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Teaching medical students to choose wisely through simulation
Thayza Marcelly Rodrigues Morato1, Pedro Henrique Magalhães Mendes1, Danielle Saad Nemer Bou Ghosn1
1Instituto da Criança do Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Av Dr Enéas Carvalho de Aguiar, 647, São Paulo (SP), 05403-901, Brazil.
European Journal of Pediatrics
|November 9, 2021
Summary
Simulation training significantly improved medical students' behavioral skills in the Choosing Wisely campaign, enhancing their understanding of cost-conscious care. This approach was well-received by participants.
Area of Science:
- Medical Education
- Health Professions Education
- Patient Care
Background:
- The Choosing Wisely (CW) campaign promotes discussions on medical care costs and benefits.
- There is a recognized need to educate medical students on high-value and cost-conscious care.
Purpose of the Study:
- To implement and evaluate the Choosing Wisely campaign among medical students in pediatrics using varied teaching strategies.
- To assess student perception and performance regarding CW principles.
Main Methods:
- A prospective study involving undergraduate medical students in their pediatric clerkship.
- Comparison between a control group (video class) and an intervention group (video class + simulation training).
- Evaluation via Objective Structured Clinical Examination (OSCE).
Main Results:
- The intervention group (simulation) achieved significantly higher total OSCE scores than the control group (p: 0.047).
- Behavioral aspects in the OSCE were significantly better in the intervention group (p: 0.002).
Conclusions:
- Simulation training effectively enhanced undergraduate students' behavioral skills related to the Choosing Wisely campaign.
- This simulation-based learning strategy was positively received by the students.
