Advanced Practice Provider Critical Care Boot Camp: A Simulation-Based Curriculum

Journal of Medical Education and Curricular Development (04/08/19) Ahmed, Rami A.; Botsch, Alex; Ballas, Derek; et al.

A study by Indiana University (IU) and 2Summa Health System involved simulation of a boot-camp curriculum for advanced practice providers (APPs) in common critical care and high-risk procedures. The program also sought to offer leadership development for high-risk cases to accelerate orientation. The boot camp was held at a tertiary-care, IU-affiliated center over a period of 10 hours, with instructors including an emergency medicine attending physician with fellowship training in medical simulation, two simulation fellows, two third-year emergency medicine residents, a respiratory therapist, and a paramedic. The program's objectives were to build knowledge, improve skills, and boost self-efficacy and teamwork in a cohort of APPs staffing the center's critical care department, in collaboration with seasoned clinicians. Simulation was chosen because it offers an integrative learning environment, allowing providers to practice freely and make errors without negative consequences to patients, while also showing improvement in patient outcomes and enhancing APPs' knowledge and clinical judgment. Post-boot-camp evaluations of participants' critical care skills demonstrated improved test scores on medical knowledge and self-efficacy, with several participants desiring to continue their participation in simulation training throughout the year. The participants suggested that recommendations for curriculum improvement could include opportunities to participate as team leaders and to perform additional procedures.

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