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Exploring simulation in the internal medicine clerkship.
Brian Kwan1,2, Glory Bui3, Paul Jain1,2
1Department of Medicine, Faculty of Health Sciences, University of California, School of Medicine, San Diego, California, USA.
The Clinical Teacher
|November 26, 2016
Summary
High-fidelity simulation training in internal medicine clerkships significantly boosts medical students' confidence in managing acute coronary syndrome and Advanced Cardiac Life Support skills. Students found the simulation engaging and beneficial for their medical education.
Area of Science:
- Medical Education
- Simulation-Based Learning
- Internal Medicine Training
Background:
- Simulation-based medical education offers benefits but its role in internal medicine clerkships is understudied.
- Investigated the effectiveness of high-fidelity simulation for acute coronary syndrome (ACS) and Advanced Cardiac Life Support (ACLS) training.
- Explored student perceptions of simulation's value in medical education.
Purpose of the Study:
- To determine the effectiveness of high-fidelity simulation in enhancing medical student confidence in managing ACS and ACLS.
- To assess student perceptions regarding the utility of simulation in their internal medicine clerkship.
Main Methods:
- Implemented a formative high-fidelity simulation curriculum for third-year medical students during their internal medicine clerkship.
- Students attended a 2-hour simulation course followed by a 17-item questionnaire.
- Utilized descriptive statistical and thematic qualitative analyses for data interpretation.
Main Results:
- 100% response rate (n=43) with 93% reporting increased confidence in ACS/ACLS management post-simulation.
- 86% received useful feedback, 98% found the experience enjoyable, and 95% would recommend the course.
Conclusions:
- Internal medicine clerkship students showed increased confidence in managing ACS and arrhythmias after the pilot simulation course.
- Students perceived simulation as an engaging and valuable educational tool, expressing interest in further training.
