Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving Outcomes

Emergency airway management (EAM) is a “high stakes” clinical practice, associated with a significant risk of procedure-related complications and patient mortality. Learning within the EAM team practice is complex and challenging for trainees. Increasing concern for patient safety and changes in the...

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Main Authors: Edward A Bittner, Ulrich Schmidt
Format: Article
Language:English
Published: SAGE Publishing 2020-10-01
Series:Journal of Medical Education and Curricular Development
Online Access:https://doi.org/10.1177/2382120520965257
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spelling doaj-aa80f4746991475d873b908dca6bfef12020-11-25T03:59:41ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052020-10-01710.1177/2382120520965257Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving OutcomesEdward A Bittner0Ulrich Schmidt1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital; Harvard Medical School, Boston, MADepartment of Anesthesiology, University of California San Diego Medical Center, San Diego, CA, USAEmergency airway management (EAM) is a “high stakes” clinical practice, associated with a significant risk of procedure-related complications and patient mortality. Learning within the EAM team practice is complex and challenging for trainees. Increasing concern for patient safety and changes in the structure of medical education have resulted in educational challenges and opportunities for improvement within the EAM team practice. This paper is divided into 3 sections that describe the past, present, and future of the EAM team learning practice within a large academic institution. Section 1 provides a brief overview of the evolution of the existing practice of EAM. Key features, goals, and challenges of the practice are outlined and a recently performed needs analysis to identify areas for improvement is described. Section 2 examines the underlying assumptions regarding learning within the existing practice and explores how these assumptions fit into major theories of learning. Section 3 proposes an idealized learning practice for the EAM team which includes the assumptions regarding learners, design of the learning environment, use of technology to enhance learning, and the means of assessment and measuring success. It is hoped that through this systematic exploration of the EAM team practice, learning efficacy and efficiency will be improved and remain adaptable for challenges in the future.https://doi.org/10.1177/2382120520965257
collection DOAJ
language English
format Article
sources DOAJ
author Edward A Bittner
Ulrich Schmidt
spellingShingle Edward A Bittner
Ulrich Schmidt
Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving Outcomes
Journal of Medical Education and Curricular Development
author_facet Edward A Bittner
Ulrich Schmidt
author_sort Edward A Bittner
title Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving Outcomes
title_short Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving Outcomes
title_full Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving Outcomes
title_fullStr Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving Outcomes
title_full_unstemmed Examining the Learning Practice of Emergency Airway Management Within an Academic Medical Center: Implications for Training and Improving Outcomes
title_sort examining the learning practice of emergency airway management within an academic medical center: implications for training and improving outcomes
publisher SAGE Publishing
series Journal of Medical Education and Curricular Development
issn 2382-1205
publishDate 2020-10-01
description Emergency airway management (EAM) is a “high stakes” clinical practice, associated with a significant risk of procedure-related complications and patient mortality. Learning within the EAM team practice is complex and challenging for trainees. Increasing concern for patient safety and changes in the structure of medical education have resulted in educational challenges and opportunities for improvement within the EAM team practice. This paper is divided into 3 sections that describe the past, present, and future of the EAM team learning practice within a large academic institution. Section 1 provides a brief overview of the evolution of the existing practice of EAM. Key features, goals, and challenges of the practice are outlined and a recently performed needs analysis to identify areas for improvement is described. Section 2 examines the underlying assumptions regarding learning within the existing practice and explores how these assumptions fit into major theories of learning. Section 3 proposes an idealized learning practice for the EAM team which includes the assumptions regarding learners, design of the learning environment, use of technology to enhance learning, and the means of assessment and measuring success. It is hoped that through this systematic exploration of the EAM team practice, learning efficacy and efficiency will be improved and remain adaptable for challenges in the future.
url https://doi.org/10.1177/2382120520965257
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