The Training and Evaluate Effect on Clinical Airway Management

Study Overview
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Brief Summary
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In this self-control experiment, anesthesiologists with limited experiments of bronchoscopy working in anesthesiology department in Peking Union Medical College Hospital will receive a training and evaluation procedure in simulation and clinical practice about clinical airway management. The objects was (1) to investigate the improvements of manufacturing bronchoscopy in simulation and clinical practise before and after training on simulation,(2) to record the efforts trainees needed to achieve experienced on simulation, (3) to evaluate if status manufacturing on simulations could reflect the ones in clinical practise.

Detailed Description
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A modified global rating scale from 1 (unskilled) to 5 (expert) with a score of 3 linked to proficiency, and 5-points Likert from 1 (felt extremely unsure) to 5 (felt extremely confidence) with a score of 4 linked to confidence were used to evaluate during the procedure of training and evaluation.

Official Title
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The Training and Evaluate Effect of Simulation on Clinical Airway Management During Perioperative Period

Conditions
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Airway Management, Education, Bronchoscopy

Intervention / Treatment
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* Behavioral: anesthesiologist with limited experiment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: An anesthesiologist who is working on anesthesia airway management； During the research period, he/she worked in the anesthesiology department of Peking Union Medical College Hospital； Have some experience in airway management，Meet at least one of the following conditions: ①Airway management experience ≤10 cases；②Objective GRS score <3 points；③Subjective Likert score <3 points Exclusion Criteria: Cannot complete pre-training assessment； Cannot complete the training course； Cannot complete the post-training evaluation； Clinical airway managers were not performed during the study period.

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: anesthesiologist with limited experiment<br>Anesthesiologists with limited experiment of bronchoscopy. | Behavioral: anesthesiologist with limited experiment<br>* Using the simulate device, the trainees are going to trained and evaluated the ability of driving bronchoscopy in simulate device and clinical practice.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Time needed. | Change of time needed to navigate using bronchoscopy. | Changes from baseline after finishing simulate training, an average of 1 month. | 
| Change of modified global rating scores (GRS). | Change of modified global rating scores (GRS) rating manufacturing skills using bronchoscopy. Total score ranges from 4 to 20 scores at 1-score intervals, higher score matches better skill. Total score is the submission of four subscales, which evaluating central view, mucosal contact, progress and orientation using bronchoscopy, ranges from 1 to 5 scores at 1-score interval, higher scores represent better outcome. | Changes from baseline after finishing simulate training, an average of 1 month. | 
| Change of Likert score. | Change of Likert score evaluating self-confidence using bronchoscopy. Likert score ranges from 1 to 5 scores at 1-score intervals, higher score with more self-confidence. | Changes from baseline after finishing simulate training, an average of 1 month. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Inconsistency of evaluation of time needed between simulate and clinical practice. | Inconsistency of time needed to navigate using bronchoscopy. | At the beginning and after finishing the training, an average of 1 month. | 
| Inconsistency of evaluation of modified global rating scores (GRS) between simulate and clinical practice. | Inconsistency of modified global rating scores (GRS) rating manufacturing skills, using bronchoscopy. Total score ranges from 4 to 20 scores at 1-score intervals, higher score matches better skill. Total score is the submission of four subscales, which evaluating central view, mucosal contact, progress and orientation using bronchoscopy, ranges from 1 to 5 scores at 1-score interval, higher scores represent better outcome. | At the beginning and after finishing the training, an average of 1 month. | 
| Inconsistency of evaluation of Likert score between simulate and clinical practice. | Inconsistency of Likert score evaluating self-confidence using bronchoscopy. Likert score ranges from 1 to 5 scores at 1-score intervals, higher score with more self-confidence. | At the beginning and after finishing the training, an average of 1 month. |