An effective multi-modality model for single-session cricothyroidotomy training for trainees

Abstract

Background: We piloted a curriculum combining a flipped classroom with two-stage narration, role-play, and partial task trainer simulation to teach this critical skill to trainees.

Methods: This "flipped classroom" module (2012-2018) for open and percutaneous cricothyroidotomy (OC and PC) required participants to watch two 4 min training videos for OC and PC. The simulation session consisted of a 45-min hands-on simulation of OC and PC in which participants rotated between the roles of operator, narrator, and critiquer. Median performance scores were calculated.

Results: 103 trainees were evaluated. The median performance score was 14 out of maximum 14 (range: 9-14) across all trainees for OC. The median performance score was 13 out of maximum 13 (range: 3-13) across all trainees for PC.

Conclusion: A multi-modality approach including the flipped classroom, role-play, and partial task trainer simulation is an efficient and effective method for teaching trainees proficiency in short, single operator procedures.

Keywords: Cricothyroidotomy; Curriculum; Education; Flipped classroom; Simulation; Surgical residents.