Comparison of Web-Based and On-Site Lung Simulators for Education in Mechanical Ventilation.
| Autor: | Safadi, Sami, Acho, Megan, Maximous, Stephanie I., Keller, Michael B., Kriner, Eric, Woods, Christian J., Sun, Junfeng, Staitieh, Bashar S., Lee, Burton W., Seam, Nitin |
|---|---|
| Předmět: |
CONTINUING education units
STATISTICAL models SCHOOL environment MEDICAL education MEDICAL fellowships T-test (Statistics) HEALTH occupations students EDUCATIONAL outcomes CLINICAL trials RATING of students TEACHING methods DESCRIPTIVE statistics SIMULATION methods in education HOSPITAL medical staff LONGITUDINAL method PRE-tests & post-tests EXPERIENCE STUDENTS ARTIFICIAL respiration ONLINE education CLINICAL competence RESEARCH DATA analysis software CONFIDENCE intervals CRITICAL care medicine SENSITIVITY & specificity (Statistics) |
| Zdroj: | Respiratory Care; Nov2024, Vol. 69 Issue 11, p1353-1360, 8p |
| Abstrakt: | BACKGROUND: Training in mechanical ventilation is a key goal in critical care fellowship education. Web-based simulators offer a cost-effective and readily available alternative to traditional on-site simulators. However, it is unclear how effective they are as teaching tools. In this study, we evaluated the test scores of fellows who underwent mechanical ventilation training by using a web-based simulator compared with fellows who used an on-site simulator during a mechanical ventilation course. METHODS: This was a nonrandomized controlled trial conducted as part of a mechanical ventilation course that involved 70 first-year critical care fellows. The course was identical except for the simulation technology used. One group of instructors used a traditional on-site simulator, the ASL 5000 Lung Solution (n = 39). The second group was instructed in using a web-based simulator, VentSim (n = 31). Each fellow completed a pre-course test and a post-course test by using a validated, case-based ventilator waveform examination that consisted of 5 questions with a total possible score of 100. The primary outcome was a comparison of the mean scores on the posttest between the 2 groups. The study was designed as a non-inferiority trial with a predetermined margin of 10 points. RESULTS: There was no significant difference in the mean ± SD pretest scores between the web-based and the on-site groups (21.1 ± 12.6 and 26.9 ± 13.6 respectively; P = .11). The mean ± SD posttest scores were 45.6 ± 25.0 for the web-based simulator and 43.4 ± 16.5 for on-site simulator (mean difference 2.2; one-sided 95% CI --7.0 to ∞; P |
| Databáze: | Supplemental Index |
| Externí odkaz: |
|