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Multi-Institutional Physician Assistant Student Perception of Simulated Emergency Room Cases
Ashley Bell1,2,3,4, Erin Salcido1,2,3,4, Nicole Reichhart1,2,3,4
1Ashley Thrasher Bell, DMSc, PA-C, is director of assessment and an associate professor at the High Point University Physician Assistant Program in High Point, North Carolina.
Summary
Physician assistant (PA) students reported increased comfort managing multiple emergency room patients after participating in a simulation exercise. This simulation improved their confidence in assessment, treatment, and time management skills.
Area of Science:
- Medical Education
- Physician Assistant Training
- Simulation-Based Learning
Background:
- Physician assistant (PA) students face challenges managing multiple patients simultaneously during clinical rotations.
- Simulation offers a valuable tool for developing critical decision-making and teamwork skills essential for clinical practice.
- Prior research indicated improved readiness in nursing students following multiple-patient simulations.
Purpose of the Study:
- To evaluate the impact of simulation on PA student comfort levels when managing multiple patients in an emergency room setting.
- To assess changes in student confidence regarding emergency scenario management, history taking, diagnostic interpretation, and treatment planning.
Main Methods:
- A quasi-experimental pretest-posttest design involving four PA programs.
- Students participated in simulation days with standardized cases, alternating roles as standardized patients and patient managers.
- Surveys were administered pre- and post-course to measure changes in comfort and confidence.
Main Results:
- Significant improvements were observed in student confidence across multiple domains, including emergency scenarios, focused history taking, laboratory interpretation, time management, patient prioritization, and treatment selection.
- Students expressed high satisfaction with the simulation experience, including feedback and debriefing sessions.
- Simulation participation enhanced student interest in emergency medicine careers post-graduation.
Conclusions:
- Simulation-based training effectively increased PA student comfort in managing multiple patients in emergency settings.
- Providing opportunities for students to practice diagnostic and treatment selection within simulations can enhance overall clinical management skills.
- Simulation is a viable strategy to better prepare PA students for the complexities of clinical rotations.
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