Biography:

In the past Samuel DeMaria has collaborated on articles with Garrett Burnett and Adam I. Levine. One of their most recent publications is Quality and Patient SafetyKnowledge retention after simulated crisis: importance of independent practice and simulated mortality. Which was published in journal British Journal of Anaesthesia.

More information about Samuel DeMaria research including statistics on their citations can be found on their Copernicus Academic profile page.

Samuel DeMaria's Articles: (3)

Quality and Patient SafetyKnowledge retention after simulated crisis: importance of independent practice and simulated mortality

AbstractBackgroundSimulation is an important component of postgraduate medical education, but optimal parameters for simulation are not known. Managing simulations independently and allowing simulated morbidity and mortality have been shown to improve follow-up performance in simulation. We hypothesised that allowing simulated mortality improves performance in follow-up simulations more than independent practice.MethodsUsing a randomised, controlled, observer-blinded design, 48 first-year residents in anaesthesia were exposed to a hyperkalaemia scenario. Subjects were divided into two groups (n=24) that allowed for independent practice or support from an attending physician. Each of these groups was then subdivided into two groups (n=12) that allowed for simulated mortality or did not. All groups received a standardised debriefing. Six months later, the subjects returned to manage a different hyperkalaemia scenario independently with potential simulated mortality. The primary outcome was total treatment score; secondary outcomes included subjects' time to request diagnostic information, time to treatment, and simulator mortality rate.ResultsSubject characteristics were not statistically different. The independent practice–mortality possible group had the highest total treatment score (P=0.004), fastest time to treatment (P=0.009), and lowest mortality rate (P=0.002) compared with all groups. Two-way analysis of variance and least-squares means were calculated for each combination of variables. The overall practice effect was contrasted to the potential for mortality and was insignificant; however, their interaction effect (P=0.003) was significant and produced the best results.ConclusionsIndependence and the potential for simulated mortality have a greater impact on performance in follow-up simulations when combined than either factor alone.

Special articleThe use of multi-modality simulation in the retraining of the physician for medical licensure

AbstractPatient simulation has been widely incorporated into the educational programs of many anesthesiology residencies. These educational tools have been validated by a number of studies and have been recognized by the Accreditation Council for Graduate Medical Education (ACGME) as effective means of teaching domains of competency. The ACGME and the American Board of Medical Specialties (ABMS) have also recognized that these tools are effective devices for competency evaluation of resident and attending physicians. The use of simulation for both retraining and evaluation of a physician for medical licensure is presented.

Special articleSimulation-based Maintenance of Certification in Anesthesiology (MOCA) course optimization: use of multi-modality educational activities☆☆☆

AbstractIn 2010, the American Board of Anesthesiology instituted a new Maintenance of Certification in Anesthesiology (MOCA) Part IV activity requiring diplomates to attend and self-reflect on a simulation-based course in an American Society of Anesthesiologists-endorsed program. Although there are certain course requirements, much of the curriculum and structure of these MOCA activities is left to the discretion of the participating endorsed program. The ideal course would emphasize multimodality simulation-based activities that optimize diplomate education and satisfaction, while economizing faculty requirements. We describe of our course structure and content as a potentially useful template.

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