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2012 ABSTRACTS of the Asma SCIENTIFIC SESSIONS 83RD Annual Scientifi C Meeting Atlanta Hilton May 13-17, 2012 Atlanta, GA

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2012 ABSTRACTS of the Asma SCIENTIFIC SESSIONS 83RD Annual Scientifi C Meeting Atlanta Hilton May 13-17, 2012 Atlanta, GA 2012 ABSTRACTS OF THE AsMA SCIENTIFIC SESSIONS 83RD Annual Scientifi c Meeting Atlanta Hilton May 13-17, 2012 Atlanta, GA The following are the abstracts accepted for presentation after blind peer-review—in slide, poster, or panel sessions— at the 2012 Annual Scientifi c Meeting of the Aerospace Medical Association. The numbered abstracts are keyed to both the daily schedule and the author index. The order and numbering of some abstracts may have been changed. CONFLICT OF INTEREST: All meeting planners and presenters completed fi nancial disclosure forms for this educational activity. All potential confl icts of interest were resolved before planners and presenters were approved to participate in the educational activity. Any confl icts of interest that could not be resolved resulted in disqualifi - cation from any role involved in planning, management, presentation, or evaluation of the educational activity. Sunday, May 13 9:00 AM Sunday, May 13 12:00 PM Salon C Salon D WORKSHOP: AIRCREW FATIGUE: WORKSHOP: AEROSPACE MEDICINE CAUSES, CONSEQUENCES, AND FACULTY DEVELOPMENT WORKSHOP COUNTERMEASURES [2] AEROSPACE MEDICINE FACULTY DEVELOPMENT [1] AIRCREW FATIGUE: CAUSES, CONSEQUENCES, AND WORKSHOP COUNTERMEASURES D. RHODES J.A. CALDWELL1 AND J. CALDWELL2 Aerospace Medicine, USAFSAM, Wright-Patterson AFB, OH 1 2 Fatigue Science, Honolulu, HI; 711 HPW, Wright-Patterson WORKSHOP OVERVIEW: The purpose of this workshop is to AFB, OH provide presentations on current topics of interest to faculty of Aerospace Medicine residencies and fellowships. These presentations WORKSHOP OVERVIEW: In modern aviation operations, may also be of interest to faculty of other Preventive Medicine aircrew fatigue has become a serious but often unrecognized problem. Residencies including General Preventive Medicine and Occupational The unpredictable work hours, long duty periods, circadian disrup- Medicine. The presenters are all experienced faculty for Aerospace tions, and disturbed or restricted sleep that are commonly experienced Medicine programs. They will present topics aimed at improving by aviation personnel strain the body’s adaptive capabilities. The result teaching skills and providing proven methods for evaluating residents in is that crewmembers often report for duty in a fatigued state, and aerospace medicine. Any current or future aerospace medicine faculty because of this they make mistakes, respondIP: more192.168.39.151 slowly, experience On: Thu, 30 Sep 2021 16:57:55 Copyright: Aerospace Medicalmembers mayAssociation benefi t from these presentations and are invited to attend. cognitive diffi culties, and suffer mood disturbances that taken together Continuing Medical Education (CME) and Maintenance of Certifi cation often lead to performance problems and compromised safety.Delivered Aircrew by(MOC) Ingenta credit will be available for completion of this workshop. fatigue can be effectively mitigated, but only if scientifi cally validated strategies are systematically applied. These include 1) the implementa- tion of crew scheduling procedures that are based on up-to-date [3] EVALUATING RESIDENTS IN AEROSPACE MEDICINE scientifi c information about the underpinnings of fatigue; 2) the D. RHODES implementation of scientifi cally-based in-fl ight counter-fatigue Aerospace Medicine, USAFSAM, Wright-Patterson AFB, OH practices; 3) educating crew and crew schedulers on the importance of sleep and circadian rhythms in effective fatigue management; and 4) INTRODUCTION: The objective evaluation of residents in the utilization of effective strategies for optimizing off-duty sleep Aerospace Medicine can take many forms, from the multiple choice periods. Once comprehensive, scientifi cally-validated fatigue-risk examination to a structured evaluation of their clinical skills in a fl ight mitigation processes are fully integrated into the aviation safety system, medicine clinic environment. Another evaluation tool is the oral exam, fatigue can be effectively managed, and safety and performance can which can be utilized to not only evaluate knowledge fund on a subject, be optimized. The proposed fatigue workshop will outline the but also to view more subjective areas such as poise, competence, and importance of addressing fatigue as a danger in aviation, the basic how they organize their thoughts on the fl y to answer an aerospace physiological mechanisms underlying fatigue, and the most common medicine question. Other forms of evaluation can utilize simulated patient causes of fatigue in air transport and other settings. In addition, the encounters to evaluate a resident’s skill in taking a good history and workshop will present ways to recognize fatigue in operational physical examination to arrive at a diagnosis while being observed. All environments, and it will provide information about the relative of these methods can allow the aerospace medicine preceptor to gather effi cacy of various fatigue countermeasures. Participants will be suffi cient information to evaluate a resident’s ability to show mastery of provided with hard-copy materials that summarize the topics discussed the various competencies within Aerospace Medicine and to fi nally make as well as reference bibliographies that can be used to obtain further the judgment of that resident’s ability to practice independently. These information on specifi c issues. This workshop is aimed at those with a techniques and tools for evaluation of residents will be discussed. basic understanding of the problem of fatigue in operational environ- ments, and/or those who are anticipating new duty assignments in Learning Objectives: which they will bear some responsibility for the alertness management 1 The participants will learn various techniques and tools to evaluate of aviators or other personnel. No prior education in fatigue manage- aerospace medicine residents clinical skills and fund of knowledge ment, sleep, or circadian rhythms is required. in aerospace medicine Aviation, Space, and Environmental Medicine x Vol. 83, No. 3 x March 2012 209 ASMA 2012 MEETING ABSTRACTS [4] USE OF SERIOUS GAMING APPROACHES IN TRAINING medicine programs versus the spectrum of our stakeholder’s AEROSPACE MEDICINE SPECIALISTS expectations (ACGME, ABPM, Sponsoring institutions, future L. STEINKRAUS employers/organizations, faculty, residents and patients). Topics Mayo Clinic, Rochester, MN presented shall include: specifi c consideration stakeholder expecta- tions and their impact on curriculum; Subject matter weighting; INTRODUCTION: Serious Gaming (also referred to as Virtual effective communication of expectations, competencies and Reality) educational uses have grown steadily over the last two outcomes of the curriculum to the residents, residents and stakehold- decades, especially as computer-based Information Technology ers; weighting ACGME required subject matter and stakeholder capabilities have advanced. Faster processor speeds, larger memory, expected competencies versus the limitations of curriculum-time; the and improved software allow for multi-player, multi-level, high fi delity challenge of weighing experiential learning (rotations) versus didactic training scenarios. The challenge for the educator is to ensure educational units; and, the role of the faculty member in assessing appropriate educational goals and objectives are translated into resident competency. appropriate algorithms and heuristics within the simulated settings. Learning Objectives: METHODS: The process for developing a virtual aeromedical clinical teaching case will be presented and discussed. The trainee is presented 1 Participants will improve their knowledge and system-based with a pilot requiring an FAA medical certifi cation examination. As practice in the education of the 1 July 2011 ACGME Preventive part of the encounter the trainee interviews the patient, reviews and Medicine Program Requirements. completes the 8500-8, and makes decisions regarding further 2 Participants will recognize their roles in feedback process of cur- diagnostic testing, aeromedical disposition, and answers patient riculum weighting and assessing resident competency. questions. Evaluation of the encounter with respect to fund of 3 Participations will gain insight into the various residency programs’ knowledge, behaviors, and ACGME competencies will be discussed. stakeholder expectations. RESULTS: The use of this type of computer based training presents multiple opportunities for trainee assessment. Advantages to this type of training include accessibility, lower cost per training session, and [7] DEVELOPMENT OF RESIDENT TRAINING AND reliability with respect to training experience. Disadvantages include RESEARCH OPPORTUNITIES R.T. JENNINGS AND J.M. VANDERPLOEG lack of direct hands-on clinical examination, possible loss of fi delity based on the quality of the simulation, and need for computer access. UTMB, Galveston, TX Other advantages and disadvantages will also be presented and discussed. Initial results from a pilot study comparing Serious Gaming INTRODUCTION: Resident training and aerospace medicine and Standardized Patient simulation educational modalities will be specialty competency development can be augmented by numerous included in the presentation. activities outside of the classroom and traditional practicum rotations. This presentation will explore the role of Aerospace Learning Objectives: Medicine Grand Rounds and Journal Club and how these activities 1 The audience will understand the steps required to develop a Seri- can be developed, shared between
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