ASA Workgroup on ASA Workgroup on Simulation EducationSimulation Education

Report to the ASA Councils on Report to the ASA Councils on Administrative and Scientific AffairsAdministrative and Scientific Affairs

March 3, 2006March 3, 2006Michael A. Olympio, MD, ChairMichael A. Olympio, MD, Chair

Ten Issues in Ten Minutes

Goal:

To organize, develop, and advertise an ASA-sponsored, decentralized national network of quality, standardized simulation CME programs for anesthesiologists.

Issue #1: Advertising

Issue #2:The

Registry

Retain listings of ALL or REDUCE to APPROVED-only?

Issue #3:Survey Results

1,350 Respondents80% interested in participating80% interested in participating

76% felt it was a positive experience76% felt it was a positive experience

71% would be persuaded by formal 71% would be persuaded by formal assessment of their performanceassessment of their performance

89% would be persuaded to attend if 89% would be persuaded to attend if located in a convenient locationlocated in a convenient location

Needs to be released on the web-site and published in Anesthesiology.

Issue #4:Roll-out

Low participation Implications? Survey

Issue #5: ASA-Approval of Simulation Centers

Mission statement Mission statement Quality of educational offeringsQuality of educational offerings Quality of instructorsQuality of instructors CME creditsCME credits Assessment of course effectivenessAssessment of course effectiveness Quality and viability of facilityQuality and viability of facility

“Approve” or “Accredit”? “Programs” or “Centers”?**Post White Paper on the Web**

Will they apply?

Centers already clamoring for ACSCenters already clamoring for ACSACS leadership wanted itACS leadership wanted itCredibilityCredibilityCompetitionCompetitionPeer pressurePeer pressureFinancial referral and growthFinancial referral and growthThought-leadershipThought-leadership ““No-brainer” for ASA to do soNo-brainer” for ASA to do so

Competitive Forces

Challenging and very intimidating!Challenging and very intimidating! Interest, motivation, and participationInterest, motivation, and participationThe State of South Carolina?The State of South Carolina?Private industry creates courses for $$Private industry creates courses for $$For-profit and multidisciplinary centersFor-profit and multidisciplinary centersMultiple credentialing bodiesMultiple credentialing bodies

Issue #6: Site Visits Necessary?

Not essential, but must have mechanismNot essential, but must have mechanismPrevent misrepresentation or ignorancePrevent misrepresentation or ignorance Initial review may trigger visitInitial review may trigger visitRandom visits; minimum percentageRandom visits; minimum percentageA-V documentation, student evaluationsA-V documentation, student evaluationsSurcharge and/or ASA-support for visitsSurcharge and/or ASA-support for visitsShould NOT be formative assessmentsShould NOT be formative assessments

Issue #7:Standardized Scenarios and Curricula?

No, let programs offer what they do best for nowNo, let programs offer what they do best for now Infringement on autonomy or privatizationInfringement on autonomy or privatization Eventually, but only as a subsetEventually, but only as a subset Focus on standardized Focus on standardized objectivesobjectives first, based on first, based on

outcomes data, or regulatory agenciesoutcomes data, or regulatory agencies Might provide incentive for new programsMight provide incentive for new programs

Issue #8:Internal or External Instructor Credentialing?

Simulation teaching portfolioSimulation teaching portfolio Expertise in feedbackExpertise in feedback Scholarship in simulation educationScholarship in simulation education Special knowledge in medical educationSpecial knowledge in medical education Expertise in subject matterExpertise in subject matter Doctorate Degree (MD, PhD, EdD)Doctorate Degree (MD, PhD, EdD) ABA Certified vs. ASA member?

Issue #9: Source of CME?

Through ACCME-accredited institutionsThrough ACCME-accredited institutions i.e.: Programs (not ASA) award the CMEi.e.: Programs (not ASA) award the CMEWhen, why, and how would ASA itself When, why, and how would ASA itself

award the CME?award the CME?What mechanisms exist for extra credit?What mechanisms exist for extra credit?

AMA/ACCME: “extra-effort”?AMA/ACCME: “extra-effort”?Hopefully for ABA MOCAHopefully for ABA MOCA

Issue #10: The business plan is determined by Issues 1-9

AdvertisingAdvertising The RegistryThe Registry Survey resultsSurvey results Roll-outRoll-out Approval processApproval process

Site visitsSite visits Common curriculaCommon curricula Instructor credentialsInstructor credentials CMECME