Bhombal Swaleha T, Babar Shazia, Qureshi Asra, Zaki Samar, Jabeem Ismat, Farid Rubia
Department of Family Medicine, The Aga Khan University Hospital, Karachi, Sindh, Pakistan.
Department of Education and Development, The Aga Khan University Hospital, Karachi, Sindh, Pakistan.
J Family Med Prim Care. 2024 Aug;13(8):2863-2867. doi: 10.4103/jfmpc.jfmpc_1404_23. Epub 2024 Jul 26.
Simulation based teaching is effective strategy to allow trainees to acquire skills, develop clinical judgment and to become competent in order to manage the patients in a safe environment. The Case-based simulation improves the assessment and management skills of the trainees to prepare them as a competent physician.
Evaluation of case based simulation teaching to improve the Family Medicine residents urgent care management skills at a teaching hospital.
An Interventional study (Pre and post design) was conducted on the residents of the Family Medicine department of the Aga Khan University hospital Karachi.
After getting their consent, pre intervention Objectively structured clinical examination (OSCE) was conducted at the Center for Innovation in medical education, AKUH. The scenarios were based on urgent care problems presenting in the Family Medicine setting. It was followed by the case based simulation teaching intervention by the facilitators and debriefing. The post intervention OSCE was conducted in order to assess the resident's performance. Statistical Analysis: The data was analyzed in Stata version15 software in two stages; descriptive and inferential. In descriptive analysis frequency and proportion were calculated for categorical variables. Median and inter quartile range were reported for continuous variable. Paired T-tests were applied to compare the pre and post test results.
The resident's scores significantly improved after case based simulation in majority of the post intervention OSCE stations proving the effectiveness of the intervention.
Case based simulation is an effective teaching strategy for the learning process of the Family Medicine residents regarding the urgent care management skills. It is advised to use this strategy in the teaching and learning process of other Family medicine residency programs.
基于模拟的教学是一种有效的策略，可让学员获得技能、培养临床判断力并变得胜任，以便在安全的环境中管理患者。基于案例的模拟可提高学员的评估和管理技能，使其成为合格的医生。
评估基于案例的模拟教学对提高教学医院家庭医学住院医师紧急护理管理技能的效果。
对卡拉奇阿迦汗大学医院家庭医学科的住院医师进行了一项干预性研究（前后设计）。
在获得他们的同意后，在阿迦汗大学医院医学教育创新中心进行了干预前的客观结构化临床考试（OSCE）。场景基于家庭医学环境中出现的紧急护理问题。随后由 facilitators 进行基于案例的模拟教学干预并进行汇报总结。进行干预后的 OSCE 以评估住院医师的表现。统计分析：数据在 Stata 15 版软件中分两个阶段进行分析；描述性和推断性分析。在描述性分析中，计算分类变量的频率和比例。报告连续变量的中位数和四分位数间距。应用配对 t 检验比较前后测试结果。
在大多数干预后 OSCE 站点中，基于案例的模拟后住院医师的分数显著提高，证明了干预的有效性。
基于案例的模拟是家庭医学住院医师学习紧急护理管理技能过程中的一种有效教学策略。建议在其他家庭医学住院医师培训项目的教学过程中使用此策略。
