Medical student‐led simulation in COVID‐19 crisis

Ekert, Justyna O.; Smith, Aphra Luchesa; Ramsey, Charlotte L; Robinson, Nathan; Love, Jack; Gothard, Philip; Armitage, Alice

doi:10.1111/tct.13308

Cited by 13 publications

(10 citation statements)

References 9 publications

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“…15 In another study conducted by senior medical students among 150 healthcare workers, participants reported that in all aspects of managing COVID-19 patients, including triage, complex discharge, recognizing deterioration, initiating basic life support, managing symptoms and advising on visiting policies (p < 0.001) and 97% of participants rated that the training was useful. 9 But the components / areas included in this training were different than the present training conducted in NAIHS / SBH. Simulation training had been conducted in New changes, uncover safety gaps, and train redeployed healthcare workers in unfamiliar roles.…”

Section: Discussionmentioning

confidence: 85%

“…It uses practical scenarios and structured feedback to help participants develop new skills in a safe and supported learning environment. 8,9 Healthcare workers who are like COVID-19 are the most vulnerable population therefore extraordinary measures may be needed for them to reduce the morbidity and mortality. These measures are also helpful to protect healthcare workers and optimize their output.…”

Section: Discussionmentioning

confidence: 99%

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COVID-19 Preparedness and Response Hands-on Training to Healthcare Workers at Shree Birendra Hospital, Nepal

Chalise

Thapa

Paudel

et al. 2022

Med. J. Shree Birendra Hosp.

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Introduction: COVID-19 pandemic in many countries of the world, including Nepal, is requiring a level of response which is beyond the capacity of the nation. It needs collaborative action to increase the capacity to respond to outbreaks. With the aim of providing and assessing the effectiveness of hands-on training, healthcare professionals from Nepalese Army Institute of Health Sciences (NAIHS) and Shree Birendra Hospital (SBH) started COVID-19 Preparedness and Response Hands-on training to frontline workers from April to December 2020. Methods: The training was initiated with the formation of core group of trainers, who conducted training of trainers (TOT) for 31 healthcare workers. The trainers who received TOT further trained 2549 healthcare workers from different health institutions. The training included topics like COVID-19 introduction and case definition; hand hygiene, respiratory hygiene and physical distancing; donning and doffing; disinfection and waste management; sample collection; patient transfer; dead body management and stress coping. Pre-test and post-test was done on 821 training participants to assess the effectiveness of training by using semi-structured self-administered questionnaire. From among 821 trainees involved in pre and post-test, 266 participants were randomly selected for data analysis from the training register. Data were analyzed by using Microsoft Excel and described by using descriptive and inferential statistics. Results: In our study, a score of ≥80% was acquired by 25.2% participants in pre-test and 76.3% participants in post-test. There was a significant increase in participants’ scores in post-test as compared to pre-test scores (p-value <0.001). Conclusions: On-site hands-on training is effective in acquisition of knowledge on key areas of COVID-19 preparedness and response.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

COVID-19 Preparedness and Response Hands-on Training to Healthcare Workers at Shree Birendra Hospital, Nepal

Chalise

Thapa

Paudel

et al. 2022

Med. J. Shree Birendra Hosp.

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“…A list of these, collected in the final session, can be viewed in figure 3. Projects included running simulation sessions to train staff being moved to new COVID-19 wards, 24 helping in clinical trials, audits on the wards, helping with bloodborne virus testing in the rehoused homeless population, analysing the demographic background of patients dying of COVID-19 and helping to set up a new telemedicine clinic.…”

Section: Projectsmentioning

confidence: 99%

Necessity is the mother of invention: how the COVID-19 pandemic could change medical student placements for the better

Stout

Roberts

Maxwell-Scott

et al. 2021

Postgraduate Medical Journal

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COVID-19 led to the widespread withdrawal of face-to-face hospital-based clinical placements, with many medical schools switching to online learning. This precipitated concern about potential negative impact on clinical and interprofessional skill acquisition. To overcome this problem, we piloted a 12-week COVID-19 safe face-to-face clinical placement for 16 medical students at the Hospital for Tropical Diseases, London, during the first wave of the COVID-19 pandemic. COVID-19 infection control measures necessitated that students remained in ‘social bubbles’ for placement duration. This facilitated an apprenticeship-style teaching approach, integrating students into the clinical team for placement duration. Team-based learning was adopted to develop and deliver content. Teaching comprised weekly seminars, experiential ward-based attachments and participation in quality improvement and research projects. The taught content was evaluated through qualitative feedback, reflective practice, and pre-apprenticeship and post-apprenticeship confidence questionnaires across 17 domains. Students’ confidence improved in 14 of 17 domains (p<0.05). Reflective practice indicated that students valued the apprenticeship model, preferring the longer clinical attachment to existent shorter, fragmented clinical placements. Students described improved critical thinking, group cohesion, teamwork, self-confidence, self-worth and communication skills. This article describes a framework for the safe and effective delivery of a longer face-to-face apprenticeship-based clinical placement during an infectious disease pandemic. Longer apprenticeship-style attachments have hidden benefits to general professional training, which should be explored by medical schools both during the COVID-19 pandemic and, possibly, for any future clinical placements.

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“…We read with interest the article by Ekert et al and commend their efforts on organising medical student-led simulation during COVID-19. 1 As two newly qualified doctors, we experienced firsthand the challenges posed by the pandemic, including being redeployed to unfamiliar settings and confronting suffering and death regularly. Simulation is an excellent way to increase confidence and overcome anxiety, 2 and using medical students to facilitate simulation is very appropriate for a novel disease like COVID-19, which negates the usual hierarchies of clinical experience.…”

Section: Medical Student-led Simulation In Covid-19 Crisis: Foundation Doctor Perspectivesmentioning

confidence: 99%