Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients

BMC Medical Education

Research Article

Tobias Todsen¹  Charlotte Ringsted¹  Mikael V Henriksen¹  Charles B Kromann¹  Lars Konge¹  Jesper Eldrup² 

[1] Centre for Clinical Education, University of Copenhagen and The Capital Region of Denmark, Rigshospitalet Afsnit 5404, Teilumbygningen,Blegdamsvej 9, DK-2100, Copenhagen Ø, Denmark;Urology Department, Frederiksberg Hospital, University of Copenhagen and The Capital Region of Denmark, Copenhagen Ø, Denmark;

关键词: Medical Student;    Transfer Test;    Objective Structure Clinical Examination;    Simulation Training;    Real Patient;   

DOI  :  10.1186/1472-6920-13-29

 received in 2011-12-01, accepted in 2013-02-21,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundInexperienced interns are responsible for most iatrogenic complications after urethral catheterization (UC). Although training on simulators is common, little is known about the transfer of learned skills to real clinical practice. This study aimed to evaluate the short- and long-term effects of UC simulated skills training on performance on real patients and to examine whether watching a video of the procedure immediately before assessment enhanced clinical performance.MethodsThis was an experimental study of the effect of a UC simulation-based skills course on medical students’ short-term (after one week) and long-term (after six weeks) performance. The additional effect of video instruction before performance testing on real patients was studied in a randomized trial. Sixty-four students participated in the study, which was preceded by a pilot study investigating the validity aspects of a UC assessment form.ResultsThe pilot study demonstrated sufficient inter-rater reliability, intra-class correlation coefficient 0.86, and a significant ability to discriminate between trainee performances when using the assessment form, p= 0.001. In the main study, more than 90% of students demonstrated an acceptable performance or better when tested on real patients. There was no significant difference in the total score between the one-week and the six-week groups when tested on real patients and no significant difference between the video and the control groups.ConclusionsMedical students demonstrated good transfer of UC skills learned in the skills lab to real clinical situations up to six weeks after training. Simulated UC training should be the standard for all medical school curricula to reduce avoidable complications. However, this study did not demonstrate that an instructional video, as a supplement to simulated skills training, improved clinical UC performance.Trial registrationCurrent Controlled Trials ISRCTN:ISRCTN90745002

【 授权许可】

CC BY   
© Todsen et al; licensee BioMed Central Ltd. 2013