Abstract Details

Title Neurocritical Care Simulation-Based Course for Advance Practice Providers with Limited Prior Experience and Assessment of Employment Retention

Topic ��ɫ��, Research, and Methodology

Presentation(s) P2 - Poster Session 2 (11:45 AM-12:45 PM)

Poster/Presentation
Number 15-001

Objective Would a simulation-based neurocritical care (NCC) course improve advance practice providers (APPs) knowledge with limited prior NCC experience and result in good employment retention at 1 year?

Background APPs with limited NCC experience may lack skills to manage NCC patients. Simulation-based training may provide a learner-centered educational approach to improve knowledge in NCC and result in APP employment retention. We implemented a simulation-based neurological emergency course for APPs with limited NCC experience and assessed APP employment retention at 1 year.

Design/Methods Four simulation cases were conducted. Prior to the cases, learners completed a pre-test and pre-briefing. Simulation cases utilized high fidelity manikins capable of reproducing neurological emergencies. After the cases, learners completed a debriefing, post-test, and post simulation survey on the simulation experience. Pre- and post-test averages were compared using a paired t-test analysis. APP employment retention was also measured 1 year following course completion.

Results Learners included 7 APPs with limited NCC experience, who participated in 4 simulation-based courses on NCC management of stroke, cardiac arrest with status epilepticus, intracerebral hemorrhage, and neuromuscular emergencies. Average pre- and post-test scores were 65% and 89% (p<0.00001), respectively. In a post-simulation survey using the Likert Scale (1=strongly disagree, 2=disagree, 3=neutral, 4=agree, 5=strongly agree), learners strongly agreed simulations compared to real-time patient management (median 5, IQR 4-5), was a valuable and effective use of time (median 5, IQR 4-5), led to new knowledge gained (median 5, IQR 4-5), and agreed that they felt prepared (median 4, IQR 4-5) and confident (median 4, IQR 4-5) in managing these neurological emergencies after the simulation course. At one year after course completion, 5 of the 7 APPs (71%) were retained.

Conclusions A simulation-based neurological emergency course for APPs with limited prior NCC experience resulted in significant increase in knowledge gained and good employment retention at 1 year.

Authors/Disclosures
Melvin Parasram, DO PRESENTER	Dr. Parasram has nothing to disclose.
Shamelia Loiseau, MD	Dr. Loiseau has nothing to disclose.
Michael Levine, MD	Dr. Levine has nothing to disclose.
Anika Nichlany, MD	Dr. Nichlany has nothing to disclose.
Hwasoo Shin, PhD	Dr. Shin has nothing to disclose.
Margaret Huynh, DO	Dr. Huynh has received personal compensation for serving as an employee of Weill Cornell Medicine.
Baxter B. Allen, MD (New York Presbyterian-Queens)	Dr. Allen has nothing to disclose.

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