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A HYBRID TRAINING COURSEIS EFFECTIVE FOR TEACHINGPROCEDURAL SKILLS TORESIDENTS Yoshikazu Asada, Yoshihiko Suzuki,Tsuyoshi Hasegawa, Alan Lefor andRyutaro Kawano

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Background • There are numerous e-learning tools for medical education.• These tools are good for gaining knowledge• However, it is difficult to teach manual skills with e-learning.• The advantages of e-learning and simulation training should be combined to use the various modalities in an optimal fashion.

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The Training Course • Hybrid training program • Including both e-learning and simulation• Learners : Residents• Theme : Thoracostomy tube placement and thoracentesis• Designed as a pilot study

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Timetable Guidance 5 min Pre-test 5 min e-Learning 20 min Dry simulation 45 min Wet simulation 45 minShort debriefing 10 minPost-test and questionnaire 10 min

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Results • Participants : 17 ResidentsQuestions (about understanding) mean ± SD Do you understand the procedures? 5.8 ± 1.3 Can you do it properly? 4.8 ± 1.0 Can you teach it to another resident? 4.0 ± 0.6

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Results Questions (about satisfaction) mean ± SD Was the training with simulator useful? 6.8 ± 0.4 Was the training with meat useful? 6.3 ± 1.0 Was there enough time with the 6.5 ± 0.8 simulator? Was there enough time with the meat? 6.5 ± 0.8 Did you understand the instructions? 6.5 ± 0.8 Was the movie comprehensible? 6.6 ± 0.5 Was the difficulty of the test adequate? 5.0 ± 1.4

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Plans for improvement • Make the pre-test and videos prerequisites for the training • Make a rubric for skills evaluation • Conduct simulation training while watching the videos, not after watching

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Conclusions • A hybrid training program for residents was held, including e-learning, dry simulation and wet simulation.• Participants were satisfied with the training.• Future improvement of this program • Make the pre-test and videos as prerequisites for the training. • Make a rubric for skills evaluation