CE Webinar

Peer-Assisted Training for Novice Clinical Simulation Faculty Development

Presented By:
Geethanjali Ramachandra, MRCP, CCT PICU (UK) Fellowship ECMO(UK)
Sujatha Thyagarajan
Peer-Assisted-Training-Clinical-Simulation-Faculty-Development
February 11th, 2025
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Listen to the PediSTARS experience about mentorship and peer-assisted learning in clinical simulation to rapidly upskill novice simulation faculty to become proficient in the low resource settings.
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Abstract:

Background: Peer-assisted learning in pediatric simulation is effective in achieving competency. However, no studies were conducted in low-resource countries. PediSTARS has implemented a 3-level mentorship program for developing novice to expert faculty over the last 6 years. However, there is a paucity of mentors to facilitate this program across India. Hence, we implemented peer-assisted learning through WhatsApp (WA) and co-mentoring sessions over the last 3 years to facilitate the mentorship of novice simulation faculty as part of the Faculty Development Program (FDP).

Research Question: Does peer-assisted learning during the FDP improve the confidence of novice faculty to facilitate simulation at the workplace and bring about system change locally that can eventually improve patient care?

Methodology: FDP participants are added to a WA group 2 weeks before the course. PediSTARS senior mentors provide an overview of simulation, facilitating peer learning. Ice-breaking, simulation experiences, objectives, and resources available locally are discussed. Articles, pictures, and videos illustrating the concepts of simulation-based education are shared. Following the level-1 FDP-a 2-day program, each learner is allocated a mentor and co-mentor. The mentees complete the needs assessment, conduct about 6-8 simulation sessions in their institution, and reflect virtually with the mentors and co-mentors individually after each scenario over a 6-9-month period. Simulation research is part of the Level 3 FDP. During this time, learning happens through peer-to-peer interactions in the WA group. The co-mentors who are usually peers with 1-2 years seniority discuss with mentees and guide them with the simulation sessions before conducting the scenarios and are part of the mentor reflection sessions. A survey with 33 questions (Kirkpatrick – KP 1-4 evaluation) was conducted to study the impact of peer-assisted learning during the 3-year study period โ€“ years 2021-2023. Descriptive statistics was applied and thematic analysis was conducted to evaluate the results.

Results: 40 qualified Level 3 FDP candidates were contacted via email and WA to complete the survey. The response rate was 90% (36/40). All (100%) were novices. 95% reported that peer learning from WA groups met training expectations, and 87% opined that learning was relevant, and engaging (KP-1). 100% reported peer learning enabled them to facilitate low-cost simulation scenarios and debriefing. 98% incorporated simulation-based education at the workplace (KP2). Following FDP, 94% felt more confident in managing real clinical emergencies and conducting and leading codes. 97% reported effective communication with families and inter-professional teams (KP 3). There were significant system changes at the bedside such as improvements in the clinical environment, equipment, teamwork, and display of cognitive aids. (Fig 1). Most importantly, the majority of the learners (89%) demonstrated improvement in real patient outcomes (Fig 2), especially in infection control and trauma care which contribute to major morbidity and mortality in low-resource countries. (KP 4)

Conclusions: The researchers demonstrated that peer-assisted learning is a very powerful, low-cost sustainable solution for faculty development programs in a low-resource country. This can be replicated easily in other countries. โ Nevertheless, the process requires dedicated mentors who are passionate and willing to provide personal time for community building.

Learning Objectives:

  1. Understand the strategies for peer-assisted learning to facilitate novice clinical simulation faculty to become proficient in a LMIC setup.
  2. Understand the impact of mentorship and Peer assisted learning for better patient outcomes.
  3. Customise in-situ simulation towards improving patient safety in their clinical settings.

Meet the Presenter(s):

Geethanjali Ramachandra MRCP, CCT PICU (UK) Fellowship ECMO(UK)
Pediatric Intensivist, Co- Founder PediSTARS, Simulation Consultant at KIMS, Hyderabad at PediSTARS India

Co- founder, Pediatric Simulation Training and Research Society (PediSTARS) India. Simulation consultant, Krishna Institute of Medical Science (KIMS) Secunderabad India. Fellow International Pediatric Simulation Society- IPSS. Vice President Road Safety Club Hyderabad. Initial medical education in India, followed by Pediatric residency and critical care fellowship in London – 2009. Simulation Fellowship at Childrenโ€™s Hospital of Philadelphia (CHOP) USA. After returning to India, involved in Simulation training of hospital team, 108 ambulance staff, public and school children since past 12 years. Simulation trainer at KIMS Hospital Secunderabad PICU. Co- founded PediSTARS (Pediatric Simulation Training and Research Society India) India 11 years ago. PediSTARS is a not-for-profit society registered with Govt of India. Member of the IPSS-INSPIRE Simulation fellowship organizing committee team.

Disclosures: None.
Sujatha Thyagarajan
Senior Consultant PICU and Lead at PICU at Aster Whitefield Hospital in Bengaluru

Dr Sujatha Thyagarajan is a leading Senior Consultant Pediatric intensivist in Bengaluru and is currently associated with Aster RV Hospital and Aster Women and Children Hospital, Whitefield, Bengaluru, India. She graduated from Bangalore Medical College, Bangalore and trained in the UK for Pediatrics and PICU, and worked as Consultant in PICU at Barts and the London Childrenโ€™s Hospital. She relocated to India in 2011 and was one of the co-founders of PediSTARS India in 2013. She has been actively involved in the administrative and academic aspects of PediSTARS taking various roles as President, Secretary, Treasurer, and currently as the Executive Board of PediSTARS and National coordinator for the Faculty Development Programme and the mentorship for Level 2 and 3 FDP. She is also the Board of Directors, IPSS, 2023-2025. Her keen interests in simulation are Trauma, Simulathon (Trauma, COVID preparedness, resuscitation practices), Hackathon, low-cost innovations and currently working on the phase 4 of Active Bleeding Control โ€“ ABC Guru campaign in Bengaluru. She has presented in various national and international meeting about her work at PediSTARS. She has supported the Simulation faculty at SriLanka and Pakistan.

Disclosures: None.

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