Related Experiment Video
Updated: May 13, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
Published on: August 9, 2024
Comparison of low- and higher-fidelity simulation to train and assess pharmacy students' injection technique
Elizabeth T Skoy1, Heidi N Eukel, Jeanne E Frenzel
1College of Pharmacy, Nursing, and Allied Sciences, North Dakota State University, Fargo, ND 58108-6050, USA. Elizabeth.Skoy@ndsu.edu
Objective:
To evaluate 2 forms of simulation used to train and assess third-year pharmacy students' subcutaneous and intramuscular injection techniques.
Design:
A cross-over comparison was used to evaluate an injection pad vs a patient simulator injection arm to train students in injection administration.
Assessment:
Students completed a survey instrument rating their proficiency, confidence, and anxiety before and after each form of simulated practice. All students demonstrated competence to administer an injection to a peer after using both forms of simulation. Students' self-ratings of proficiency and confidence improved and anxiety decreased after practicing injections with both forms of simulation. The only significant difference in performance seen between students who used the 2 types of simulations was in students who first practiced with the injection pad followed by the injection arm.
Conclusion:
Student ability to administer an injection and their self-perceived levels of confidence, proficiency, and anxiety were not dependent on the type of simulation training used.

