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Updated: Feb 18, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Pre-simulation orientation for medical trainees: An approach to decrease anxiety and improve confidence and

Cassidy Bommer1, Sarah Sullivan2, Krystle Campbell2

  • 1University of Wisconsin School of Medicine and Public Health, Health Sciences Learning Center, Madison, WI, United States.

American Journal of Surgery
|November 28, 2017
PubMed
Summary
This summary is machine-generated.

Providing pre-simulation orientation to medical students significantly reduces anxiety and boosts confidence and clinical performance in surgical training. This essential preparation enhances the learning experience.

Keywords:
AnxietyMedical educationSimulationSurgery

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Healthcare Training

Background:

  • Assessing the impact of simulation environment orientation on medical students.
  • Evaluating effects on anxiety, confidence, and clinical decision-making skills.

Purpose of the Study:

  • To determine if pre-simulation orientation impacts student anxiety, confidence, and performance.
  • To investigate the benefits of structured environmental familiarization in surgical training.

Main Methods:

  • Twenty-four graduating medical students underwent a two-week surgical curriculum with three simulations.
  • One group received pre-simulation orientation; anxiety, confidence, and performance were measured.
  • Anxiety was assessed pre/post-simulation; confidence post-simulation; performance by faculty.

Main Results:

  • The oriented group showed reduced anxiety post-simulation (p=0.003), unlike the control group.
  • Oriented students reported less anxiety, higher confidence, and better performance scores across simulations (p<0.05).

Conclusions:

  • Pre-simulation orientation is effective in reducing learner anxiety.
  • Orientation enhances student confidence and improves clinical performance in simulated surgical scenarios.