A computer-based trauma simulator for teaching trauma management skills.
BACKGROUND
The management of multiply injured trauma patients is a skill requiring broad knowledge, sound judgment, and leadership capabilities. The purpose of this study was to evaluate the effectiveness of a computer-based trauma simulator as a teaching tool for senior medical students.


METHODS
All year-4 clinical clerks at the University of Toronto were approached to participate in a focused, 2-hour trauma management course. The volunteer rate for the course was 79%. Students were randomized to either computer-based simulator or seminar-based teaching groups. Outcome measures in this study were students' trauma objective structured clinical examination (OSCE) scores.


RESULTS
Both the trauma simulator and seminar teaching groups performed significantly better than the comparison group (no additional teaching) on the trauma OSCE patient encounter component, but not the written component of the examination. There was no significant difference in the performances of the trauma simulator and seminar teaching groups. Students overwhelmingly felt the trauma simulator was effective for their trauma teaching, and improved their overall confidence in clinical trauma scenarios.


CONCLUSIONS
There is a significant benefit associated with a focused, clinically based trauma management course for senior medical students. No additional improvement was noted with the use of a high fidelity computer-based trauma simulator.
Gilbart
M K
MK
Department of Surgery, Centre for Research in Education, University of Toronto, Toronto, Ontario, Canada.
Hutchison
C R
CR
Cusimano
M D
MD
Regehr
G
G
D000704:Analysis of Variance; D002982:Clinical Clerkship; D002983:Clinical Competence; D003198:Computer Simulation; D003194:Computer-Assisted Instruction; D004521:Educational Measurement; D006801:Humans; D007600:Judgment; D007857:Leadership; D008348:Manikins; D009104:Multiple Trauma / Q000601:surgery; D009864:Ontario; D010549:Personal Satisfaction; D012649:Self Concept; D013337:Students, Medical; D013663:Teaching / Q000379:methods; D014163:Transfer, Psychology; D014194:Traumatology / Q000193:education*