Development of a Canadian National Anesthesiology Simulation Curriculum (CanNASC) - Dr Michelle Chiu October 25, 2014
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Development of a Canadian National Anesthesiology
Simulation Curriculum (CanNASC)
Dr Michelle Chiu
October 25, 2014
I do not have an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
Je n’ai aucune affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Author: Dr Michelle Chiu
Date: October 25, 2014
CanNASC Task Force Members Laine Bosma (UBC) Megan Hayter (Calgary) Jessica Burjorjee (Queens) Noel O’Regan (MUN) Rich Cherry/AndreasAntoniou(UWO) Greg Peachey (McMaster) Gilles Chiniara (Laval) Arnaud Robitaille (Montreal) Neil Cowie (Saskatchewan) Marshall Tenenbein (Manitoba) Simone Crooks (Ottawa) Narendra Vakharia(Dalhousie) Kate Doyle (Alberta) David Dubois (Sherbrooke) Michelle Chiu (Chair) Natalie Dupuis (NOSM) Jordan Tarshis (RC Mem. at Large) Tobias Everett (Toronto) Viren Naik (RC) Nat Buu/Rachel Fisher (McGill) Mike Sullivan (Spec. Comm. Chair) The International Conference on Residency Education | La conférence internationale sur la formation des résidents 3
CanNASC Task Force Mission
• Our mission is to develop and implement a set of standardized
mannequin-based simulation scenarios that will be completed by
every trainee during residency.
» Rare, but important clinical situations that may not even be
seen, let alone experienced in a finite residency.
» Clinical scenarios that are critical to competency as an
anesthesiologist.
• All scenarios will have learning objectives grounded in the
National Curriculum for Canadian Anesthesia Residency.
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 4CanNASC Work Plan
Needs assessment (2013)
We created, distributed nationally and analyzed a needs assessment
survey regarding simulation scenario content.
National simulation activity (2013)
We accounted for resources and current curriculum in each institution’s
simulation center.
Curriculum content (2013)
We achieved consensus on a set of scenarios regarding both important
and technically feasible scenario content to be included in the curriculum.
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 5CanNASC Work Plan
Standardized scenario template (2013)
We developed a standardized template for the delivery of simulation
based education activities.
Creation of scenarios (2014)
We created the first scenario using the standardized template document.
The entire Task Force will approve each final scenario (CanNASC
Simulation Milestone).
Assessment rubric (2014)
We agreed upon the Managing Emergencies in Pediatric Anesthesia
(MEPA) GRS as our primary assessment tool, to be informed by a
scenario-specific checklist & the Anesthesia Non-Technical Skills (ANTS)
GRS.
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 6MEPA GRS
Please rate the overall performance in this simulation scenario from 1 to 6.
Scores of 1–3 are ‘unsatisfactory’ for an anesthesiologist in independent practice and would
constitute a failing performance in a high stakes examination such as the Royal College exam.
Scores of 4–6 are ‘satisfactory’ for an anesthesiologist in independent practice.
Everett TC et al. The Managing Emergencies in Paediatric Anaesthesia global rating scale is a reliable tool for simulation-based assessment in
pediatric anesthesia crisis management. Pediatric Anesthesia 2013; 23: 1117–1123.
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 7ANTS Scale
Fletcher G, et al. Anaesthetists’ non-technical skills (ANTS). Evaluation of a behavioural marker system. Br J Anaesth 2003; 90: 580–8
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 8CanNASC Work Plan
National Rollout (Academic year 2014-2015)
We will begin with one scenario at all 17 institutions. We established
scenario implementation guidelines and rater training videos, guide &
commentary.
Concurrent Scenario Development (2014)
We are now in the process of concurrently developing 4 additional
scenarios & scenario-specific checklists.
Next Steps
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 9CanNASC Next Steps
Implementation of CanNASC nationally
Implementation Data Collection
Continuous quality improvement
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 10CanNASC Next Steps
Implementation of CanNASC nationally
Implementation Data Collection
Continuous quality improvement
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 11Acknowledgements
• Royal College Office of Health Systems, Innovation and External
Relations
» Practice, Performance and Innovation Unit
The International Conference on Residency Education | La conférence internationale sur la formation des résidents 12Questions? The International Conference on Residency Education | La conférence internationale sur la formation des résidents 13
Help us improve. Aidons-nous à nous améliorer.
Your input matters. Votre opinion compte.
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