Abstract
Objectives. The principal aim of medical education is to provide medical student with the fundamental knowledge and re-quired skills that can be specifically used in real-life conditions such as high-quality cardiopulmonary resuscitation (CPR). Traditional medical training (TMT) is an effective method in Advanced cardiac life support (ACLS) training. Simulation-based medical training (SBMT), with the advancements in technology, is a relatively new, but a preferred ACLS training method since it implements a safe educational en-vironment. We planned a scenario-based study to evaluate the additional impact of SBMT to TMT alone in ACLS training. Methods. This before-after type, com-parative, cohort study was performed in a simulation center. One hundred thirty-six 6th grade medical students who took ACLS training with TMT on their emer-gency medicine clerkship were enrolled in 34 teams. All students managed a specific ACLS scenario before and after SBMT with a high-fidelity manikin. All data regarding chest compression, airway management, defibrillation and drug administration were recorded by the sensors of the high-fidelity manikin.Results. Median age was 23 and 51.5% were male. After SBMT, we found significant increases in the successful CPR cycle rate and successful scenario completion rate (60.3%; 61.8%, respectively). Median time to chest compression (Tcc) and defibrillation (Tdef) were significantly decreased after SBMT (1 sec., 1 sec., respectively). For the adequacy of chest compressions, compression depth, recoil, and frequency are all significantly increased after SBMT, 7.0 mm, 6.0 mm and 8.5/min, respectively. Conclusion. SBMT in combination with TMT is a promising ACLS training meth-od when compared to TMT alone.
Highlights
The primary goal of medical training, especially in emergency medicine, is to provide medical student with the fundamental knowledge and required skills such as high-quality cardiopulmonary resuscitation (CPR), that can be used accurately in real life situations. (1) The administration of CPR following the American Heart Association (AHA) Guidelines has been shown to reduce mortality in patients suffering from cardiac arrest. (2,3) In recent years, there has been a search for an education method that establishes the utilization of knowledge and skills in Advanced cardiac life support (ACLS) without causing adverse clinical outcomes
Traditional medical training (TMT) is an efficient and well-experienced training method; on the other hand, with the advances in technology, the use of simulation-based medical training (SBMT) is increasing since SBMT provides a safe and supportive educational setting, so that students can improve their performance without causing adverse clinical outcomes. (4-6) Previous articles showed that SBMT for ACLS training is a more efficient method when compared to Traditional (didactic) medical training (TMT) alone
Simulation-based medical training (SBMT) is documented to be an effective medical training method. (12,13) Researches have shown that SBMT is a more efficient method when compared with TMT method. (10,14,15) In this study, we compared the efficacy for the combination of SBMT and TMT, with TMT alone in ACLS training in an ACLS scenario
Summary
The primary goal of medical training, especially in emergency medicine, is to provide medical student with the fundamental knowledge and required skills such as high-quality cardiopulmonary resuscitation (CPR), that can be used accurately in real life situations. (1) The administration of CPR following the American Heart Association (AHA) Guidelines has been shown to reduce mortality in patients suffering from cardiac arrest. (2,3) In recent years, there has been a search for an education method that establishes the utilization of knowledge and skills in Advanced cardiac life support (ACLS) without causing adverse clinical outcomes. (2,3) In recent years, there has been a search for an education method that establishes the utilization of knowledge and skills in Advanced cardiac life support (ACLS) without causing adverse clinical outcomes. Traditional (didactic) medical training (TMT) is an efficient and well-experienced training method; on the other hand, with the advances in technology, the use of simulation-based medical training (SBMT) is increasing since SBMT provides a safe and supportive educational setting, so that students can improve their performance without causing adverse clinical outcomes. (4-6) Previous articles showed that SBMT for ACLS training is a more efficient method when compared to TMT alone. (7-10) On the contrary, in 2002 Kim et al stated TMT is a more efficient method when compared to SBMT in ACLS training for medical students. SBMT was studied on medical students and on medical residents, nurses, respiratory therapists and dental students in ACLS training. (7-10) On the contrary, in 2002 Kim et al stated TMT is a more efficient method when compared to SBMT in ACLS training for medical students. (4) In 2012, a paper from Korea found that after one month of ACLS training, there was no significant difference between SBMT and TMT groups. (11) In this study, we aim to evaluate the additional impact of SBMT by comparing the efficacy for the combination of SBMT and TMT, with TMT alone in ACLS training via a standard ACLS scenario
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