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

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 usi...

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Main Authors: Thomaz Bittencourt Couto, Sylvia C.L. Farhat, Gary L. Geis, Orjan Olsen, Claudio Schvartsman
Format: Article
Language:English
Published: Elsevier España 2015-06-01
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322015000600393&lng=en&tlng=en
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author Thomaz Bittencourt Couto
Sylvia C.L. Farhat
Gary L. Geis
Orjan Olsen
Claudio Schvartsman
author_facet Thomaz Bittencourt Couto
Sylvia C.L. Farhat
Gary L. Geis
Orjan Olsen
Claudio Schvartsman
author_sort Thomaz Bittencourt Couto
collection DOAJ
description 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.
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spelling doaj.art-bdbbfcfa96a8421c926a2707634c68d02022-12-22T00:20:41ZengElsevier EspañaClinics1980-53222015-06-0170639339910.6061/clinics/2015(06)02S1807-59322015000600393High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergenciesThomaz Bittencourt CoutoSylvia C.L. FarhatGary L. GeisOrjan OlsenClaudio SchvartsmanOBJECTIVE: 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322015000600393&lng=en&tlng=enPatient SimulationProblem-Based LearningMedical EducationUndergraduate EducationPediatricsComparative Study
spellingShingle Thomaz Bittencourt Couto
Sylvia C.L. Farhat
Gary L. Geis
Orjan Olsen
Claudio Schvartsman
High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergencies
Clinics
Patient Simulation
Problem-Based Learning
Medical Education
Undergraduate Education
Pediatrics
Comparative Study
title High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergencies
title_full High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergencies
title_fullStr High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergencies
title_full_unstemmed High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergencies
title_short High-fidelity simulation versus case-based discussion for teaching medical students in Brazil about pediatric emergencies
title_sort high fidelity simulation versus case based discussion for teaching medical students in brazil about pediatric emergencies
topic Patient Simulation
Problem-Based Learning
Medical Education
Undergraduate Education
Pediatrics
Comparative Study
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322015000600393&lng=en&tlng=en
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