The effect of education with case-based scenario simulation on interns' proficiency in cardiopulmonary resuscitation
DOI:
https://doi.org/10.56294/sctconf20241032Keywords:
Cardiopulmonary Resuscitation, Education, Internship and Residency, Clinical Competence, Teaching MethodsAbstract
Introduction: this research examines the impact of case-based scenario simulation instruction on intern physicians' proficiency in cardiopulmonary resuscitation (CPR).
Objectives: to compare the effectiveness of conventional teaching methods versus case-based scenario simulation techniques on the CPR skills of intern doctors.
Method: the study involved 62 intern doctors at The First Affiliated Hospital of Guangxi University of Chinese Medicine, divided into two groups of 31: control and observation. The instruction period lasted three months, with the control group receiving conventional teaching and the observation group using case-based scenario simulations. Post-instruction, the groups were assessed on course content, the impact of training, and satisfaction levels.
Results: the observation group showed significantly better performance in theoretical knowledge, scenario simulation, and practical exams compared to the control group. The passing rates for chest compression, electric defibrillation exams, total mastery of theoretical knowledge, and overall practical competence were all higher in the observation group. Additionally, the overall satisfaction rate and evaluation of the teaching effect were significantly greater in the observation group.
Conclusions: case-based scenario simulation teaching positively influences the CPR skills of intern doctors and is an effective method to improve teaching outcomes and trainee satisfaction
References
1. Mutter MK, Martindale JR, Shah N, Gusic ME, Wolf SJ. Case-based teaching: does the addition of high-fidelity simulation make a difference in medical students’ clinical reasoning skills?. Medical Science Educator. 2020 ;30:307-13.
2. Paloncy, K. A. Postdebriefing supervised practice improves clinical performance during simulation-based cardiopulmonary resuscitation encounter. Athletic Training Education Journal. 2020;15(2), 85-92.
3. Sagalowsky, S. T., Wynter, S. A., Auerbach, M., Pusic, M. V., & Kessler, D. O. Simulation-based procedural skills training in pediatric emergency medicine. Clinical Pediatric Emergency Medicine. 2016;17(3), 169-178.
4. Roh YS, Lee WS, Chung HS, Park YM. The effects of simulation-based resuscitation training on nurses' self-efficacy and satisfaction. Nurse education today. 2013 ;33(2):123-8.
5. Schafer, K. M., & Kremer, M. J. Outcomes of simulation-based experiences related to family presence during resuscitation: a systematic review. Clinical Simulation in Nursing. 2022;65, 62-81.
6. Paloncy, K. A., Georges, L., & Liggett, A. J. A high-fidelity simulation is effective in improving athletic training students' self-efficacy with emergency cardiovascular care skills. Athletic training education journal. 2019;14(2), 108-116.
7. Saba, P. S., Canonico, M. E., Gambaro, A., Gazale, G., Piga, S., Santomauro, M., & Roscio, G. Systematic basic and advanced resuscitation training in medical students and fellows: a proposal from the Working Group on Cardiovascular Urgences and Emergencies of the Italian Society of Cardiology. Journal of Cardiovascular Medicine, 24(Supplement 2), 2023; e128-e133.
8. Ten Eyck, R. P., Tews, M., Ballester, J. M., & Hamilton, G. C. Improved fourth-year medical student clinical decision-making performance as a resuscitation team leader after a simulation-based curriculum. Simulation in Healthcare.2010; 5(3), 139-145.
9. Frank, E. M., Doherty-Restrepo, J., Roberts, L., & Montalvo, A. Simulation-based instruction in continuing education. Athletic Training Education Journal.2020; 15(1), 65-74.
10. Yamazaki, Y., Hiyamizu, I., Joyner, K., Otaki, J., & Abe, Y. Assessment of blood pressure measurement skills in second-year medical students after ongoing simulation-based education and practice. Medical Education Online. 2021; 26(1), 1841982.
11. Ko, P. Y., Scott, J. M., Mihai, A., & Grant, W. D. Comparison of a modified longitudinal simulation-based advanced cardiovascular life support to a traditional advanced cardiovascular life support curriculum in third-year medical students. Teaching and learning in medicine.2011; 23(4), 324-330.
12. Lammers, R. L., Willoughby-Byrwa, M. J., Vos, D. G., & Fales, W. D. Comparison of four methods of paramedic continuing education in the management of pediatric emergencies. Prehospital emergency care.2022; 26(4), 463-475.
13. Bhanji, F., Mancini, M. E., Sinz, E., Rodgers, D. L., McNeil, M. A., Hoadley, T. A., ... & Hazinski, M. F. Part 16: education, implementation, and teams: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 122(18_suppl_3).2010;S920-S933.
14. Wong, E. C., Negreanu, D., Adreak, N., Allan, K., Thibodeau-Jarry, N., Tsirigotis, D., ... & Randhawa, V. K. Simulation tools in the research and delivery of competency-based medical education and health care: evolving considerations in the contemporary COVID-19 era. Canadian Journal of Cardiology.2021;37(3), 351-354.
15. Khanduja, P. K., Bould, M. D., Naik, V. N., Hladkowicz, E., & Boet, S. The role of simulation in continuing medical education for acute care physicians: a systematic review. Critical care medicine.2015; 43(1), 186-193.
16. Barsuk, J. H., Cohen, E. R., Wayne, D. B., Siddall, V. J., & McGaghie, W. C. Developing a simulation-based mastery learning curriculum: lessons from 11 years of advanced cardiac life support. Simulation in Healthcare.2016; 11(1), 52-59.
17. Wu, G., Podlinski, L., Wang, C., Dunn, D., Buldo, D., Mazza, B., ... & Defenza, G. Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. The Joint Commission Journal on Quality and Patient Safety, 2022;48(12), 665-673.
18. Archana, S., Nilakantam, S. R., Hathur, B., & Dayananda, M. The need and art of establishing skill and simulation centers to strengthen skill-based medical education: Learning insights and experience. Annals of African medicine. 2021;20(4), 247-254.
19. Langton, V., Dounas, D., Moore, A., Bacchi, S., & Thomas, J. The use of interprofessional simulation interventions in medical student education: A scoping review. Focus on Health Professional Education: A Multi-Professional Journal.2021;22(1), 33-67.
Published
Issue
Section
License
Copyright (c) 2024 Xinyuan Wang, Yufeng Wu, Xiabing Huang (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
