Development of an evidence-based curriculum for training of ward-based surgical care
Author(s)
Pucher, Philip H
Darzi, Ara
Aggarwal, Rajesh
Type
Journal Article
Abstract
Background
Ward-based care of surgical patients is a complex and variable process, centered on the surgical ward round (WR). The authors describe the development of an evidence-based curriculum to improve ward-based care in the form of surgical WRs.
Methods
A modular, simulation-based curriculum was developed according to validated methods, incorporating the most recent evidence in the design of each educational module.
Results
A predevelopmental analysis questionnaire identified themes of patient assessment and management, communication skills, and teamwork as areas to be addressed. Curricular development incorporated knowledge and confidence assessment, lecture-based teaching, and simulated WR, followed by individualized assessment, debriefing, and feedback. Each module is evidence based and assesses trainees using validated tools.
Conclusions
A comprehensive and cost-effective simulation-based curriculum, developed according to a validated framework, has been developed for surgical WRs and ward-based care. This may improve trainees' WR performance, improving patient care and surgical outcomes in turn.
Ward-based care of surgical patients is a complex and variable process, centered on the surgical ward round (WR). The authors describe the development of an evidence-based curriculum to improve ward-based care in the form of surgical WRs.
Methods
A modular, simulation-based curriculum was developed according to validated methods, incorporating the most recent evidence in the design of each educational module.
Results
A predevelopmental analysis questionnaire identified themes of patient assessment and management, communication skills, and teamwork as areas to be addressed. Curricular development incorporated knowledge and confidence assessment, lecture-based teaching, and simulated WR, followed by individualized assessment, debriefing, and feedback. Each module is evidence based and assesses trainees using validated tools.
Conclusions
A comprehensive and cost-effective simulation-based curriculum, developed according to a validated framework, has been developed for surgical WRs and ward-based care. This may improve trainees' WR performance, improving patient care and surgical outcomes in turn.
Date Issued
2014-02-01
Date Acceptance
2013-07-18
Citation
American Journal of Surgery, 2014, 207 (2), pp.213-217
ISSN
0002-9610
Publisher
Elsevier
Start Page
213
End Page
217
Journal / Book Title
American Journal of Surgery
Volume
207
Issue
2
Copyright Statement
© 2014 Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor
National Institute for Health Research
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000330183800009&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
NF-SI-0510-10186
Subjects
Science & Technology
Life Sciences & Biomedicine
Surgery
Ward round
Simulation
Curriculum
OPERATING-ROOM
INPATIENT SURGERY
MORTALITY
SKILLS
SIMULATION
FRAMEWORK
FAILURE
RESCUE
Publication Status
Published
Date Publish Online
2013-10-23