Using Learner-Centered, Simulation-Based Training to Improve Medical Students’ Procedural Skills

Autor: Serkan Toy, Robert SF McKay, James L Walker, Scott Johnson, Jacob L Arnett
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Medical Education and Curricular Development, Vol 4 (2017)
Druh dokumentu: article
ISSN: 2382-1205
23821205
DOI: 10.1177/2382120516684829
Popis: Purpose: To evaluate the effectiveness of a learner-centered, simulation-based training developed to help medical students improve their procedural skills in intubation, arterial line placement, lumbar puncture, and central line insertion. Method: The study participants were second and third year medical students. Anesthesiology residents provided the training and evaluated students’ procedural skills. Two residents were present at each station to train the medical students who rotated through all 4 stations. Pre/posttraining assessment of confidence, knowledge, and procedural skills was done using a survey, a multiple-choice test, and procedural checklists, respectively. Results: In total, 24 students were trained in six 4-hour sessions. Students reported feeling significantly more confident, after training, in performing all 4 procedures on a real patient ( P < .001). Paired-samples t tests indicated statistically significant improvement in knowledge scores for intubation, t (23) = −2.92, P < .001, and arterial line placement, t (23) = −2.75, P < .001. Procedural performance scores for intubation ( t (23) = −17.29, P < .001), arterial line placement ( t (23) = −19.75, P < .001), lumbar puncture ( t (23) = −16.27, P < .001), and central line placement ( t (23) = −17.25, P < .001) showed significant improvement. Intraclass correlation coefficients indicated high reliability in checklist scores for all procedures. Conclusions: The simulation sessions allowed each medical student to receive individual attention from 2 residents for each procedure. Students’ written comments indicated that this training modality was well received. Results showed that medical students improved their self-confidence, knowledge, and skills in the aforementioned procedures.
Databáze: Directory of Open Access Journals
Externí odkaz: