The Effectiveness of Remote Facilitation in Simulation-Based Pediatric Resuscitation Training

• Project/Area Number: 16K08866
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Medical sociology
• Research Institution: Kanazawa University
• Principal Investigator: Ohta Kunio 金沢大学, 医学系, 准教授 (00303280)
• Research Collaborator: Kurosawa Hiroshi ; Nishisaki Akira
• Project Period (FY): 2016-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000); Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000); Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
• Keywords: シミュレーション教育 / 遠隔教育 / コミュニケーション / 小児蘇生 / 小児救急 / 遠隔 / 指導者養成 / 医学教育 / シミュレーション / チームダイナミクス

Outline of Final Research Achievements

Objectives: To assess the effectiveness of pediatric simulation by remote facilitation. Methods: A remote simulation program for medical students during pediatric rotation was implemented. Groups were allocated to either remote or on-site facilitation depending on the availability of telemedicine technology. Both groups had identical 1-hour simulation sessions. Results: Fifteen groups with 89 students participated in a simulation and 7 groups with 42 students participated in a simulation by remote facilitation. Both groups improved their performance assessed with behavioral assessment tool from first to second scenario: (first [7.9 ± 4.1] vs second [13.0 ± 6.1], P = 0.004). The performance improvement was not significantly different between the 2 groups (P = 0.94). Faculty evaluation by students was equally high in both groups (7 vs 7; P = 0.65). Conclusions: A pediatric acute care simulation by remote facilitation significantly improved students' performance.

Academic Significance and Societal Importance of the Research Achievements

医療安全に重要なコミュニケーションスキルは机上の学習では会得できない。また、とりわけ小児救急医療分野は倫理的問題から経験値を積むことが困難である。そのためシミュレーション教育が重要であるが、指導者不足もあって進んでいないのが現状である。本研究によって、シミュレーション教育がコミュニケーションスキルを改善すること、指導者がテレビ会議システムを介して指導しても効果があるこが示された。シミュレーション教育の重要性と指導者不足解消の選択肢を示した点で医学教育における意義がある。

Research Products

• [Int'l Joint Research] The Children's Hospital of Philadelphia(米国)
• [Journal Article] Guidelines for Heart Disease Screening in Schools (JCS 2016/JSPCCS 2016) ― Digest Version ― (2018)
  • Author(s): umitomo N, Baba R, Doi S, Higaki T, Horie M, Nagashima M, Niwa K, Ogawa S, Okumura K, Tsutsui H (et al. )
  • Journal Title: Circulation Journal Volume: 82 Issue: 9 Pages: 2385-2444
  • DOI: 10.1253/circj.CJ-66-0153
  • NAID: 130007438850
  • ISSN: 1346-9843, 1347-4820
  • Year and Date: 2018-08-24
  • Peer Reviewed / Open Access
• [Journal Article] 各診療ガイドラインのポイント 児童生徒の突然死防止 (2018)
  • Author(s): 太田 邦雄
  • Journal Title: 小児科診療 Volume: 81 Pages: 919-924
• [Journal Article] 【小児の治療指針】 救急場面における初期対応 溺水 (2018)
  • Author(s): 種市 尋宙, 太田 邦雄
  • Journal Title: 小児科診療 Volume: 81 Pages: 86-88
• [Journal Article] Characteristics of induced pluripotent stem cells from clinically divergent female monozygotic twins with Danon disease. (2018)
  • Author(s): Yoshida S, Nakanishi C, Okada H, Mori M, Yokawa J, Yoshimuta T, Ohta K, Konno T, Fujino N, Kawashiri MA, Yachie A, Yamagishi M, Hayashi K.
  • Journal Title: J Mol Cell Cardiol. Volume: 114 Pages: 234-242
  • DOI: 10.1016/j.yjmcc.2017.11.019
  • Peer Reviewed / Open Access
• [Journal Article] 地域流行にみる小児百日咳の実態 (2017)
  • Author(s): 犀川朋子、前田恵美、渡辺麻香、和田泰三、太田邦雄
  • Journal Title: 日本小児科学会雑誌 Volume: 121 Pages: 1827-1834
  • NAID: 40021405755
  • Peer Reviewed / Open Access
• [Journal Article] 児童生徒の学校突然死“ゼロ”を目指して－児童生徒の突然死の現状 (2017)
  • Author(s): 太田邦雄
  • Journal Title: 医学のあゆみ Volume: 262 Pages: 1087-1092
• [Journal Article] 小児突然死の現状と課題 (2017)
  • Author(s): 太田邦雄
  • Journal Title: Fetal&Neonatal Medicine Volume: 9 Pages: 117-121
• [Journal Article] Tumor necrosis factor-α modifies the effects of Shiga toxin on glial cells. (2016)
  • Author(s): Leu H, Sugimoto N, Shimizu M, Toma T, Wada T, Ohta K, Yachie A.
  • Journal Title: Int Immunopharmacol Volume: 38 Pages: 139-143
  • DOI: 10.1016/j.intimp.2016.05.022
  • NAID: 120005830590
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Presentation] 学校管理下AEDの管理運用に関するガイドライン ～児童生徒の学校突然死ゼロを目指して～ (2018)
  • Author(s): 太田邦雄
  • Organizer: 第54回日本小児循環器学会学術集会
  • Invited
• [Presentation] 医学部卒前教育における遠隔シミュレーション教育の効果 (2018)
  • Author(s): 太田 邦雄、西崎 彰，渡邊 伊知郎，原 怜史、玉井利克、野村英樹
  • Organizer: 第50回日本医学教育学会
• [Presentation] Heart Examination and Sudden Cardiac Arrest in Japan (2016)
  • Author(s): Kunio Otha
  • Organizer: 第52回日本小児循環器学会 AHA-AEPC-JSPCCS joint symposium
  • Place of Presentation: 東京
  • Year and Date: 2016-07-07
  • Invited
• [Book] 小児・成育循環器学 (2018)
  • Author(s): 日本小児循環器学会
  • Total Pages: 701
  • Publisher: 診断と治療社
  • ISBN: 9784787822888