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Learning Impacts of Pretraining Video-Assisted Debriefing With Simulated Errors or Trainees' Errors in Medical
1From the Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China.
Summary
Pretraining video-assisted debriefing (VAD) with simulated errors (SE) improved basic life support (BLS) skills learning as effectively as using trainees' errors (TE). Trainees preferred SE for VAD, enhancing psychological safety.
Area of Science:
- Medical Education
- Simulation in Healthcare
- Skills Training
Background:
- Previous studies showed pretraining video-assisted debriefing (VAD) with trainees' errors (TE) improved basic life support (BLS) skills.
- However, TE preparation is resource-intensive and may compromise psychological safety.
- Simulated errors (SE) performed by actors were investigated as an alternative.
Purpose of the Study:
- To compare the effectiveness of pretraining VAD with SE versus TE on BLS skills learning.
- To assess medical students' preference for SE or TE in VAD.
Main Methods:
- 322 third-year medical students were randomized into control (C), TE, and SE groups.
- All groups underwent a BLS skills pretest.
- Groups TE and SE received VAD with their respective error types, followed by BLS training; group C received traditional training.
Main Results:
- Both TE and SE groups showed significantly higher posttest BLS skills scores compared to the control group (P < 0.001).
- No significant difference in skills scores was found between the TE and SE groups.
- 65.8% of trainees preferred SE for future VAD.
Conclusions:
- Pretraining VAD with SE is as effective as using TE for improving BLS skills learning in medical students.
- SE offers a psychologically safer alternative for VAD, preferred by the majority of trainees.
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