Abstract
BackgroundChildren and adolescents with reproductive health issues may require immediate or emergency care, however in many countries availability of the pediatric and adolescent gynecology (PAG) service is low. That being said, teaching PAG examination to OBGYN, pediatrics and emergency medicine residents seems reasonable, and cannot be underestimated. In order to provide residents with opportunity to learn PAG examination, a high-fidelity hybrid simulation workshop was implemented in our institution.MethodsThe study aimed to investigate learners’ attitudes towards the high-fidelity simulation (HFS) hybrid model as compared with task trainer-SP (simulated patient)-voice model in the HFS environment and the factors connected to learners’ attitudes towards the hybrid model that could influence learning in high-fidelity simulation (HFS).The concept of attitude was used as the theoretical framework and the mixed method approach to study design was utilized with simultaneous collection of quantitative (original questionnaires) and qualitative data (semi-structured interviews).ResultsResidents valued the HFS hybrid model higher over task trainer-SP-voice model in regards to all three attitude components: cognitive (95%), affective (87.5%) and behavioral (83.7%). Analysis of qualitative data revealed six themes important to learners and informing learning of PAG examination in HFS. Further analysis of the themes allowed to develop a conceptual model, in which six factors connected to attitude components influenced learning. These factors were: task difficulty, attention, emotional realism of the simulation, patient’s emotions, physical realism of the simulation, and technical issues.ConclusionsParticipants of our study appreciated learning experience with the HFS hybrid model more, based on attitude questionnaire. Moreover, findings revealed that multiple, various factors connected to attitude may influence learning of PAG examination in HFS with hybrid model, and we propose a conceptual model illustrating relationships between those factors.
Highlights
Children and adolescents with reproductive health issues may require immediate or emergency care, in many countries availability of the pediatric and adolescent gynecology (PAG) service is low
Many countries are deficient or lack the easy access to pediatric and adolescent gynecology (PAG) services. This may be in connection with the fact, that PAG education is structured into well-designed postgraduate programs in only few countries worldwide [1,2,3]
Several teaching modalities described to train learners in adult gynecological examination skills, cannot be applied or are not as feasible in the field of PAG [6, 7]. To answer this need we have developed the high-fidelity simulation (HFS) hybrid model of PAG exam, which was described in details in our previous paper [8]
Summary
Children and adolescents with reproductive health issues may require immediate or emergency care, in many countries availability of the pediatric and adolescent gynecology (PAG) service is low. In order to provide residents with opportunity to learn PAG examination, a high-fidelity hybrid simulation workshop was implemented in our institution. Children and adolescents with reproductive health issues may require immediate or emergency care. Many countries are deficient or lack the easy access to pediatric and adolescent gynecology (PAG) services. This may be in connection with the fact, that PAG education is structured into well-designed postgraduate programs in only few countries worldwide [1,2,3]. There are many factors that make the PAG exam more complex and these include: additional procedural skills, high level of anxiety in a patient and her guardian, the need to adjust glossary used to explain the procedures, increased time and empathy devoted to procedure
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