A Survey of Canadian Anesthesiology Residents’ Simulator Experience

Please help us assess what Canadian Anesthesiology residents value in simulation training.

The following questionnaire should take approximately 10 minutes.

Please check the most appropriate response

Thank you.

I have received a copy of the consent form and consent to participate in this study

Yes

No

Experience with simulators during my anesthesiology residency program:

1. My current level of training is:

Med.School PGY-1 PGY-2 PGY-3 PGY-4 PGY-5 Fellow

2. I was first introduced to the patient simulator at the following level of training:

Med.School PGY-1 PGY-2 PGY-3 PGY-4 PGY-5 Fellow

3. Simulator Training is a mandatory part of my residency program

YesNo

4. Approximately how many high fidelity simulation scenarios have you participated in? Include being th anaesthesiologist in charge of the scenario or a while working as helper or observer. ______sessions

5. How many simulator sessions do you participate in per year, on average?: ______per year

6. Ideally, how many simulator sessions should residents participate in per year? ______per year

7. During my simulation experience, I am the anesthesiologist “in charge” of the case:

NeverRarelySometimes Often Always

8. I have the opportunity to practice multi-disciplinary, team-based scenarios at my institution where nurses and residents from outside of my anesthesiology program (i.e. surgery, emergency medicine etc.) work together during simulation sessions.

NeverRarelySometimes Often Always

10. How many anesthesia residents are involved in a typical training day in the simulator? ______residents

11. How often are other anesthesia residents involved as role players in the simulator session:

NeverRarelySometimes Often Always

11. When I am the person in charge of a simulated scenario, my anxiety level compared to a regular day in the operating room is:

much lower lower about the same higher much higher

12. When my resident colleagues are in observing me during simulation session, my anxiety level compared to a regular day in the operating room is:

much lowerlower about the same higher much higher

13. When my supervisors are in observing me during simulation session, my anxiety level compared to a regular day in the operating room is:

much lowerlower about the same higher much higher

14. During my simulation scenarios I am permitted to call timeouts (where the simulation stops and I can ask for help or clarify my actions with colleagues).

NeverRarelySometimes Often Always

15. The use of time-outs during simulator sessions would be useful.

Strongly disagree Disagree NeutralAgreeStrongly Agree

16. I can call for and receive timely help from colleagues when managing my simulated scenario

Never RarelySometimesOftenAlways

17. As a junior resident, it would be helpful if my supervisor completed the first scenario of the session, understanding that I would eventually complete the scenario on my own.

Strongly disagree Disagree NeutralAgreeStrongly Agree

18. As I complete more simulation scenarios, I feel less anxious.

Strongly disagree Disagree NeutralAgreeStrongly Agree

If you agree please specify why?

______

19. Before I begin my first anesthesia rotation as a junior resident, I would support having a simulator workshop(s) introducing how to deal with common intra-operative emergencies.

Strongly disagree Disagree NeutralAgreeStrongly Agree

Please comment on the details if a similar introductory workshop already occurs at your institution:

______

20. The ideal length of time for this introductory workshop would be:

1 dayseveral days1 week2 weeks

21. Advance notice of the critical incident topic I will face in my scenario would decrease my anxiety level.

Strongly disagree Disagree NeutralAgreeStrongly Agree

22. A certain level of anxiety is helpful in optimizing my performance in the simulator.

Strongly disagree Disagree NeutralAgree Strongly Agree

23. The degree of difficulty of scenarios I am presented with is appropriate for my level of training.

Strongly disagree Disagree NeutralAgreeStrongly Agree

24. During my simulation excercises, I would prefer multiple, short scenarios dealing with single topics, rather than one long scenario that included a number of intra-operative emergencies.

Strongly disagree Disagree NeutralAgreeStrongly Agree

25. The objectives and learning outcomes are clearly defined by my supervisors during each of my simulation scenarios.

Never RarelySometimesOftenAlways

26. The use of patient simulators plays an important role in my critical incident training as an anesthesiologist.

Strongly disagree Disagree NeutralAgreeStrongly Agree

27. Simulator training improves my practice of safe anesthesia

Strongly disagree Disagree NeutralAgreeStrongly Agree

Changes to simulator training:

28. Simulators should play a role in CME of staff anesthesiologists

Strongly disagree Disagree NeutralAgreeStrongly Agree

30. My performance in simulator sessions should form part of my yearly assessment as a resident:

Strongly disagree Disagree NeutralAgree Strongly Agree

31. I believe that demonstrating competence with simulation scenarios will eventually be a part of the CanadianRoyalCollege examination in anesthesiology.

Strongly disagree Disagree NeutralAgree Strongly Agree

32. While participating in my simulation scenario, I feel comfortable making mistakes.

Strongly disagree Disagree NeutralAgree Strongly Agree

33. While participating in my simulation scenario, I feel comfortable asking for help.

34. At the completion of my scenario, I have the opportunity to repeat parts of the scenario which I had difficulty with or repeat the entire scenario.

Never RarelySometimesOftenAlways

35. I feel that the topics of my simulation scenario are tailored to my needs. For example: I have input into which simulation scenario I will take part in.

Never RarelySometimesOftenAlways

35. The number of supervisors typically involved in my simulation sessions is: ______supervisors

36. In my experience, the number of supervisors involved with each simulator training session is:

Far too fewToo fewAbout RightToo ManyFar too many

37. The use of videotaping as a method of debriefing my simulation is useful:

Not at all A little Somewhat Very Critically

38. Feedback/debriefing sessions take place during my simulation sessions. If you answer “No”, please proceed to Question 45.

YesNo

39. Feedback sessions following my simulator experience are:

Student led Supervisor led Other (Please specify below)

______

40. I receive feedback from the following people during my simulation exercises:

SupervisorsFellow ResidentsOther (please specifiy)

41. Indicate the time when feedback occurs during your simulation session:

During the sessionAfter the sessionBoth during and after the session

42. Specific examples of my performance are used when I am receiving feedback.

NeverRarelySometimes Often Always

43. I feel that the feedback that I receive is constructive and for my benefit.

Strongly disagree Disagree NeutralAgree Strongly Agree

44. The amount of feedback that I receive is manageable and not overwhelming.

Strongly disagree Disagree NeutralAgree Strongly Agree

45. The simulation facilities at my institution are adequate to support my training

Strongly disagree Disagree NeutralAgreeStrongly Agree

46. My anesthesiology residency program is: ______

47. My age is: ______

48. My gender is: Male Female

49. My training scheme is:

FCRCP(C) Re-entry FRCP(C) GPA Military FRCP(C) Foreign Graduate

And finally, in your own words…

Please report three representative scenarios that were particularly helpful in your training this year.

a. ______

b. ______

c. ______

Please provide three suggestions on how simulator experience at your university can be improved.

a. ______

b. ______

c. ______

Thank you for participating in our survey!

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Version 1 September10, 2007