The Importance of Simulation in Medical Education and Improving the Emergency Team Performance on Cardiopulmonary Resuscitation by Using Simulation-Based Education
Abstract
Objective: This study investigated the importance of simulation in medical education, whether simulation training enhances team performance in cardiopulmonary resuscitation, and what measures are necessary to improve the quality of medical education.
Materials and Methods: The study was conducted by the Department of Emergency Medicine, Faculty of Medicine, Gaziantep University. 120 third-year medical students were divided into 4 groups and given Basic Life Support training. The training methods employed were traditional training, training using a simple mannequin simulation method, training with a high-tech mannequin simulation method, and self-training. Checklists were used for team performance assessment.
Results: There was no significant difference between the distributions of all groups according to gender and age averages (p=0.311, p=0.217, respectively). It was tested that the theoretical knowledge levels of all groups increased after the training (p<0.001, for all). There was no significant difference between the groups in this increase (p=0.067). However, this increase in theoretical knowledge levels was not compatible with the increase in team performance levels. The two groups trained with simulation were found to be significantly more successful than the other groups in team performance and skill competence (p<0.001). There was no significant difference in performance assessments between these two groups trained with simulation (p=1.000). There was no significant difference in team performance between the group trained with the traditional method and the self-trained group (p=1.000), but the self-trained group was more successful in skill assessment (p=0.018). According to the applied survey results, the students' self-confidence generally increased (p<0.001). The checklists used for performance assessments showed excellent correlation among themselves (p<0.001).
Conclusion: Simulation training technique increases team performance, skill level and students' self-confidence in managing complex events such as resuscitation. Therefore, it should be integrated into medical education.
Keywords
Simulation , resuscitation , team performance. , medical education
Kaynakça
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