Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching
Abstract Background Pain is a devastating sensation and has to be treated immediately. Therefore, we developed a training program to improve the knowledge of medical students in the field of pain medicine. In the present study, the applicability and efficacy of this training program was tested. Meth...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | BMC Medical Education |
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| Online Access: | https://doi.org/10.1186/s12909-021-02554-6 |
| _version_ | 1818914582395092992 |
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| author | Sandra Kurz Jana Lohse Holger Buggenhagen Irene Schmidtmann Rita Laufenberg-Feldmann Kristin Engelhard |
| author_facet | Sandra Kurz Jana Lohse Holger Buggenhagen Irene Schmidtmann Rita Laufenberg-Feldmann Kristin Engelhard |
| author_sort | Sandra Kurz |
| collection | DOAJ |
| description | Abstract Background Pain is a devastating sensation and has to be treated immediately. Therefore, we developed a training program to improve the knowledge of medical students in the field of pain medicine. In the present study, the applicability and efficacy of this training program was tested. Methods Half of the students attended first a training with simulated patients (SP) followed by bedside teaching (Group 1). Group 2 performed the training programs in reverse order. The evaluation based on standardized questionnaires completed by students (self-assessment) and all students took part in two practical examinations after the learning interventions. Results This study included 35 students. The quality of the simulation was evaluated by the students with average grade 1.1 (1 = very good, 6 = very bad). The practical work on the ward with patients was rated with grade 1.4 of 6, the whole course with 1.1. Students of Group A were significantly better in the final examination (grade 1.7 vs. grade 2.2, p < 0.05). To rate the improvement of skills (self-assessment) we used a Likert Scale (1 = very certain, 5 = very uncertain). The following skills were similar in both groups and significantly better after the course: taking responsibility, expert knowledge, empathy, relationship building and communication. Conclusions Training with simulated patients in combination with small-group teaching at the bedside with real patients achieves a dramatic increase in student competence. Students prefer learning from the simulation before bedside teaching and propose to include simulation into the curricular teaching of pain medicine. |
| first_indexed | 2024-12-19T23:48:40Z |
| format | Article |
| id | doaj.art-87536543255247f79bf10ddd014fadf5 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-12-19T23:48:40Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-87536543255247f79bf10ddd014fadf52022-12-21T20:01:14ZengBMCBMC Medical Education1472-69202021-02-012111710.1186/s12909-021-02554-6Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teachingSandra Kurz0Jana Lohse1Holger Buggenhagen2Irene Schmidtmann3Rita Laufenberg-Feldmann4Kristin Engelhard5University Medical Center of the Johannes Gutenberg-UniversityUniversity Medical Center of the Johannes Gutenberg-UniversityUniversity Medical Center of the Johannes Gutenberg-UniversityUniversity Medical Center of the Johannes Gutenberg-UniversityUniversity Medical Center of the Johannes Gutenberg-UniversityUniversity Medical Center of the Johannes Gutenberg-UniversityAbstract Background Pain is a devastating sensation and has to be treated immediately. Therefore, we developed a training program to improve the knowledge of medical students in the field of pain medicine. In the present study, the applicability and efficacy of this training program was tested. Methods Half of the students attended first a training with simulated patients (SP) followed by bedside teaching (Group 1). Group 2 performed the training programs in reverse order. The evaluation based on standardized questionnaires completed by students (self-assessment) and all students took part in two practical examinations after the learning interventions. Results This study included 35 students. The quality of the simulation was evaluated by the students with average grade 1.1 (1 = very good, 6 = very bad). The practical work on the ward with patients was rated with grade 1.4 of 6, the whole course with 1.1. Students of Group A were significantly better in the final examination (grade 1.7 vs. grade 2.2, p < 0.05). To rate the improvement of skills (self-assessment) we used a Likert Scale (1 = very certain, 5 = very uncertain). The following skills were similar in both groups and significantly better after the course: taking responsibility, expert knowledge, empathy, relationship building and communication. Conclusions Training with simulated patients in combination with small-group teaching at the bedside with real patients achieves a dramatic increase in student competence. Students prefer learning from the simulation before bedside teaching and propose to include simulation into the curricular teaching of pain medicine.https://doi.org/10.1186/s12909-021-02554-6Medical trainingMulti-professional educationSimulated patientsInteractive medical trainingCurriculum innovationBedside teaching |
| spellingShingle | Sandra Kurz Jana Lohse Holger Buggenhagen Irene Schmidtmann Rita Laufenberg-Feldmann Kristin Engelhard Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching BMC Medical Education Medical training Multi-professional education Simulated patients Interactive medical training Curriculum innovation Bedside teaching |
| title | Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching |
| title_full | Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching |
| title_fullStr | Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching |
| title_full_unstemmed | Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching |
| title_short | Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching |
| title_sort | improving competence and safety in pain medicine a practical clinical teaching strategy for students combining simulation and bedside teaching |
| topic | Medical training Multi-professional education Simulated patients Interactive medical training Curriculum innovation Bedside teaching |
| url | https://doi.org/10.1186/s12909-021-02554-6 |
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