MaxSim: a novel simulation-based education course for OMFS emergencies |
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| Institution: | 1. Walter C. Guralnick Distinguished Professor & Chief Emeritus, Department of Oral & Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA, United States;2. Professor Emeriitus, Plastic and Reconstructive Surgery & Pediatrics, Georgetown University School of Medicine, Washington, DC, United States;3. Professor of Orthodontics, University of Maryland, Baltimore, College of Dental Surgery, United States;4. Professor of Oral and Maxillofacial Surgery, Howard University College of Dentistry, Washington, DC, United States;1. Consultant Oral and Maxillofacial Surgeon, Northwick Park Hospital, London, United Kingdom;2. Consultant Oral and Maxillofacial Surgeon, Guy’s Hospital, London, United Kingdom;3. Division of Surgery and Cancer, Imperial College London, United Kingdom;4. Department of Surgery, University College London Hospital, London, United Kingdom;1. University Hospitals Birmingham NHS Foundation Trust, University of Birmingham;2. College of Medical and Dental Sciences, University of Birmingham;3. Cambridge University Hospitals NHS Foundation Trust;1. Leeds Teaching Hospitals NHS Trust, United Kingdom;2. University of Leeds, School of Medicine, Worsley Building, Leeds LS2 9JT, United Kingdom |
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| Abstract: | For oral and maxillofacial surgery (OMFS) senior house officers (SHOs) with no formal medical training, the first exposure to emergency scenarios will be the first time they have to manage them, usually alone. Simulation-based education (SBE) has been demonstrated to increase experience and confidence when used in medical education, so an OMFS SBE course was created to facilitate this. The course was centred on scenarios that necessitate a rapid response, including sepsis, retrobulbar haemorrhage, and carotid artery blowout. A questionnaire with a 10-point numerical score was given to assess the change in confidence when managing these scenarios. Learner numbers were limited due to the COVID-19 pandemic, but all 10 completed both questionnaires. There was an even distribution between first and second-year SHOs. Two had received simulation training before, but it was very limited. In all stations every learner felt an increase in confidence, on average by 45% (range 38%-56%, p<0.05) on the 10-point scale. Positive feedback was also given by them all. SBE has been shown to be an invaluable method of training for clinical scenarios and needs to become common in OMFS. The course is to be expanded post COVID-19 to become available nationally. |
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| Keywords: | Simulation based education Emergency Teaching |
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