One of the challenges posed by shifting to more hands-on learning, Kriner explains, is finding time to add simulation. Learners still need to gain the knowledge traditionally transmitted in the lecture setting, and they must come to the lab well prepared for the simulation.
Bridging the Gap with Self-paced Learning
Kriner bridges this gap with self-paced multi-media learning that covers the material in an interactive and engaging way. Learners can prepare for the simulation on their own time using these highly focused presentations.
In his role at MedStar, Eric wrote and implemented a curriculum for advanced mechanical ventilation consisting of 39 hours of lecture and over 40 mechanical ventilation and critical care clinical simulations. This curriculum is now used in part by the Pulmonary Services Department, Pulmonary Critical Care Fellowship, Medical Resident, and Emergency Medicine programs.
With his extensive experience at MedStar, Kriner was a perfect fit as a collaborator on IngMar Medical’s RespiSim® Modules, authoring the Scenario Concept Presentations for three sets of modules: Modes of Ventilation, Airway Resistance and Static Compliance in CMV, and Patient-Ventilator Synchrony in the Volume Assist-Control Mode. The Scenario Concept Presentations are tailor-made to prepare students for the hands-on simulation.
“The Scenario Concept Presentations save instructor prep time, but they can also have great value in gaining hands-on training time by efficiently delivering the necessary knowledge outside of the classroom.”
Eric Kriner, Medstar Washington Hospital Center
For bench simulations, Kriner uses the QuickLung® or the QuickLung Breather. For simulating more complex clinical scenarios, he uses the IngMar Medical ASL 5000 Breathing Simulator with the RespiSim software. Not only does the RespiSim user interface make simulation much easier, but it provides a vital signs monitor with hemodynamics, adding a key dimension. Previously, Kriner used the Laerdal SimMan® for these elements, while using the ASL 5000 for the lungs. This required the help of a sim tech to run the two interfaces. Now Kriner can manage everything himself from the RespiSim interface.
Kriner sees the new RespiSim software as a game-changer, providing an effective tool to enable clinicians to develop deep competency in challenging situations such as ventilator dysynchrony and ARDS.