Improved fourth-year medical student clinical decision-making performance as a resuscitation team leader after a simulation-based curriculum

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Raymond P Ten EyckGlenn C Hamilton

Abstract

To determine the impact of simulation-based instruction on student performance in the role of emergency department resuscitation team leader. A randomized, single-blinded, controlled study using an intention to treat analysis. Eighty-three fourth-year medical students enrolled in an emergency medicine clerkship were randomly allocated to two groups differing only by instructional format. Each student individually completed an initial simulation case, followed by a standardized curriculum of eight cases in either group simulation or case-based group discussion format before a second individual simulation case. A remote coinvestigator measured eight objective performance end points using digital recordings of all individual simulation cases. McNemar chi2, Pearson correlation, repeated measures multivariate analysis of variance, and follow-up analysis of variance were used for statistical evaluation. Sixty-eight students (82%) completed both initial and follow-up individual simulations. Eight students were lost from the simulation group and seven from the discussion group. The mean postintervention case performance was significantly better for the students allocated to simulation instruction compared with the group discussion stud...Continue Reading

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Citations

Oct 15, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Matthew C Tews, Glenn C Hamilton
Oct 15, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Philip ShayneJonathan Fisher
Dec 18, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Emilie J B CalvelloLee Wallis
Apr 1, 2015·The Journal of Emergency Medicine·Matthew C TewsDouglas S Ander
Jun 17, 2016·Advances in Health Sciences Education : Theory and Practice·Kevin R HarrisJohn H Shatzer
Jul 10, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Elizabeth D RosenmanRosemarie Fernandez
Mar 1, 2012·Korean journal of medical education·Hyo Bin YooJin Kyung Ko
Jul 14, 2017·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Matthew David BealLee Hooper
Sep 20, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Emily M HaydenMark W Scerbo

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