Theme: 10II Simulator
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Rating: 4.4/5 (7 votes cast)

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Satisfactory professional benefit from simulation-based training in acute medical conditions
Authors: Jesper Roed Sorensen
Kamilla Roos
Gunhild Kjaergaard-Andersen
Institutions: Center for Medical Learning,
Hospital Sønderjylland,
Denmark
 
Background

The aim of this study is to investigate the learning outcome of three different setups using the time in between simulation-based training for Danish medical interns. 

Summary of Work

57 Danish medical interns devided into 6 teams underwent two days of simulation-based training in acute medical conditions using the SimMan 3G simulator (Laerdal Denmark, Copenhagen). Between simulations interns participated in a priority exercise challenging their ability to prioritize patients. They also observed other interns simulations at the simulation ward or observed the simulations in the debriefing room. A questionnaire was used to evaluate the self-reported learning outcome.

Take-home Messages

By reducing the time spent observing other interns performing simulations a higher learning outcome can be achieved.

Summary of Results

To be team-leader at simulations received 5.7 points of 6.0 possible with a significant better learning outcome than any other positions (p<0.001). To assist the team leader received 4.8 points. The priority exercise received 4.6 points with no significant difference between this and assisting the team leader (p=0.15). To observe simulations in the debriefing room or in the simulation ward received 4.2 and 4.1 point respectively, without significant difference between the two functions (p=0.95).

Conclusion

A very good self-reported learning outcome are received when participating in simulation based training. The learning outcome can be increased by introducing a priority exercise and reduce the time spends as an observer.

References
  1. Aggarwal R, Mytton OT, Derbrew M et al. Training and simulation for patient safety. Qual Saf Health Care 2010;19(suppl 2):i34-43.
  2. Zigmont JJ, Kappus LJ, Sudikoff SN. Theoretical foundations of learning through simulation. Semin Perinatol 2011;35:47-51.
  3. Ziv A, Wolpe PR, Small SD et al. Simulation-based medical education: an ethical imperative. Acad Med 2003;78:783-8.
  4. Motola I, Devine LA, Chung HS et al. Simulation in healthcare education: a best evidence practical guide. Med Teach 2013;35:e1511-30.
Background
Summary of Work

Team size: 9-11 interns

Number of scenarios: 10 scenarios are simulated t the 2 days of training

Priority excersize: The interns are challenged in the priority of acute patients on a theoretical level. The are challenged in desided when and where help are needed. 

Statistiscs: Wilcoxon rank sum test with a significans level of p < 0,05.

Take-home Messages
Summary of Results

Conclusion
References
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