Instruction using a high-fidelity cardiopulmonary simulator improves examination skills and resource allocation in family medicine trainees
| Autor: | David W. Frost, Rodrigo B. Cavalcanti, Diana Toubassi |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Epidemiology media_common.quotation_subject Medicine (miscellaneous) Fidelity Physical examination Diagnostic accuracy Appropriate use Education Medicine Humans Computer Simulation cardiovascular diseases Physical Examination Simulation media_common medicine.diagnostic_test business.industry Internship and Residency Physicians Family Cardiovascular Diseases Modeling and Simulation Family medicine Clinical Competence Educational Measurement business |
| Zdroj: | Simulation in healthcare : journal of the Society for Simulation in Healthcare. 6(5) |
| ISSN: | 1559-713X |
| Popis: | INTRODUCTION High-fidelity cardiopulmonary simulators have proven promising in various areas of medical education but have yet to be studied in Family Medicine training. METHODS A 2-hour curriculum, combining didactic and simulator exposure, and addressing common valvular pathologies, was offered to post-graduate year 1 and 2 Family Medicine residents. Residents' abilities to describe and diagnose four simulated murmurs were assessed before the teaching sessions and 2 to 4 weeks after. Confidence in physical examination skills, as well as the use of echocardiography, was also measured. RESULTS Twenty residents participated. Mean composite murmur description scores improved in 95% of residents (P < 0.001), as did mean diagnostic accuracy (from 43.8% to 85.0%; P < 0.001). For pathologic murmurs, the number of echocardiograms recommended did not change, whereas for the nonpathologic murmur, 16 residents who recommended echocardiography presession no longer did postsession (P < 0.001). Mean confidence significantly increased (P < 0.001). The mean satisfaction score for the session was 4.9/5, and all residents recommended that the session be repeated in future years. CONCLUSION A didactic and simulator-based session is very well received by Family Medicine residents. It significantly improves description and diagnosis of murmurs and reduces unnecessary echocardiogram use without affecting appropriate use. |
| Databáze: | OpenAIRE |
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