (1)

LabForSIMS - Faculté de Médecine Paris Saclay

Le Kremlin-Bicêtre, Île-de-France Region, 94275, France

Location

Study Officials

• Antonia Blanié, MD PhD

  LabForSIMS - Faculté de Médecine Paris Saclay

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Antonia Blanié, MD PhD

CONTACT

33 1 45 21 34 47; antonia.blanie@aphp.fr

Dan Benhamou, MD Pr

CONTACT

33 1 45 21 34 47; dan.benhamou@aphp.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Parallel assignment, not blinded, randomized study

Study Record Dates

• First Submitted: May 25, 2022
• First Posted: May 31, 2022
• Study Start: June 13, 2022
• Primary Completion: July 20, 2022
• Study Completion: July 1, 2023
• Last Updated: May 31, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)