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Simulation-Based Medical Emergencies Education for Dental Students: A Three-Year Evaluation
Kyriaki Marti1, Gurjit Sandhu2, Lior Aljadeff2
1Kyriaki Marti, DMD, MD, MHPE, PhD, CHSE, FEBOMFS, is Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery, Department of Periodontics and Oral Medicine, and Department of Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry; Gurjit Sandhu, PhD, is Assistant Professor, Department of Surgery and Department of Learning Health Sciences, University of Michigan Medical School; Lior Aljadeff, DDS, MD, is Oral and Maxillofacial Surgery Resident, Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center/Parkland Memorial Hospital; Rachel Greene, DDS, is Clinical Instructor, Department of Restorative Dentistry, University of Washington School of Dentistry; Amy B. Lesch, DDS, is Resident, Pediatric Dentistry and Dental Public Health Residency Program, Department of Pediatric Dentistry, University of Iowa College of Dentistry & Dental Clinics; John M. Le, DDS, is Oral and Maxillofacial Surgery Resident, University of Alabama at Birmingham; Harold M. Pinsky, DDS, is Adjunct Clinical Lecturer, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry; and Deborah M. Rooney, PhD, is Assistant Professor, Department of Learning Health Sciences, University of Michigan Medical School. kyriaki@med.umich.edu.
Dental students showed improved knowledge, confidence, and experience in handling medical emergencies after a simulation program. However, peer assessments revealed deficiencies in critical actions like inhaler and EpiPen use.
Area of Science:
- Dental Education
- Medical Simulation
- Emergency Medicine Training
Background:
- Traditional lecture-based courses may not adequately prepare dental students for medical emergencies.
- Simulation-based training offers a practical approach to enhance emergency preparedness.
Purpose of the Study:
- To develop and assess a simulation program for dental students' medical emergency preparedness.
- To evaluate the program's impact on students' self-reported knowledge, experience, and confidence.
- To identify specific areas of deficiency in critical emergency response actions.
Main Methods:
- A simulation program involving 15 scenarios was implemented over three years with 333 second-year dental students.
- Students completed pre- and post-intervention surveys assessing knowledge, experience, and confidence.
- Peer assessments using a checklist evaluated students' ability to perform critical actions.
Main Results:
- Significant improvements were observed in students' self-reported knowledge, experience, and confidence (p≤0.001).
- Students demonstrated deficiencies (<75% success) in using inhalers, calculating anesthetic/epinephrine doses, and EpiPen administration.
- Content analysis revealed high program satisfaction despite identified areas for improvement.
Conclusions:
- The simulation program effectively enhanced dental students' preparedness for medical emergencies.
- Targeted interventions are needed to address specific skill deficits identified in peer assessments.
- Simulation offers a valuable adjunct to traditional medical emergency education for dental professionals.
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