Abstract

Introduction: Dyad training, which entails cooperative learning in pairs, has shown to improve student learning experiences. Cardiopulmonary resuscitation (CPR) is a team effort during which team members must cooperate to perform various tasks at the same time. Whether or not dyadic training—training two teams together—is beneficial for CPR education and simulations is still unknown. Hypothesis: Dyadic training is beneficial for CPR training. Methods: We enrolled 267 medical students (164 male and 103 female) in the study. We provided these students with a 2-hour training session on CPR for simulated cardiac arrest. Student teams were split into double groups (Dyad training groups: Groups A and B) or Single Groups. All groups received two CPR simulation rounds. CPR simulation training began with peer demonstration for Group A, and peer observation for Group B. Then the two groups switched roles. Single Groups completed CPR simulation without peer observation or demonstration. Teams were then evaluated based on leadership, teamwork, and team member skills. Results: Group B had the highest first simulation round scores overall (P= 0.004) and in teamwork (P= 0.001) and team member skills (P= 0.031). Group B also had the highest second simulation round scores overall (P< 0.001) and in leadership (P= 0.033), teamwork (P< 0.001) and team member skills (P< 0.001). In the first simulation, there were no differences between Dyad training groups with those of Single Groups in overall scores, leadership scores, teamwork scores, and team member scores. In the second simulation, Dyad training groups scored higher in overall scores (P= 0.002), leadership scores (P= 0.044), teamwork scores (P= 0.005), and team member scores (P= 0.008). Dyad training groups also displayed higher improvement in overall scores (P= 0.010) and team member scores (P= 0.022). Conclusions: Dyad training was effective for CPR training. Both peer observation and demonstration for peers in dyad training can improve student resuscitation performance.

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