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October 26, 2015
1:00:00 PM - 3:00:00 PM
Room Hall B2-Area D
A Trans-Atlantic Anesthesia Tele-Simulation Session Between the United States and France
Marc Lilot, M.D., Christian Bauer, M.D., Anne Beissel, M.D., Keith A. Beaulieu, M.B.A., Baptiste Balança, M.D., Thomas Rimmelé, M.D.,Ph.D., Maxime Cannesson, M.D.,Ph.D., Jean-Jacques Lehot, M.D.,Ph.D., Cameron J. Ricks, M.D.
Hospices civils de Lyon, Lyon, France
Disclosures: M. Lilot: None. C. Bauer: None. A. Beissel: None. K.A. Beaulieu: None. B. Balança: None. T. Rimmelé: None. M. Cannesson: None. J. Lehot: None. C.J. Ricks: None.
Introduction: Benefits of simulation in healthcare education are increasingly reported in literature and simulation is progressively integrated into most healthcare profession curriculums. Tele-simulation allows participants in different locations to observe scenarios and participate in debriefing. Tele-simulation is relatively new and has the opportunity to provide expert insight, collaboration and new perspectives to simulation participants. For this project, anesthesia residents from the University Claude Bernard Lyon1, France, connected via Skype™ with anesthesia residents at the University of California, Irvine, for a two hour high-fidelity mannequin based tele-simulation session.

Hypothesis: Our aim was to determine whether such a trans-Atlantic simulation session was technically feasible, and if residents would rate this experience as favorable and valuable.

Methods: Eight French, and eight American, residents participated in the study. Each country completed one ACLS scenario, followed by a debriefing session in their respective country while the other country observed. Two faculty members in each country moderated the debriefing session. Students of the opposite country were able to ask questions during the debriefing. Two to four anesthesia residents participated in each scenario while the others watched in the adjacent debriefing room, or via internet (Skype™). At the end of the session, students completed an anonymous 5 point Likert satisfaction survey covering four blocks of questions about instructors, scenarios, intercultural experience as well as technical aspects of the simulation.

Results: French anesthesia residents were less exposed to simulation (<10 sessions per year) than were American anesthesia residents (10 to 50 sessions). No statistical difference was noted between American and French evaluations, of the first three blocks of questions on the satisfaction scale.

Technical aspects (sound and video quality, realistic learning situation) were less well rated by the French group compared to the American group, [10 (IR: 10-11) versus 12.5 (IR: 11.5-14), respectively, p=0.016], most likely due to internet connection issues during the American scenario, which prevented French students from getting the full experience. Connection issues were also experienced in the beginning, delaying the start time by thirty minutes. The time difference (8 hours) was a factor when scheduling the session.

Most of the residents felt that the session was an overall positive learning experience (94%), and allowed them to consider different ways to practice medicine (75%), that they had not considered before, and giving them new cultural perspectives (81%). Survey results showed that the language difference was not a major barrier to knowledge acquisition (69%).

Summary: Tele-simulation sessions for anesthesia residents are feasible. Students in both locations appreciated the contact with residents in another country, and enjoyed it. Internet connection needs to be verified prior to the start of session. Specific educational goals need to be determined. Tele-simulation involving international collaboration can be integrated into Anesthesia residents curriculum, and provide a valuable learning tool.
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