Benefits of computer screen-based simulation in learning cardiac arrest procedures.
OBJECTIVE
What is the best way to train medical students early so that they acquire basic skills in cardiopulmonary resuscitation as effectively as possible? Studies have shown the benefits of high-fidelity patient simulators, but have also demonstrated their limits. New computer screen-based multimedia simulators have fewer constraints than high-fidelity patient simulators. In this area, as yet, there has been no research on the effectiveness of transfer of learning from a computer screen-based simulator to more realistic situations such as those encountered with high-fidelity patient simulators.


METHODS
We tested the benefits of learning cardiac arrest procedures using a multimedia computer screen-based simulator in 28 Year 2 medical students. Just before the end of the traditional resuscitation course, we compared two groups. An experiment group (EG) was first asked to learn to perform the appropriate procedures in a cardiac arrest scenario (CA1) in the computer screen-based learning environment and was then tested on a high-fidelity patient simulator in another cardiac arrest simulation (CA2). While the EG was learning to perform CA1 procedures in the computer screen-based learning environment, a control group (CG) actively continued to learn cardiac arrest procedures using practical exercises in a traditional class environment. Both groups were given the same amount of practice, exercises and trials. The CG was then also tested on the high-fidelity patient simulator for CA2, after which it was asked to perform CA1 using the computer screen-based simulator. Performances with both simulators were scored on a precise 23-point scale.


RESULTS
On the test on a high-fidelity patient simulator, the EG trained with a multimedia computer screen-based simulator performed significantly better than the CG trained with traditional exercises and practice (16.21 versus 11.13 of 23 possible points, respectively; p<0.001).


CONCLUSIONS
Computer screen-based simulation appears to be effective in preparing learners to use high-fidelity patient simulators, which present simulations that are closer to real-life situations.
Bonnetain
Elodie
E
Laboratory for the Study of Learning and Development, National Centre for Scientific Research, UMR 5022, University of Burgundy, and Department of Anaesthesia Resuscitation, Dijon National University Hospital, Dijon, France. Elodie.bonnetain@u-bourgogne.fr
Boucheix
Jean-Michel
JM
Hamet
Maël
M
Freysz
Marc
M
D016887:Cardiopulmonary Resuscitation / Q000193:education*; D002983:Clinical Competence; D003198:Computer Simulation / Q000592:standards*; D003194:Computer-Assisted Instruction / Q000379:methods / Q000592:standards; D004504:Education, Medical, Undergraduate / Q000379:methods / Q000592:standards; D006801:Humans; D016544:Patient Simulation