دورية أكاديمية
أعرض في EDS

Comparison of simulation and video-based training for acute asthma.

التفاصيل البيبلوغرافية
العنوان: Comparison of simulation and video-based training for acute asthma.
المؤلفون: Grissa MH; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia., Dhaoui R; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia., Bel Haj Ali K; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia., Sekma A; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia., Toumia M; Emergency Department, Haj Ali Soua Regional Hospital of Ksar Hellal, Ksar Hellal, 5070, Tunisia., Sassi S; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia., Sakly AK; Orthopedic Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia., Zorgati A; Emergency Department, Sahloul University Hospital, Sousse, 4000, Tunisia., Bouraoui H; Pharmacology Department Faculty of Medicine, University of Monastir, Monastir, 5000, Tunisia., Ben Soltane H; Emergency Department, Farhat Hached University Hospital, Sousse, 4000, Tunisia., Mezgar Z; Emergency Department, Farhat Hached University Hospital, Sousse, 4000, Tunisia., Boukef R; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia.; Emergency Department, Sahloul University Hospital, Sousse, 4000, Tunisia., Boubaker H; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia., Bouida W; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia., Beltaief K; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia., Nouira S; Emergency Department, Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia. semir.nouira@rns.tn.; Research Laboratory LR12SP18, University of Monastir, Monastir, 5000, Tunisia. semir.nouira@rns.tn.; Emergency Department and Laboratory Research (LR12SP18), Fattouma Bourguiba University Hospital, Monastir, 5000, Tunisia. semir.nouira@rns.tn.
المصدر: BMC medical education [BMC Med Educ] 2023 Nov 16; Vol. 23 (1), pp. 873. Date of Electronic Publication: 2023 Nov 16.
نوع المنشور: Randomized Controlled Trial; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Simulation Training*/methods , High Fidelity Simulation Training* , Asthma*/therapy , Education, Medical, Undergraduate*/methods, Humans ; Prospective Studies ; Clinical Competence
مستخلص: Background: Emergency medicine is particularly well suited to simulation training. However, evidence for the efficacy of simulation-based medical training remains limited especially to manage high-risk cases such as acute asthma.
Objective: The objective of our study was to compare the performance of high-fidelity simulation (HFS) and interactive video-case challenge-based training (IVC) for final-year medical students in the management of acute asthma.
Methods: This was a prospective randomized controlled study conducted at the emergency department (ED) of Monastir University hospital ( Tunisia). 69 final-year medical students were randomized to HFS (n = 34) and IVC (n = 35) training on acute asthma topic. The study was conducted over a 1-week period. Efficacy of each teaching method was compared through the use of multiple-choice questionnaires (MCQ) before (pre-test), after (post-test) training and a simulation scenario test conducted 1 week later. The scenario was based on acute asthma management graded on predefined critical actions using two scores: the checklist clinical score (range 0 to 30), and the team skills score (range 0 to 16). Student satisfaction was also evaluated with the Likert 5 points scale. Two years after the post-test, both groups underwent a third MCQ testing to assess sustainability of knowledge.
Results: There were no differences in age between groups. There was no statistically significant difference between the HFS and IVC groups pre-test scores (p = 0.07). Both groups demonstrated improvement in MCQ post-test from baseline after training session; the HFS MCQ post-test score increased significantly more than the IVC score (p < 0.001). The HFS group performed better than the IVC group on the acute asthma simulation scenario (p < 0.001). Mean checklist clinical score and mean team skills score were significantly higher in HFS group compared to IVC group (respectively 22.9 ± 4.8 and 11.5 ± 2.5 in HFS group vs 19.1 ± 3 and 8.4 ± 3.1 in IVC group) (p < 0.001). After 2 years, MCQ post-test scores decreased in both groups but the decrease was lower in HFS group compared to the IVC group.
Conclusion: High-fidelity simulation-based training was superior to interactive video-case challenge for teaching final year medical students,and led to more long-term knowledge retention in the management of simulated acute asthma patients.
Trial Registration: The study was registered at www.
Clinicaltrials: gov NCT02776358 on 18/05/2016.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Acute asthma; High-fidelity simulation; Interactive video-case education
سلسلة جزيئية: ClinicalTrials.gov NCT02776358
تواريخ الأحداث: Date Created: 20231117 Date Completed: 20231120 Latest Revision: 20231120
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10655321
DOI: 10.1186/s12909-023-04836-7
PMID: 37974223
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6920
DOI:10.1186/s12909-023-04836-7