title: Assessing student usage, perception, and the utility of a Web-based simulation in a third-year medical school clerkship.
abstract: OBJECTIVE
  The goals of this study were to assess students' usage data of Web-based simulation (WBS), to determine if it can fill gaps in clinical experience-based medical education, and to determine students' perceived value of this kind of simulation during a clinical clerkship.
  
  
  METHODS
  Observational/prospective cohort.
  
  
  METHODS
  Medical school affiliated with a large academic hospital.
  
  
  METHODS
  A total od 138 medical students.
  
  
  METHODS
  Web-based simulation.
  
  
  METHODS
  Medical students in an anesthesiology clerkship were assigned a WBS focusing on the clinical use of pulmonary artery catheters (PACs). Usage data, including day of week and time of day that the simulation was used and total usage time, were collected for 99 students. Eighty voluntary survey responses, which gauged student perception of the simulation and clinical exposure to PACs, were also collected.
  
  
  RESULTS
  Seventy-two percent of attempts were made during nonclinical hours of 5 pm to 7 am. Seventy-seven percent of students spent less than 30 minutes in total using the simulation. Students preferred the simulation (rated 4.1/5) over textbook (3.59) learning to a statistically significant degree (P < .001) and held favorable views toward the simulation. Sixty-seven percent of students had never encountered a patient with a PAC before performing the simulation, and 41% did not discuss this learning objective during their clerkship. Students' self-rated understanding of PACs significantly increased from a presimulation score of 1.8 of 5, to 2.56 (mean difference, 0.760; P < .001) after using the simulation.
  
  
  CONCLUSIONS
  WBS in medical school clerkships is accepted by students and can fill gaps in clinical medical school education, without negatively affecting students' workloads or clerkship experiences.
authors.affiliation: Resident, Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. Electronic address: wiseem@upmc.edu.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Wise
authors.affiliation: Associate Professor, Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: William R
authors.initials: WR
authors.lastname: McIvor
authors.affiliation: Associate Professor, Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Mangione
mesh_terms: D000776:Anesthesiology / Q000193:education*; D001291:Attitude of Health Personnel; D006328:Cardiac Catheterization / Q000379:methods / Q000592:standards; D002982:Clinical Clerkship / Q000379:methods*; D002983:Clinical Competence; D003194:Computer-Assisted Instruction / Q000379:methods / Q000706:statistics & numerical data*; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods*; D006801:Humans; D020407:Internet; D010414:Pennsylvania; D011651:Pulmonary Artery; D013337:Students, Medical / Q000523:psychology
keywords: Education in anesthesia; Simulation