Use of simulation based technology in pre-clinical years improves confidence and satisfaction among medical students

Abstract

Objective: To determine perception of medical students about learning from integrated simulated clinical skills sessions in Respiration and Circulation module of Year 1 undergraduate medical curriculum at Aga Khan University. Subjects & Methods: This cross-sectional study was conducted at the Centre for Innovation in Medical Education, Aga Khan University (AKU) from July 2018 to February 2019. Integrated clinical skills session involves use of a combination of live simulated patient and mechanical simulator to teach clinical skills. These sessions were conducted in Respiration and Circulation Module of MBBS Year I curriculum after which quantitative data was collected by a questionnaire that assessed usefulness of integrated clinical skills teaching method and confidence gained by students. The responses acquired were assessed on a Likert scale ranging from 1-5, (strongly agree -strongly disagree). Descriptive analysis was performed. A focused group discussion (FGD) with students and an in-depth interview with a facilitator conducting the clinical skills sessions was arranged. Simple verbatim transcription of FGD recordings and thematic analyses was executed. Results: Quantitative analysis showed that more than 90% of the students believed integrated sessions were effective in acquiring the learning objectives and found them enjoyable and motivating. 80% expressed confidence that they had accomplished learning objectives and felt they have learned practical clinical skills. Qualitative analysis revealed that these sessions enhanced understanding of subject matter and student engagement during sessions. Conclusion: Integrated clinical skills sessions improved student interest, engagement and promoted student confidence. It should be implemented in undergraduate medical teaching curriculum. Continuous...

Effects of a Clinical Simulation-Based Training Program for Nursing Students to Address Social Isolation and Loneliness in the Elderly: A Quasi-Experimental Study

“…The high degree of satisfaction of the students and their perception that the highfidelity clinical simulation-based session met the best educational practices in terms of simulation standards in the training program were perfectly in tune, with a very positive assessment provided by the students. These results are congruent with other studies that utilized face-to-face [60,61] and online [62,63] clinical simulation methodologies.…”

Assessment of performance and confidence level of simulation based clinical examination of respiratory system in undergraduate medical students of a medical college: a comparative cross-sectional study

“…Majority of students with simulation based clinical examination of respiratory system were satisfied with simulation based practice and even were confident in identifying the pathological sounds as in concordance with the study by Mirza MB et al . 11 , although a single participant was not satisfied with simulation based practice in respect to simulation study conducted as students’ way of learning and very few participants were not confident in diagnosing pathology even after simulation based practice in context of developing required skills, accomplishing learning objectives, and mastering content of simulation study.…”

“…The two physiologists who were involved in the assessment process were previously trained by the principal investigator. Following that, group with simulation study were additionally asked to fill out questionnaire forms prepared with the help of similar studies done previously for assessing performance and confidence level in identifying both normal and pathological breath sound 11 . Validation of the questionnaire was done in 20 students of the senior batch and the results were not incorporated into the results.…”

“…Simulation-based medical education (SBME) with deliberate practice has surfaced to be superior than traditional clinical education in various countries 9 . Simulation provides facilitators with the ability to deliver training in a controlled, more standardized environment under a variety of conditions, including uncommon or high-risk scenarios and allows facilitators with better opportunity for feedback, evaluation of performance, and competency due to the objectively standard scenarios presented 2 , 10 , 11 . The manikins used in medical education have undergone significant advances in recent years, which can be programmed to reflect various physiological signs and to respond to procedures performed by the students, so when used appropriately, participant engagement, learning and reflection on practice are heightened 3 , 6 , 12 , 13 .…”

Student experiences of simulation-based learning and its impact on their performance in objective structured clinical examination in Pediatrics - A mixed method study

“…Mirza et all also the benefits of utilizing integrated clinical skills sessions that the enhanced confidence, motivation, and be effective in achieving learning. 13 Furthermore, deliberate and repetitive practice allowed the students to rectify errors and improve performance, which facilitates the progression from novice to expert and ultimately reduces the chances of skills decay, as noted by Agha et al 14 Considering the under-5 mortality rate in Pakistan (65 deaths per 1000 live births), 15 the Paediatrics clerkship is a vital component of the MBBS program. It is our key responsibility to maximize the learning experience and motivate students to pursue this specialty in the future.…”