Forum Asst. Chief
Haven’t used the new SIMS yet?
I wasn't aware that the whole medical model of education included taking folks straight from medical school and into the trauma bay. Must be a wild first day.There are mass casualty drills and there are patient simulations. Categorically different. What is true is that neither approximates the real thing to any meaningful degree. They do "break out" the material resources from storage...they demonstrate available assets, but not much more.
Patient scenario simulations are something you do when real, meaningful training is not available. They are indicators of a training program's short comings.
How do you train trauma surgeons? In trauma rooms with real trauma. Do those guys do patient simulations? Not in any credible residency/fellowship. Because they're BS...
Challenging, thorough didactic preparation followed by expertly supervised and mentored field experience is what works...anything less is just stalling for time because of a lack of somewhere to put a trainee or to soak them for more tuition....
No one said that first day surgical residents were dropped in in the trauma OR unsupervised. The point is that there is no reliance to speak of on simulation.I wasn't aware that the whole medical model of education included taking folks straight from medical school and into the trauma bay. Must be a wild first day.
I was responding to another post regarding the fact that trauma surgeons do not do simulations, which is patently untrue.No one said that first day surgical residents were dropped in in the trauma OR unsupervised. The point is that there is no reliance to speak of on simulation.
Simulation is fine for practice of motor skills when no other options exist. Practicing a cric on a manikin is inferior to practicing them on cadavers or living, bleeding humans, but is better than not practicing them at all. Similarly, working through scenarios verbally or in a skills lab is not nearly as good experience as experiencing that scenario in real life with a real patient, but I don't doubt that it prepares one to deal with that scenario much better than if it was never considered or practiced at all.
The OP's question wasn't about simulation at all, though. Didn't even mention simulation. It was about how anxiety affects his or her performance in front of classmates. It's a typical presentation of social anxiety and is poorly indicative of how this person will perform in a different setting.
I knew what you were responding to. I think you'll find very few examples of medical education using simulation the way it is used in EMS education. And I can guarantee that you'll find minimal if any reliance at all on EMS-style simulation in a trauma fellowship.I was responding to another post regarding the fact that trauma surgeons do not do simulations, which is patently untrue.
It could hold true, sure. But it often does not. Once again, all I'm saying is that one should not assume that just because an individual finds one setting challenging, that they'll necessarily be unable to perform in a very different setting, especially once gaining more experience and confidence.Also if one’s anxiety prevents performance in front of a group of people, couldn’t that also hold true for I dunno, FTOs, other responders, and families?
I've never seen a responder nitpick a paramedic who is managing an airway over meaningless minutiae like the way they are holding the tongue blade or the exact wording they use when they ask questions, and then have all the family members who are closely watching roll their eyes like the paramedic is a dunce. That's the kind of stress that folks with social anxiety issues tend to have trouble with, and it's much less of an issue in the field or one-on-one with an instructor than it is in a group setting.Are these folks not watching with a critical eye as well?
I actually talked to my instructor about my anxiousness about 2 weeks ago and he stayed after class with me and did drills with me and really helped me work through being choked up. it helped a LOT. I was very grateful. I just made the cut into the 2nd part of the programI always hear students say stuff like this, "I can do the skills, I just can't do it in front of other people"
My reply? You better learn how.
I'll work with you and put you in lower stress scenarios to start as you build confidence, but you do need to learn how to perform in front of others. EMS isn't a solo sport, and I don't care if you know how an iGel works if you can't put one in during a cardiac arrest when I need it done now.
The people in your EMT class should be allies and help you work through your anxiety issues. Confide in a class friend and explain your problems. Having a friendly face in the scenario with you can help you get through it.
But work on it. It won't go away on its own.