To assess the feasibility and utility of simulation-based training in teaching concepts surrounding management of traumatic brain injury (TBI).

Neurology trainees respond to neurological emergencies but often do not have the opportunity to practice implementing their clinical knowledge and communication skills in managing such emergencies outside the clinical setting.

We developed a simulation-based training program for neurology residents to practice managing a patient presenting with acute TBI under the direct supervision of an expert in neurocritical care with opportunities for debriefing and feedback. The educational aims of the simulation were to familiarize learners with Brain Trauma Foundation guidelines on the management of TBI and to allow learners to practice closed loop communication in a multidisciplinary team. The simulation involved two learners, one confederate playing the role of emergency room nurse and ICU fellow, and a hired actor who played the role of the patient. Prior to the simulation, learners were given a 10-slide presentation to review relevant topics. A total of 40 minutes was allotted per session; 5 minutes to introduce the scenario, 20 minutes to complete the scenario, and 10 minutes for a debriefing. The effect of the simulation on learner aptitude in managing TBI was assessed via anonymous post-test.

A total of 8 learners participated in the simulation-based training. We were able to complete all simulation sessions in the allotted 40-minute time frame. On post-test reporting, 7/8 learners felt confident in managing TBI, 8/8 felt their confidence improved with the simulation, and 8/8 endorsed comfort in accessing resources regarding TBI guidelines.

Teaching TBI management via simulation-based training is feasible and allows trainees to gain experience and comfort managing TBI.