We are at SESAM 2023 with oral presentation “Stage Debriefing in Simulation Training in Medical Education for Competencies Formation”.

ClinCaseQuest team had a great opportunity during the 28th annual conference of the SESAM – Society for Simulation in Europe SESAM 2023 in Lisbon to share our experience of building a staged debriefing embedded in simulation scenarios based on the principle of adaptive learning for asynchronous online trainings in clinical case simulators for competence formation.

We have demonstrated what would happen if the concept of the classical model of debriefing was changed, highlighted two approaches that we actively use for this, and talked about the benefits of facilitation for our learners and coordinators of simulation trainings and team leaders.

We are very grateful for the inclusion of our experience in the scientific program of the conference!

Register on our website right now to have access to more learning materials!

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Charlson Comorbidity Index (CCI) Online Calculator

Charlson Comorbidity Index predicts 10-year survival in patients with multiple comorbidities.

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Date of assessment

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Age *

<50 years

50–59 years

60–69 years

70–79 years

≥80 years

Myocardial infarction *

History of definite or probable MI (EKG changes and/or enzyme changes)

No

Yes

Congestive heart failure *

Exertional or paroxysmal nocturnal dyspnea and has responded to digitalis, diuretics, or afterload reducing agents

No

Yes

Peripheral vascular disease *

Intermittent claudication or past bypass for chronic arterial insufficiency, history of gangrene or acute arterial insufficiency, or untreated thoracic or abdominal aneurysm (≥6 cm)

No

Yes

Cerebrovascular accident or Transient ischemic attack *

History of a cerebrovascular accident with minor or no residua and transient ischemic attacks

No

Yes

Dementia *

Chronic cognitive deficit

No

Yes

Chronic obstructive pulmonary disease *

No

Yes

Connective tissue disease *

No

Yes

Peptic ulcer disease *

Any history of treatment for ulcer disease or history of ulcer bleeding

No

Yes

Liver disease *

Severe = cirrhosis and portal hypertension with variceal bleeding history, moderate = cirrhosis and portal hypertension but no variceal bleeding history, mild = chronic hepatitis (or cirrhosis without portal hypertension)

None

Mild

Moderate to severe

Diabetes mellitus *

None or diet-controlled

Uncomplicated

End-organ damage

Hemiplegia *

No

Yes

Moderate to severe chronic kidney disease *

Severe = on dialysis, status post kidney transplant, uremia, moderate = creatinine >3 mg/dL (0.27 mmol/L)

No

Yes

Solid tumor *

None

Localized

Metastatic

Leukemia *

No

Yes

Lymphoma *

No

Yes

AIDS *

No

Yes

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Charlson Comorbidity Index

10-year survival

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