In situ simulation training in anesthesia involves conducting simulated scenarios within the actual clinical environment, allowing anesthesia providers to practice and refine their skills in a setting that closely mirrors real world conditions. This approach enhances the relevance and immediacy of training by integrating simulations into the existing workflow and infrastructure of the operating room or anesthesia suite.

Once a week, we conducted in-situ, high-fidelity simulations in an operating room. Residents scheduled to our operating room during their workday were temporarily reassigned from their regular duties by their covering attending. Each resident participated in a 15-minute session featuring a tailored, focused simulated scenario designed to align with their training level. These scenarios were carefully crafted to emulate high risk situations to corresponding to each resident’s training level. They encompassed skills ranging from basic airway management to the handling of patients in cardiac surgery, thoracic surgery and advanced procedures, necessitating quick and intricate decision making. These cases followed a specific order from l low complexity to high complexity in the following sessions to evaluate progress in each area. Over the last 11 months, we successfully conducted 520 individual sessions with an average of 10 sessions for each resident.