High-Fidelity Simulation Improves Long-Term Knowledge of Clinical Swallow Evaluation

Area of Science:

• Medical Education
• Speech-Language Pathology
• Simulation Technology

Background:

• Clinical swallow evaluation (CSE) is a core competency for speech-language pathologists managing swallowing disorders.
• Traditional teaching methods for CSE may not fully prepare students for real-world clinical scenarios.

Purpose of the Study:

• To evaluate the effectiveness of human patient simulator (HPS) training for CSE compared to traditional instruction.
• To assess impacts on graduate students' knowledge, preparedness, and anxiety levels.

Main Methods:

• A controlled trial with repeated measures involving 50 speech-language pathology graduate students.
• Experimental group: CSE training using HPS, including patient interaction and treatment planning.
• Control group: Traditional instruction; quantitative quizzes and qualitative feedback were collected.

Main Results:

• Simulation group showed significantly higher long-term CSE knowledge accuracy.
• No significant differences in short-term knowledge, preparedness, or anxiety between groups.
• Students and facilitators favored simulation for engagement, critical thinking, and patient-friendly language practice.

Conclusions:

• CSE simulation offers objective and subjective benefits over traditional teaching methods.
• Simulation enhances student engagement and critical thinking skills.
• Student and instructor feedback provides recommendations for refining CSE simulation training.