Simulation-based Medical Education in Family Medicine Residencies: A CERA Study

Tenegra, Johnny C.; Hoffman, Maureane; Luckey, Georgia; DiLalla, Lisabeth F.

doi:10.22454/fammed.2022.731975

Cited by 4 publications

(1 citation statement)

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“…29,30 Regrettably, simulation remains underutilized as an educational tool in family medicine postgraduate training. 31 The use of checklists and rating scales as part of the simulation experience facilitates procedural skills training through provision of formative and summative feedback. [32][33][34] Currently, no validated performance rating instruments exist for any gynecological procedures in clinical or simulated settings.…”

Section: Introductionmentioning

confidence: 99%

Novel Performance Rating Instruments for Gynecological Procedures in Primary Care: A Pilot Study

Rezaiefar,

Waqas,

Archibald

et al. 2024

Fam Med

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Background and Objectives: Improving training and confirming the acquisition of gynecological procedure skills for family physicians (FPs) is crucial for safe health care delivery. The objectives of this study were to (a) develop performance rating instruments for four gynecological procedures, and (b) pilot them to provide preliminary validity evidence using modern validity theory. Methods: Sixteen academic FPs and gynecologists participated in a modified Delphi technique to develop procedure-specific checklists (PSCs) for four procedures: intrauterine device insertion, endometrial biopsy, punch biopsy of the vulva, and routine pessary care. We modified a previously validated global rating scale (GRS) for ambulatory settings. Using prerecorded videos, 19 academic FPs piloted instruments to rate one first-year and one second-year family medicine resident’s performance. They were blinded to the level of training. We compared the mean scores for PSCs and GRS for each procedure using paired samples t tests and Cohen’s d to estimate effect sizes. Results: Consensus on items for the final PSCs was reached after two Delphi rounds. PSC and GRS scores were numerically higher for the second-year resident than the first-year resident for every procedure, with statistically significant differences for six of eight comparisons (P<.05). All comparisons demonstrated large effect sizes (Cohen’s d>0.8). Both instruments received high scores for ease of use by raters. Conclusions: We developed novel performance rating instruments for four gynecological procedures and provided preliminary validity evidence for their use for formative feedback in a simulation setting. This pilot study suggests that these instruments may facilitate the training and documentation of family medicine trainees’ skills in gynecological procedures.

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Section: Introductionmentioning

confidence: 99%

Novel Performance Rating Instruments for Gynecological Procedures in Primary Care: A Pilot Study

Rezaiefar,

Waqas,

Archibald

et al. 2024

Fam Med

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Simulation-based ultrasound-guided regional anesthesia education: a national survey of Canadian anesthesiology residency training programs

Sekhavati,

Ramlogan,

Bailey

et al. 2024

Can J Anesth/J Can Anesth

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Full-sized realistic 3D printed models of liver and tumour anatomy: a useful tool for the clinical medicine education of beginning trainees

Bao

Yang

et al. 2023

BMC Med Educ

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Background Simulation-based medical education (SBME) and three-dimensional printed (3DP) models are increasingly used in continuing medical education and clinical training. However, our understanding of their role and value in improving trainees’ understanding of the anatomical and surgical procedures associated with liver surgery remains limited. Furthermore, gender bias is also a potential factor in the evaluation of medical education. Therefore, the aim of this study was to evaluate the educational benefits trainees receive from the use of novel 3DP liver models while considering trainees’ experience and gender. Methods Full-sized 3DP liver models were developed and printed using transparent material based on anonymous CT scans. We used printed 3D models and conventional 2D CT scans of the liver to investigate thirty trainees with various levels of experience and different genders in the context of both small group teaching and formative assessment. We adopted a mixed methods approach involving both questionnaires and focus groups to collect the views of different trainees and monitors to assess trainees’ educational benefits and perceptions after progressing through different training programs. We used Objective Structured Clinical Examination (OSCE) and Likert scales to support thematic analysis of the responses to the questionnaires by trainees and monitors, respectively. Descriptive analyses were conducted using SPSS statistical software version 21.0. Results Overall, a 3DP model of the liver is of great significance for improving trainees’ understanding of surgical procedures and cooperation during operation. After viewing the personalized full-sized 3DP liver model, all trainees at the various levels exhibited significant improvements in their understanding of the key points of surgery (p < 0.05), especially regarding the planned surgical procedure and key details of the surgical procedures. More importantly, the trainees exhibited higher levels of satisfaction and self-confidence during the operation regardless of gender. However, with regard to gender, the results showed that the improvement of male trainees after training with the 3DP liver model was more significant than that of female trainees in understanding and cooperation during the surgical procedure, while no such trend was found with regard to their understanding of the base knowledge. Conclusion Trainees and monitors agreed that the use of 3DP liver models was acceptable. The improvement of the learning effect for practical skills and theoretical understanding after training with the 3DP liver models was significant. This study also indicated that training with personalized 3DP liver models can improve all trainees’ presurgical understanding of liver tumours and surgery and males show more advantage in understanding and cooperation during the surgical procedure as compared to females. Full-sized realistic 3DP models of the liver are an effective auxiliary teaching tool for SBME teaching in Chinese continuing medical education.

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Simulation-based Medical Education in Family Medicine Residencies: A CERA Study

Cited by 4 publications

References 0 publications

Novel Performance Rating Instruments for Gynecological Procedures in Primary Care: A Pilot Study

Novel Performance Rating Instruments for Gynecological Procedures in Primary Care: A Pilot Study

Simulation-based ultrasound-guided regional anesthesia education: a national survey of Canadian anesthesiology residency training programs

Full-sized realistic 3D printed models of liver and tumour anatomy: a useful tool for the clinical medicine education of beginning trainees

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