A comparison of screen-based simulation and conventional lectures for undergraduate teaching of crisis management.
In our institution, we introduced a screen-based simulator to our undergraduate lectures on medical crisis management. We hypothesised that this novel use of the screen-based simulator would be as effective as our conventional lectures. To test this we randomly divided medical students into two groups. Students in Group A were taught medical crisis management (heart failure and anaphylaxis) using a screen-based simulation program projected onto a shared screen, with a facilitator guiding the students through the scenarios. Simultaneously, students in Group B were lectured the same content without the screen-based simulation. Both groups were allotted exactly one hour Several days later, students were tested on their management of anaphylaxis using the Human Patient Simulator. A blinded marker assessed them on diagnosis, resuscitation, specific treatment, call for help and for reassessment of the patient. Students also answered a questionnaire on their experience. Sixty-four students participated in the study. Both groups had similar overall scores. However students in Group A scored better in the specific treatment category by a factor of 1.7. Students in both groups rated their learning experiences highly. This study showed that screen-based simulation was as effective as conventional lectures and might be even more effective in some areas.
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Department of Anaesthesia, Yong Loo Lin School of Medicine, National University Hospital, National University of Singapore, Singapore.
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D000707:Anaphylaxis / Q000175:diagnosis / Q000628:therapy; D003194:Computer-Assisted Instruction / Q000379:methods / Q000706:statistics & numerical data; D004504:Education, Medical, Undergraduate / Q000379:methods*; D004521:Educational Measurement / Q000379:methods / Q000706:statistics & numerical data; D006333:Heart Failure / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D017145:Models, Educational; D010043:Outcome and Process Assessment, Health Care; D016544:Patient Simulation; D012107:Research Design; D011795:Surveys and Questionnaires