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{
    "pk": 12013,
    "title": "Simulation-Based Remediation in Emergency Medicine Residency Training- A Consensus Study.",
    "subtitle": null,
    "abstract": "Introduction:\n Resident remediation is a pressing topic in emergency medicine (EM) training programs. Simulation has become a prominent educational tool in EM training and been recommended for identification of learning gaps and resident remediation. Despite the ubiquitous need for formalized remediation, there is a dearth of literature regarding best practices for simulation-based remediation (SBR).\nMethods:\n We conducted a literature search on SBR practices using the terms “simulation,” “remediation,” and “simulation based remediation.” We identified relevant themes and used them to develop an open-ended questionnaire that was distributed to EM programs with experience in SBR. Thematic analysis was performed on all subsequent responses and used to develop survey instruments, which were then used in a modified two-round Delphi panel to derive a set of consensus statements on the use of SBR from an aggregate of 41 experts in simulation and remediation in EM.\nResults: \nFaculty representing 30 programs across North America composed the consensus group with 66% of participants identifying themselves as simulation faculty, 32% as program directors, and 2% as core faculty. The results from our study highlight a strong agreement across many areas of SBR in EM training. SBR is appropriate for a range of deficits, including procedural, medical knowledge application, clinical reasoning/decision-making, communication, teamwork, and crisis resource management. Simulation can be used both diagnostically and therapeutically in remediation, although SBR should be part of a larger remediation plan constructed by the residency leadership team or a faculty expert in remediation, and not the only component. Although summative assessment can have a role in SBR, it needs to be very clearly delineated and transparent to everyone involved.\nConclusion:\n Simulation may be used for remediation purposes for certain specific kinds of competencies as long as it is carried out in a transparent manner to all those involved.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Remediation, Simulation, Emergency Medicine, Resident Training"
        }
    ],
    "section": "Original Research",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6vb9g1x6",
    "frozenauthors": [
        {
            "first_name": "Nur-Ain",
            "middle_name": "",
            "last_name": "Nadir",
            "name_suffix": "",
            "institution": "Kaiser Permanente Central Valley, Department of Emergency Medicine, Modesto, California\n\nUniversity of Illinois-Peoria, Jump Simulation, Peoria, Illinois",
            "department": "None"
        },
        {
            "first_name": "Danielle",
            "middle_name": "",
            "last_name": "Hart",
            "name_suffix": "",
            "institution": "University of Minnesota, Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Cassara",
            "name_suffix": "",
            "institution": "Donald and Barbara Zucker School of Medicine at Hofstra-Northwell, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Joan",
            "middle_name": "",
            "last_name": "Noelker",
            "name_suffix": "",
            "institution": "Washington University in St. Louis, Department of Medicine, Division of Emergency Medicine, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Tiffany",
            "middle_name": "",
            "last_name": "Moadel",
            "name_suffix": "",
            "institution": "Donald and Barbara Zucker School of Medicine at Hofstra-Northwell, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Miriam",
            "middle_name": "",
            "last_name": "Kulkarni",
            "name_suffix": "",
            "institution": "St. John’s Riverside Hospital, Department of Emergency Medicine, Yonkers, New York",
            "department": "None"
        },
        {
            "first_name": "Christopher",
            "middle_name": "",
            "last_name": "Sampson",
            "name_suffix": "",
            "institution": "University of Missouri-Columbia, Department of Emergency Medicine, Columbia, Missouri",
            "department": "None"
        },
        {
            "first_name": "Suzanne",
            "middle_name": "",
            "last_name": "Bentley",
            "name_suffix": "",
            "institution": "Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, Department of Emergency Medicine and Medical Education, Simulation Center, Elmhurst, New York",
            "department": "None"
        },
        {
            "first_name": "Neel",
            "middle_name": "",
            "last_name": "Naik",
            "name_suffix": "",
            "institution": "New York Presbyterian, Weill Cornell Medicine, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Jessica",
            "middle_name": "",
            "last_name": "Hernandez",
            "name_suffix": "",
            "institution": "University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas",
            "department": "None"
        },
        {
            "first_name": "Sara",
            "middle_name": "",
            "last_name": "Krzyzaniak",
            "name_suffix": "",
            "institution": "Kaiser Permanente Central Valley, Department of Emergency Medicine, Modesto, California\n\nUniversity of Illinois-Peoria, Jump Simulation, Peoria, Illinois",
            "department": "None"
        },
        {
            "first_name": "Steven",
            "middle_name": "",
            "last_name": "Lai",
            "name_suffix": "",
            "institution": "Ronald Reagan UCLA Medical Center, Olive View-UCLA Medical Center, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Gregory",
            "middle_name": "",
            "last_name": "Podolej",
            "name_suffix": "",
            "institution": "Kaiser Permanente Central Valley, Department of Emergency Medicine, Modesto, California\n\nUniversity of Illinois-Peoria, Jump Simulation, Peoria, Illinois",
            "department": "None"
        },
        {
            "first_name": "Christopher",
            "middle_name": "",
            "last_name": "Strother",
            "name_suffix": "",
            "institution": "Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, Pediatrics, and Medical Education, New York, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2018-07-13T12:31:22-07:00",
    "date_accepted": "2018-07-13T12:31:22-07:00",
    "date_published": "2018-11-20T12:24:26-08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/12013/galley/6442/download/"
        }
    ]
}