Evaluation of the Patterns of Learning in the Labor Cervical Examination
Objective The aim of the study was to evaluate patterns of skill acquisition in the labor cervical examination in novice providers, such as the change in accuracy and overestimation and underestimation over time and the impact of dilation and effacement on accuracy. Methods In this descriptive longitudinal study, medical students each performed 120 simulated cervical examinations. Accuracy and how often students overestimated and underestimated dilation and effacement during was determined for each set of 10 repetitions. Accuracy data were grouped and compared by dilation (1–3, 4–6, and 7–10 cm) and effacement (...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Learning Impacts of Pretraining Video-Assisted Debriefing With Simulated Errors or Trainees' Errors in Medical Students in Basic Life Support Training: A Randomized Controlled Trial
Background Previous studies demonstrated that pretraining video-assisted debriefing (VAD) with trainees' errors (TE) videotaped in a skills pretest improved skill learning of basic life support (BLS). However, conducting a pretest and preparing TE video examples is resource intensive. Exposing individual trainee's errors to peers might be a threat to learners' psychological safety. We hypothesized pretraining VAD with simulated errors (SE, performed by actors) might have the same beneficial effect on skills learning as pretraining VAD with TE, but avoid drawbacks of TE. Methods Three hundred twenty-two third-year medi...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Evaluating Best Methods for Crisis Resource Management Education: Didactic Teaching or Noncontextual Active Learning
Conclusions Noncontextual active learning of CRM using low-fidelity simulation results in improved CRM performance in comparison with didactic teaching. The benefits of CRM education do not seem to be sustained after one education session, suggesting the need for continued education and practice of skills to improve retention. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Real-Time Audiovisual Feedback Training Improves Cardiopulmonary Resuscitation Performance: A Controlled Study
Objective The aim of the study was to quantitatively measure the effect of teaching cardiopulmonary resuscitation (CPR) using a real-time audiovisual feedback manikin system on first-year medical student's CPR performance. Methods This is a prospective, manikin-based intervention study, including 2 consecutive classes of medical school students enlisted to a mandatory first aid course. One class (control group) was taught using manikin-based standard CPR education models. The second class (intervention group) was taught similarly, but with the addition of real-time CPR quality feedback provided by the manikins. Studen...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Medical Student Skill Retention After Cardiopulmonary Resuscitation Training: A Cross-Sectional Simulation Study
This study investigated the retention of cardiopulmonary resuscitation skills by medical students for up to 42 months after training. Methods In a cross-sectional study, 205 medical students received 10 hours of training in basic life support in 3 practical classes, during their first semester at school. Then, they were divided into 4 groups, according to the time elapsed since the training: 73 after 1 month, 55 after 18 months, 41 after 30 months, and 36 after 42 months. Nineteen cardiopulmonary resuscitation skills and 8 potential technical errors were evaluated by mannequin-based simulation and reviewed using filming...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Some Highlights for 2019
No abstract available (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2019 Category: Medical Devices Tags: Editorial Source Type: research

A Porcine Model for Learning Ultrasound Anatomy of the Larynx and Ultrasound-Guided Cricothyrotomy
Conclusions Use of the porcine trachea with overlying animal skin and fat provides an effective partial-task trainer for open and percutaneous surgical airway education and lends itself to integration of ultrasound imaging for real-time identification of laryngeal and tracheal anatomy. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Technical Report Source Type: research

PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations
We describe PEARLS for Systems Integration, a conceptual framework, debriefing structure and script that facilitators can use for systems-focused debriefing. The framework builds on Promoting Excellence And Reflective Learning in Simulation, using common debriefing strategies (plus/delta, focused facilitation, and directive feedback) in a modified format, with new debriefing scripts. Promoting Excellence And Reflective Learning in Simulation for System Integration offers a structured framework, adaptable for debriefing systems-focused simulations, to identify systems issues and maximize improvements in patient safety and q...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Concepts and Commentary Source Type: research

Comparing the Learning Effectiveness of Healthcare Simulation in the Observer Versus Active Role: Systematic Review and Meta-Analysis
Summary Statement The benefits of observation in simulation-based education in healthcare are increasingly recognized. However, how it compares with active participation remains unclear. We aimed to compare effectiveness of observation versus active participation through a systematic review and meta-analysis. Effectiveness was defined using Kirkpatrick's 4-level model, namely, participants' reactions, learning outcomes, behavior changes, and patient outcomes. The peer-reviewed search strategy included 8 major databases and gray literature. Only randomized controlled trials were included. A total of 13 trials were include...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Review Article Source Type: research

Analysis of Soft Tissue Materials for Simulation Development
Conclusions Silicone and urethane materials can mimic soft tissues, for both imaging and interventions. Although there is significant potential for independent production of custom, high-fidelity simulants, further work is required to identify preferable combinations of materials and optimal techniques for their use. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

The Impact of Transport Modality on Efficiency of Simulated Neonatal Endotracheal Intubation
Conclusions Experienced anesthesia providers had significantly greater difficulty with simulated emergency endotracheal intubation when performing neonatal transport with the incubator top closed compared with available alternative modes. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Simulation Fellowships: Survey of Current Summative Assessment Practices
Conclusions There is a paucity of tools with published validity evidence being used to monitor a fellow's progression. The authors agree that further research needs to focus on creating validated assessment tools to assist in refining fellowship training. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Simulation-Based Training in Measurement of Blood Pressure: A Randomized Study of Impact in Real-Life Settings
Introduction Simulators are used for training competencies including blood pressure (BP) measurement. Whether such training translates to competency in real life is unclear. Methods We randomized 145 first-year undergraduate medical students to train on a BP simulator or arms of colleagues. After training, all students were assessed for accuracy (within 4 mm Hg above or below assessor's simultaneous recording) and methodology of BP recordings by an objectively structured clinical examination on real patients. Results Overall, 67 (46.2%) and 92 (63.4%) students accurately measured systolic and diastolic BP, respecti...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Use of a Virtual Reality Device for Basic Life Support Training: Prototype Testing and an Exploration of Users' Views and Experience
Conclusions Our study suggests that virtual reality is an enjoyable method by which to teach basic life support. Although concerns over the accuracy of the tracking system and the small sample size weaken our conclusions regarding its ability to assess performance, our exploratory data are of value to educators, researchers, and policy makers. Future work needs to address our study limitations, consider how virtual reality fits into the broader context of training, and attend to accreditation and resource issues. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research

Certified Basic Life Support Instructors Identify Improper Cardiopulmonary Resuscitation Skills Poorly: Instructor Assessments Versus Resuscitation Manikin Data
Conclusions Certified BLS instructors assess CPR skills poorly. Particularly, improper chest compression depth and rescue breaths are not identified. (Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare)
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - October 1, 2019 Category: Medical Devices Tags: Empirical Investigations Source Type: research