Vattanavanit Veerapong, Kawla-Ied Jarernporn, Bhurayanontachai Rungsun
Division of Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Open Access Emerg Med. 2016 Dec 22;9:1-7. doi: 10.2147/OAEM.S122525. eCollection 2017.
Septic shock resuscitation bundles have poor compliance worldwide partly due to a lack of knowledge and clinical skills. High-fidelity simulation-based training is a new teaching technology in our faculty which may improve the performance of medical students in the resuscitation process. However, since the efficacy of this training method in our institute is limited, we organized an extra class for this evaluation.
The aim was to evaluate the effect on medical students' knowledge and confidence levels after the high-fidelity medical simulation training in septic shock management.
A retrospective study was performed in sixth year medical students during an internal medicine rotation between November 2015 and March 2016. The simulation class was a 2-hour session of a septic shock management scenario and post-training debriefing. Knowledge assessment was determined by a five-question pre-test and post-test examination. At the end of the class, the students completed their confidence evaluation questionnaire.
Of the 79 medical students, the mean percentage score ± standard deviation (SD) of the post-test examination was statistically significantly higher than the pre-test (66.83%±19.7% vs 47.59%±19.7%, <0.001). In addition, the student mean percentage confidence level ± SD in management of septic shock was significantly better after the simulation class (68.10%±12.2% vs 51.64%±13.1%, <0.001). They also strongly suggested applying this simulation class to the current curriculum.
High-fidelity medical simulation improved the students' knowledge and confidence in septic shock resuscitation. This simulation class should be included in the curriculum of the sixth year medical students in our institute.
感染性休克复苏集束在全球范围内的依从性较差，部分原因是缺乏相关知识和临床技能。基于高仿真模拟的培训是我们学院的一项新教学技术，可能会提高医学生在复苏过程中的表现。然而，由于这种培训方法在我们学院的效果有限，我们组织了一次额外的课程进行评估。
旨在评估高仿真医学模拟培训对医学生感染性休克管理知识和信心水平的影响。
对2015年11月至2016年3月内科轮转期间的六年级医学生进行回顾性研究。模拟课程是一个为期2小时的感染性休克管理场景及培训后汇报会。知识评估通过一个包含五个问题的课前测试和课后测试来确定。课程结束时，学生们完成了他们的信心评估问卷。
在79名医学生中，课后测试的平均百分比得分±标准差（SD）在统计学上显著高于课前测试（66.83%±19.7%对47.59%±19.7%，<0.001）。此外，模拟课程后，学生在感染性休克管理方面的平均百分比信心水平±SD显著提高（68.10%±12.2%对51.64%±13.1%，<0.001）。他们还强烈建议将此模拟课程应用于当前课程。
高仿真医学模拟提高了学生在感染性休克复苏方面的知识和信心。该模拟课程应纳入我们学院六年级医学生的课程中。
