A grant from the American Medical Association will allow Yale researchers to develop, implement, and test a new structured curriculum using simulation-based clinical case scenarios for residents.
Luming Li, MD, Assistant Professor of Psychiatry, will be the principal investigator on the project. Li will collaborate with Jessica Ray, PhD, and Ambrose Wong, MD, MSEd, both of the Yale Center for Medical Simulation (YCMS).
The $30,000 grant will allow Yale researchers to develop and pilot the Leadership in Education, Administration, and Dissemination Simulation-based Health System Science Cases (LEADS-HSS). LEADS-HSS will integrate “important cross-cutting domains of leadership and healthcare administration, teamwork and interdisciplinary education, and evidence-based medicine practice dissemination,” Li wrote in the grant application.
The pilot will be evaluated through a mixed-methods approach with a situation judgment test and qualitative interviews with resident physicians across a range of disciplines.
There will be four clinical simulation case scenarios — a care standardization challenge, a quality/safety challenge, an informatics challenge, and an education leadership challenge — all based on realistic cases that can occur in healthcare settings.
The study’s results will be used to inform future development of curricular materials for broader dissemination. The simulation-based curriculum will include a simulation toolkit, simulation-based case scenarios, instructions for participants, and a debriefing instructor’s guidebook. In addition, a novel situation judgment test (SJT) will be developed as part of the curriculum evaluation process and included as a packaged product for distribution.
“This type of realistic learning helps to bridge the transition gap from graduate medical education to clinical practice, highlighting the challenges that can occur in trying to lead and practice medicine,” Li said.