High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergencies

Clinics

关键词: Patient Simulation;    Problem-Based Learning;    Medical Education;    Undergraduate Education;    Pediatrics;    Comparative Study;   

DOI  :  10.6061/clinics/2015(06)02

来源: DOAJ

【 摘 要 】

OBJECTIVE: To compare high-fidelity simulation with case-based discussion for teaching medical students about pediatric emergencies, as assessed by a knowledge post-test, a knowledge retention test and a survey of satisfaction with the method.METHODS: This was a non-randomized controlled study using a crossover design for the methods, as well as multiple-choice questionnaire tests and a satisfaction survey. Final-year medical students were allocated into two groups: group 1 participated in an anaphylaxis simulation and a discussion of a supraventricular tachycardia case, and conversely, group 2 participated in a discussion of an anaphylaxis case and a supraventricular tachycardia simulation. Students were tested on each theme at the end of their rotation (post-test) and 4-6 months later (retention test).RESULTS: Most students (108, or 66.3%) completed all of the tests. The mean scores for simulation versus case-based discussion were respectively 43.6% versus 46.6% for the anaphylaxis pre-test (p =0.42), 63.5% versus 67.8% for the post-test (p =0.13) and 61.5% versus 65.5% for the retention test (p =0.19). Additionally, the mean scores were respectively 33.9% versus 31.6% for the supraventricular tachycardia pre-test (p =0.44), 42.5% versus 47.7% for the post-test (p =0.09) and 41.5% versus 39.5% for the retention test (p =0.47). For both themes, there was improvement between the pre-test and the post-test (p <0.05), and no significant difference was observed between the post-test and the retention test (p >0.05). Moreover, the satisfaction survey revealed a preference for simulation (p <0.001).CONCLUSION: As a single intervention, simulation is not significantly different from case-based discussion in terms of acquisition and retention of knowledge but is superior in terms of student satisfaction.

【 授权许可】

Unknown