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Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum

INTRODUCTION: Sickle cell disease (SCD), the most common autosomal recessive genetic disorder worldwide, affects nearly every organ of the body and results in accelerated mortality. Nationally, internal medicine physicians lack a complete understanding of morbidity and mortality in this population l...

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Autores principales: Cramer-Bour, Cassondra, Peterson, Justin, Walsh, Barbara, Klings, Elizabeth S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association of American Medical Colleges 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8034233/
https://www.ncbi.nlm.nih.gov/pubmed/33851012
http://dx.doi.org/10.15766/mep_2374-8265.11139
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author Cramer-Bour, Cassondra
Peterson, Justin
Walsh, Barbara
Klings, Elizabeth S.
author_facet Cramer-Bour, Cassondra
Peterson, Justin
Walsh, Barbara
Klings, Elizabeth S.
author_sort Cramer-Bour, Cassondra
collection PubMed
description INTRODUCTION: Sickle cell disease (SCD), the most common autosomal recessive genetic disorder worldwide, affects nearly every organ of the body and results in accelerated mortality. Nationally, internal medicine physicians lack a complete understanding of morbidity and mortality in this population leading to health care disparities. METHODS: We created a 2-hour curriculum consisting of three SCD case vignettes representing common disease complications (acute stroke, acute chest syndrome, and septic shock) with the goal to increase medicine house staff knowledge and confidence in patient management. Residents completed a pretest to assess baseline knowledge and were divided into groups of four to five. Three simulation cases were completed by each group; learners needed to work through a differential diagnosis and describe key management steps. Each group was graded on achieving the 10 critical actions for each case. Following each case, there was a faculty-led debriefing session. Residents repeated the pretest 30 days after completion of the curriculum (posttest). RESULTS: Thirty-six second year internal medicine residents participated in this curriculum. After completing this curriculum, residents improved their test score from 33% (SD = 12%) to 57% (SD = 18%) (p < .0001). Additionally, self-reported confidence in management scores increased from 2.6 (SD = 0.8) in the pretest to 3.5 (SD = 0.4) in the posttest (p = .02) on a 5-point Likert scale (1 = not very confident, 5 = very confident). DISCUSSION: Use of a simulation curriculum increased knowledge and confidence of internal medicine residents in the management of critical illness in patients with SCD.
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spelling pubmed-80342332021-04-12 Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum Cramer-Bour, Cassondra Peterson, Justin Walsh, Barbara Klings, Elizabeth S. MedEdPORTAL Original Publication INTRODUCTION: Sickle cell disease (SCD), the most common autosomal recessive genetic disorder worldwide, affects nearly every organ of the body and results in accelerated mortality. Nationally, internal medicine physicians lack a complete understanding of morbidity and mortality in this population leading to health care disparities. METHODS: We created a 2-hour curriculum consisting of three SCD case vignettes representing common disease complications (acute stroke, acute chest syndrome, and septic shock) with the goal to increase medicine house staff knowledge and confidence in patient management. Residents completed a pretest to assess baseline knowledge and were divided into groups of four to five. Three simulation cases were completed by each group; learners needed to work through a differential diagnosis and describe key management steps. Each group was graded on achieving the 10 critical actions for each case. Following each case, there was a faculty-led debriefing session. Residents repeated the pretest 30 days after completion of the curriculum (posttest). RESULTS: Thirty-six second year internal medicine residents participated in this curriculum. After completing this curriculum, residents improved their test score from 33% (SD = 12%) to 57% (SD = 18%) (p < .0001). Additionally, self-reported confidence in management scores increased from 2.6 (SD = 0.8) in the pretest to 3.5 (SD = 0.4) in the posttest (p = .02) on a 5-point Likert scale (1 = not very confident, 5 = very confident). DISCUSSION: Use of a simulation curriculum increased knowledge and confidence of internal medicine residents in the management of critical illness in patients with SCD. Association of American Medical Colleges 2021-04-02 /pmc/articles/PMC8034233/ /pubmed/33851012 http://dx.doi.org/10.15766/mep_2374-8265.11139 Text en © 2021 Cramer-Bour et al. https://creativecommons.org/licenses/by/4.0/This is an open-access publication distributed under the terms of the Creative Commons Attribution (https://creativecommons.org/licenses/by/4.0/) license.
spellingShingle Original Publication
Cramer-Bour, Cassondra
Peterson, Justin
Walsh, Barbara
Klings, Elizabeth S.
Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum
title Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum
title_full Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum
title_fullStr Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum
title_full_unstemmed Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum
title_short Common Complications of Sickle Cell Disease: A Simulation-Based Curriculum
title_sort common complications of sickle cell disease: a simulation-based curriculum
topic Original Publication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8034233/
https://www.ncbi.nlm.nih.gov/pubmed/33851012
http://dx.doi.org/10.15766/mep_2374-8265.11139
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