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Pilot program using medical simulation in clinical decision-making training for internal medicine interns.
Journal of Graduate Medical Education
|December 3, 2013
Summary
High-fidelity medical simulation training improved internal medicine interns' self-reported clinical skills and decision-making abilities. Utilizing residents as facilitators proved practical for implementing this cognitive skills development program.
Area of Science:
- Medical Education
- Healthcare Simulation
- Internal Medicine Training
Background:
- Cognitive skills training in internal medicine residency programs using high-fidelity simulation is under-researched.
- Developing effective simulation-based training is crucial for enhancing resident competency.
Purpose of the Study:
- To pilot a clinical decision-making training program using simulation in a large internal medicine residency.
- To assess the feasibility of using junior and senior residents as facilitators.
- To evaluate the program's impact on interns' clinical skills.
Main Methods:
- A voluntary simulation curriculum with 8 acute care cases was offered to interns.
- Sessions were held twice monthly from August 2010 to February 2011.
- Internal medicine residents and simulation faculty served as facilitators.
Main Results:
- 36 of 75 interns participated; 42% attended multiple sessions.
- 88% rated sessions as "excellent"; 97% felt it improved their ability to function and plan.
- 81% reported enhanced differential diagnosis skills.
Conclusions:
- Simulation training was well-received and improved self-reported clinical skills.
- Resident facilitators, supervised by faculty, enabled program implementation.
- Learners perceive simulation as an effective method for deliberate practice.
