Sawka Danielle M, Kendall Mark C, Diorio Matthew S, Derias Nardin O, Rajaee Arezoo, Ji Chao, Asher Shyamal R
The Warren Alpert Medical School of Brown University, Providence, RI, 02903, USA.
Adv Med Educ Pract. 2025 Jul 19;16:1229-1238. doi: 10.2147/AMEP.S516942. eCollection 2025.
Preclinical medical students often have minimal exposure to topics within the field of anesthesiology. As efforts to expand clinical exposure in the preclinical curriculum are increasing, there remains an unawareness of which education topics are still undervalued. This study is the first application of an anesthesiology simulation in the medical student population that incorporates objective performance evaluation that aims to identify key areas of clinical learning growth and gaps within anesthesiology following a semester-long elective.
Our study population consisted of 14 first- and 2 second-year medical students interested in a career in anesthesiology and enrolled in an anesthesia preclinical elective at a single-institution. The students were tested on the same clinical scenario graded based on a standardized rubric prior to and after the completion of the anesthesia preclinical elective. Differences in individual simulation scores were analyzed using -test, or Wilcoxon signed-rank test for paired samples.
The students had a statistically significant increase in individual total scores (p < 0.001), with the strongest improvements in basic induction skills (p < 0.001) and response to hemodynamic changes (p < 0.001) after completion of the elective. There was no significant improvement in PACU management skills (p = 0.184) after completion of the elective, although the small sample size limits statistical power.
This first application of anesthesia-based simulation training with performance scoring in medical students highlights the possible need for targeted early intervention in post-operative management for medical students interested in a career in anesthesiology.
临床前医学生对麻醉学领域的主题接触往往很少。随着在临床前课程中增加临床接触的努力不断增加，对于哪些教育主题仍被低估仍缺乏认识。本研究首次在医学生群体中应用麻醉学模拟，并纳入客观表现评估，旨在确定在为期一学期的选修课之后，麻醉学临床学习成长的关键领域和差距。
我们的研究对象包括14名一年级和2名二年级医学生，他们对麻醉学职业感兴趣，并在单一机构参加了麻醉临床前选修课。在麻醉临床前选修课完成之前和之后，学生们在相同的临床场景下接受测试，并根据标准化评分标准进行评分。使用t检验或配对样本的Wilcoxon符号秩检验分析个体模拟分数的差异。
学生的个人总分有统计学显著提高（p < 0.001），在选修课完成后，基本诱导技能（p < 0.001）和对血流动力学变化的反应（p < 0.001）改善最为明显。选修课完成后，PACU管理技能没有显著提高（p = 0.184），尽管样本量小限制了统计效力。
这项首次在医学生中应用基于麻醉的模拟训练并进行表现评分的研究突出表明，对于对麻醉学职业感兴趣的医学生，可能需要在术后管理方面进行有针对性的早期干预。
