Final year medical students' views on simulation-based teaching: a comparison with the Best Evidence Medical Education Systematic Review.
BACKGROUND
Simulation is being increasingly used in medical education.


OBJECTIVE
The aim of this study was to explore in more depth the features of simulation-based teaching that undergraduate medical students value using the Best Evidence Medical Education (BEME) Systematic Review features that lead to effective learning as a framework.


METHODS
Thematic analysis of four semi-structured focus groups with final year medical students who had been taught acute care skills using a medium-fidelity whole-body simulator manikin (SimMan).


RESULTS
Twelve key themes were identified, namely, feedback, integration into curriculum, learning style, learning environment, realism, teamwork, communication skills, confidence/increased self-efficacy, anxiety, performance, perceptions of foundation year 1 (FY1) and SimMan as a resource. Each theme is described with supporting quotes.


CONCLUSIONS
Six of the ten features listed in the BEME review appeared to be of particular value to the medical students. This study provides a richer understanding of these features. In addition, new insights into the effect of simulation on confidence, anxiety and self-efficacy are discussed which may be affected by the 'performance' nature of simulation role-play. Students also contribute critical thought about the use of SimMan as a resource and provide novel ideas for reducing 'downtime'.
Paskins
Zoë
Z
University Hospitals of Coventry and Warwickshire NHS Trust, Warwick Medical School, UK. zpaskins@doctors.org.uk
Peile
Ed
E
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D003198:Computer Simulation; D004504:Education, Medical, Undergraduate / Q000379:methods / Q000592:standards / Q000639:trends; D004635:Emergency Medicine / Q000193:education / Q000379:methods; D019317:Evidence-Based Medicine / Q000193:education; D017144:Focus Groups; D008348:Manikins; D036301:Qualitative Research; D013337:Students, Medical / Q000523:psychology; D006113:United Kingdom; D000078202:Systematic Reviews as Topic