Universidad de Boyacá, Tunja, Colombia.
Universidad de La Sabana, Chía, Colombia.
BMC Med Educ. 2021 Jul 9;21(1):375. doi: 10.1186/s12909-021-02812-7.
Low back pain (LBP) is a condition with a high global prevalence, which is getting health professionals' attention, including physiotherapists as they must have the skills to provide treatment that increases the patient's quality of life. Clinical simulations could be a pedagogic strategy that facilitates adequate training for students to acquire skills to improve their professional reasoning in this clinical situation.
This study sought to determine the effects of clinical simulations with simulated patients (SP) on the physiotherapy students' clinical decision-making within a role-playing (RP) scenario while caring of LBP patients.
This experimental study included 42 participants from two Colombian universities, randomized into two groups (SP, n = 21; RP, n = 21). The clinical skill of performing the Objective Structured Clinical Examination (OSCE-LBP) was evaluated while students cared for patients with LBP; after that, a pedagogical method was conducted that included clinical simulation and, finally, the OSCE-LBP was applied again to compare both groups.
Changes occurred in the OSCE-LBP among both groups of students: the scores increased (0.66 and 0.59 in RP and SP, respectively), and neither of the two was superior (p value 0.01; 95%CI - 0.21 to 0.23).
Both types of simulation favor decision-making in professional reasoning in physiotherapy students during interactions with individuals with LBP. Trial registration https://clinicaltrials.gov/ct2/show/NCT04428892 Identifying number: NCT04428892. It was retrospectively registered.
腰痛（LBP）是一种全球患病率较高的疾病，引起了健康专业人员的关注，包括物理治疗师，因为他们必须具备提供增加患者生活质量的治疗的技能。临床模拟可能是一种教学策略，可以为学生提供足够的培训，以提高他们在这种临床情况下的专业推理技能。
本研究旨在确定使用模拟患者（SP）进行临床模拟对角色扮演（RP）场景中物理治疗学生在照顾腰痛患者时的临床决策的影响。
这项实验研究包括来自哥伦比亚两所大学的 42 名参与者，随机分为两组（SP，n = 21；RP，n = 21）。评估学生在照顾腰痛患者时进行客观结构化临床考试（OSCE-LBP）的临床技能；之后，进行了一种教学方法，包括临床模拟，最后再次应用 OSCE-LBP 来比较两组。
两组学生的 OSCE-LBP 都发生了变化：分数增加（RP 和 SP 分别为 0.66 和 0.59），而且两者都不占优势（p 值 0.01；95%CI - 0.21 至 0.23）。
两种类型的模拟都有利于在与腰痛患者互动过程中，提高物理治疗学生在专业推理中的决策能力。试验注册网址：https://clinicaltrials.gov/ct2/show/NCT04428892 识别号：NCT04428892。它是回顾性注册的。
