The effect of supplemental high Fidelity simulation training in medical students
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RESEARCH ARTICLE
Open Access
The effect of supplemental high Fidelity simulation training in medical students Lori Meyers1* , Bryan Mahoney1,2, Troy Schaffernocker3, David Way4, Scott Winfield5, Alberto Uribe1, Ana Mavarez-Martinez1, Marilly Palettas6 and Jonathan Lipps1
Abstract Background: Simulation-based education (SBE) with high-fidelity simulation (HFS) offers medical students early exposure to the clinical environment, allowing development of clinical scenarios and management. We hypothesized that supplementation of standard pulmonary physiology curriculum with HFS would improve the performance of first-year medical students on written tests of pulmonary physiology. Methods: This observational pilot study included SBE with three HFS scenarios of patient care that highlighted basic pulmonary physiology. First-year medical students’ test scores of their cardio-pulmonary curriculum were compared between students who participated in SBE versus only lecture-based education (LBE). A survey was administered to the SBE group to assess their perception of the HFS. Results: From a class of 188 first-year medical students, 89 (47%) participated in the SBE and the remaining 99 were considered as the LBE group. On their cardio-pulmonary curriculum test, the SBE group had a median score of 106 [IQR: 97,110] and LBE group of 99 [IQR: 89,105] (p < 0.001). For the pulmonary physiology subsection, scores were also significantly different between groups (p < 0.001). Conclusions: Implementation of supplemental SBE could be an adequate technique to improve learning enhancement and overall satisfaction in preclinical medical students. Keywords: Simulation-based education, Lecture-based education, High-fidelity simulation, Pulmonary physiology, First-year medical students
Background The preclinical core of medical education has traditionally been based on lectures and textbooks [1]. Recently, significant developments in technology (computers, regular patients, and high-fidelity patient simulators) and research during the last two decades have contributed to the implementation of simulation-based education (SBE) in the medical field [1]. One strategy for improving learning efficiency was the concept of vertical integration—the blending of basic science principles * Correspondence: [email protected] 1 Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USA Full list of author information is available at the end of the article
with practical clinical scenarios in order to facilitate the transition from lectures learning to clinical training [2, 3]. However, for practical reasons, learning within a clinical environment is not always possible. The advancements in simulation technology can create a pseudoclinical and low-stakes environment in which medical students can learn basic scientific concepts and implement their knowledge in pre-clinical and clinical settings [1, 4–10]. A high-fidelity simulation (HFS) manikin makes this kind of learning possible and improves the likelihood that
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