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Using High-Fidelity Simulation to Teach Ethics Related Non-Technical Skills: Description of an Innovative Model

Authors Tanoubi I, Georgescu LM, Robitaille A, Drolet P, Perron R

Received 24 January 2020

Accepted for publication 17 March 2020

Published 26 March 2020 Volume 2020:11 Pages 247—251

DOI https://doi.org/10.2147/AMEP.S247207

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Anwarul Azim Majumder


Issam Tanoubi, L Mihai Georgescu, Arnaud Robitaille, Pierre Drolet, Roger Perron

Department of Anesthesiology, Centre d’apprentissage des Attitudes et Habiletés Cliniques (CAAHC), Université de Montréal, Faculty of Medicine, Montreal, Quebec, Canada

Correspondence: Issam Tanoubi
MD, MA(Ed), DESAR, Department of Anesthesiology, Centre d’apprentissage des Attitudes et Habiletés Cliniques (CAAHC), Université de Montréal, Faculty of Medicine, Montreal, Quebec, Canada
Email i.tanoubi@umontreal.ca

Abstract: This article describes a high-fidelity (Hi-Fi) simulation-based innovative educational strategy intended to introduce anesthesiology residents to key ethical considerations and how they apply to their practice. Three Hi-Fi simulation scenarios involving situations with various ethical issues are described with their debriefing objectives and the trainees’ subjective feedback. Three high-fidelity simulation scenarios are described: (a) teaching critical incident disclosure, (b) disclosing and discussing patient awareness during general anesthesia, and (c) would physicians override a do-not-resuscitate (DNR) order if the cause of a cardiac arrest is iatrogenic? We used Hi-Fi simulation in an innovative way to teach these principles of ethics. Simulation, through carefully crafted debriefing, can contribute to the acquisition of essential non-technical ethical skills. How best to integrate simulation in an existent ethics curriculum and how it compares with more traditional teaching methods are questions that need to be addressed.

Keywords: high-fidelity simulation, ethics principles education, ethic scenario, debriefing
 

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