Age and its impact on crisis management performance and learning after simulation-based education by acute care physicians: a multicentre prospective cohort study
Authors' conclusion
A reduced amount of prior simulation training and increased years in practice, but not age on its own, were significant predictors of low baseline crisis resource management performance.
Study context
- Population
- Acute care physicians at two Canadian universities undergoing full-body manikin simulated crisis (pulseless electrical activity) scenariosincluded in final analysis
- Participants
- 48 physicians
- Outcome
- Effect of physician age on crisis resource management skills, and their learning and retention after simulation training
Methodological detailsmulticentre, simulation-based education, Three 8-min simulated crisis scenarios: pre-test, debriefing with trained facilitator, immediate post-test, retention post-test 3-6 months later
- Multicentre
- Simulation-based education
- Three 8-min simulated crisis scenarios: pre-test, debriefing with trained facilitator, immediate post-test, retention post-test 3-6 months later
Main finding
As reported in the abstract
Correlation of age with baseline crisis resource management performance · Pre-test
Age vs baseline Global Rating Scale (GRS) score, r
−0.30
Age vs baseline technical checklist score, r
−0.44
Observational data: associations, not effects.
Further findings
| Outcome | Mean difference | P value |
|---|---|---|
| Learning from simulation-based education (pre-test to immediate post-test)Immediate post-test vs Pre-test · GRS score | 2.28 | P < 0.001 |
| Learning from simulation-based education (pre-test to immediate post-test)Immediate post-test vs Pre-test · technical checklist correct score | 1.69 | P < 0.001 |
Learning from simulation-based education (pre-test to immediate post-test)
- Learning retained for 3-6 months
Predictors of change in learning
- Prior simulation experience correlated with decreased change in learning, r
- −0.30
- P<0.05
- Only prior simulation experience significant
Original publication
Age and its impact on crisis management performance and learning after simulation-based education by acute care physicians: a multicentre prospective cohort study. Br J Anaesth. Published 12 December 2023. doi:10.
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