Simulation-Based Medical Education in Undergraduate Curriculum: Will a Home-Developed Model Suffice?
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ORIGINAL RESEARCH
Simulation-Based Medical Education in Undergraduate Curriculum: Will a Home-Developed Model Suffice? Jayavelan Ramkumar 1
&
Nidhi Sharma 2
# International Association of Medical Science Educators 2020
Abstract Background A medical student needs to understand the integral theory of continence, clinically elicit urethral hypermobility and understand the surgical principles of repair. A skill development model was designed for the final year curriculum of medical students to explain the basic knowledge of integral theory of continence along with surgical repair of urinary incontinence. Aim The primary objective of the study was to assess the efficacy of simulation-based teaching (SBT) using a home-developed model as compared to video-based teaching (VBT). The secondary objective was to elicit the feedback of students who underwent SBT. Methods One hundred fifty-nine medical students participated in the study. Simulation-based teaching (SBT) (n = 81) was compared with video-based teaching (VBT) (n = 78). Pretest and posttest results were used to assess learning. Feedback was obtained to improve the existing teaching method. Results In the VBT group, the posttest values of lowest score, 25th percentile, 75th percentile, and maximum scores were 9, 10, 12, and 15, respectively. In the SBT group, the posttest values of lowest score, 25th percentile, 75th percentile and maximum scores were 11, 12, 14, and 15, respectively. The students were able to comprehend the anatomical landmarks and integral theory of urinary continence better in SBT group. The surgical technique demonstration and hands-on training done on the pelvic model improved their comprehension. Conclusion A home-developed model is an effective and economic tool in training medical students. This prototype model of education can be employed as a teaching tool in other surgical disciplines as well. Keywords Skill development . Stress incontinence . Teaching tool . Urinary incontinence . Surgery . Medical curriculum
Introduction Stress urinary incontinence is defined as the involuntary leakage of urine due to rise in intra-abdominal pressure [1]. An estimated 21.8% of Indian women have been reported to be incontinent, and 73.8% of total incontinence in Indian women is due to stress incontinence in 1990 [2]. Developing countries need to develop strategies to reduce this burden. More than 50% of women with urinary incontinence in developing * Nidhi Sharma [email protected] Jayavelan Ramkumar [email protected] 1
Department of Cardiothoracic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai 600116, India
2
Department of Obstetrics and Gynaecology, Saveetha Medical College and Hospital, Chennai, India
countries are not given skilled attention of any sort from medical or paramedical personnel [1]. Well-trained doctors, nurses, and midwives can provide efficient relief from this socially embarrassing symptom [3]. Simulation-based medical education plays a major role in making medical students comprehend
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