Bowers Kaitlin M, Smith Jacob, Robinson Matthew, Kalnow Andrew, Latham Rich, Little Andrew
Emergency Medicine, Hilton Head Hospital, Hilton Head Island, USA.
Surgery, Carilion Clinic, Roanoke, USA.
Cureus. 2020 Mar 6;12(3):e7190. doi: 10.7759/cureus.7190.
Simulation has become a well-recognized and innovative tool in medical education. While there has been tremendous growth of simulation curricula at the level of graduate medical education, there have been few studies looking at simulation as a learning tool for undergraduate medical education. The goal of this study was to determine if high-fidelity simulation training impacts medical student perception of knowledge and confidence regarding comprehension and application of advanced cardiac life support (ACLS) algorithms.
This is a prospective observational survey study of third and fourth year medical students who participated in an ACLS simulation training during their emergency medicine rotation between January 2018 and October 2018. Cases covered several ACLS topics including unstable bradycardia, supraventricular tachycardia and ventricular tachycardia. After each session, students received a short survey to assess their simulation experience pertaining to knowledge and comfort levels with ACLS topics before and after the simulation experience.
A total of 89 students were included in the study with 86.5% of those being fourth year students. There was a significant increase in both knowledge (pre-training 3.17 vs. 4.11 post-training, p<0.001) and comfort scores (pre-training 2.54 vs. 3.74 post-training, p<0.001) after the ACLS simulation training. Overall, 77.5% of students reported an increase in knowledge and 83.1% reported an increase in confidence after the training session. Conclusions: The study revealed a statistically significant increase in both perceived knowledge and comfort and confidence of medical students after high-fidelity simulation using ACLS scenarios.
模拟已成为医学教育中一种得到广泛认可的创新工具。虽然研究生医学教育阶段的模拟课程有了巨大发展，但针对模拟作为本科医学教育学习工具的研究却很少。本研究的目的是确定高保真模拟培训是否会影响医学生对高级心脏生命支持（ACLS）算法理解和应用方面的知识认知及信心。
这是一项对三、四年级医学生的前瞻性观察性调查研究，这些学生在2018年1月至2018年10月急诊医学轮转期间参加了ACLS模拟培训。病例涵盖多个ACLS主题，包括不稳定型心动过缓、室上性心动过速和室性心动过速。每次培训后，学生都会收到一份简短的调查问卷，以评估他们在模拟前后对ACLS主题的知识及舒适度方面的模拟体验。
共有89名学生纳入研究，其中86.5%为四年级学生。ACLS模拟培训后，知识得分（培训前3.17分，培训后4.11分，p<0.001）和舒适度得分（培训前2.54分，培训后3.74分，p<0.001）均显著提高。总体而言，77.5%的学生报告培训后知识有所增加，83.1%的学生报告信心有所增加。结论：该研究表明，使用ACLS场景进行高保真模拟后，医学生在感知知识、舒适度和信心方面均有统计学上的显著提高。
