A systematic review of interventions designed to teach medical students and residents early recognition and/or prompt escalation in acute clinical deterioration
- Dr Ashokka Balakrishnan MBBS MD FANZCA MHPE (lead reviewer) is an anaesthesiologist, medical educationalist and high-end simulation based educator for undergraduate & postgraduate education and multi-disciplinary team based training. He facilitates simulation support for strategic prevention of untoward outcomes movement of the National University Hospital, Singapore. This has led to this study, where hospital wide policies are being implemented to minimise preventable outcomes existing teaching and learning systems are being appraised. He would be the lead reviewer for the study and will be the primary coder for the planned literature search.
- Dong Chaoyan, PhD is a medical educator with experience in systematic review. She received her PhD in Educational Communication & Technology from New York University in 2008. Since then she has been working on medical simulation and education in USA and Singapore. Her recent systematic review includes: Beyond the simulation laboratory: A realist synthesis of clinical outcomes of simulation based mastery learning. Academic Medicine. 2015. She would be the second coder for the literature search, with additional roles during the synthesis of evidence from quantitative study data.
- Dr Shuh Shing Lee, PhD is a medical educationalist with research expertise and coordinates research in teaching and learning for undergraduates and supports faculty development courses for medical educators. She specialises in technology-enhanced learning and qualitative research. She graduated with a PhD in education from University Malaya, Malaysia. Her PhD focus was on student reasoning. She would perform the role of supervision of coding by the first two coders and for making decisions when it needs conflict resolution. She would provide additional expert support for synthesis of evidence from qualitative data.
- A/Prof Liaw Sok Ying, PhD, is nurse educator and academic researcher who has expertise in reviews on teaching intervention in acute deteriorations and has developed a RAPIDS model (Rescuing A Patient In Deteriorating Situations) and has published on programmatic approaches towards it. Her research has identified early recognition and escalation or trigger requirements for deteriorating clinical events as two areas of practice improvement for nursing education to improve outcomes. She would provide inputs from her experience with her research in deteriorating patients from a nursing perspective
- A/Prof Chen Fun Gee MBBS MMed FANZCA MHPE is an anaesthesiologist and pioneer in simulation-based undergraduate and postgraduate training. He is the director of graduate medical services that overseas postgraduate assessments and outcomes of training and is the Co-Chair of specialist accreditation board that sets standards for deciding on practice readiness of trainees as independent specialists. His special expertise in work place based assessments adds strength to the evaluation of effectiveness of teaching interventions. He would provide the inputs on the direction of the research from his inputs on resident outcomes and hospital outcomes data.
- Dr Dujeepa Samarasekera MBBS FAMEE MHPE is the Head of the Centre for Medical education at National University of Singapore with vast experience in coordinating medical education research. His role in quality assurance in assessment at the Ministry of Health, Curriculum review committee, and graduate exit evaluations surveys will provide rich information on the existing systems of teaching interventions and the evaluation processes of the effectiveness of these methods. His inputs on overall outcomes of the review and experience from audit of the medical education system would help in completing the review efficiently
- Miss Annelissa Chin is a senior librarian at the National University of Singapore Medical Library and has experience with guiding medical research literature reviews. She would provide support with regulating and formalising the search strategies and would continue to support the review team to refine and achieve a comprehensive search of relevant publications.
Online at BEME