Abstract

Aim: Pandemic emerging infectious disease threatened to old people with severe mortality, so advanced ICU core ability is urgent needed for residents through a simulation-based education. This study aims to assess the ICU core abilities of R2 residents through video-learning and practice in simulated intensive care scenarios to solve future tasks.

Methods: A workshop was created including pre-course test, discussion of video-learning, five simulated participatory learning scenarios with critical care and ethical issues. All participants were able to read the teaching material and online instructions before discussion and to manipulate the simulation-based scenarios. A post-course feedback questionnaire was conducted for self-evaluation.

Results: Workshop participants included 33 R2 residents, six trainers, four nurses and three standardized patients. The scores of the written tests in the IABP/TPM and abdominal echo scenarios were worse than those in the simulation test (p ＜ 0.01), while the scores of written tests in the hypothermia, chief resident leadership were better than those in the simulation test (p ＜ 0.01). Not only did the training workshop earn their satisfaction with discussion of video learning class (4.85/5) and simulation- based education (4.76/5), but it also fostered their core abilities to function in the medical intensive care unit (Likert scale values ranged from 2.97 to 3.42, p ＜ 0.01).

Conclusion: In this workshop, combination of the video-learning with written-test, simulation-based education with assessment not only improved the validity of integrated critical care, but also highlighted individual deficiencies. In the future, teachers can more easily provide preliminary remediation before students qualify as R3 residents.