Application of Gagné's Instructional Design in Clinical Simulation: Enhancing Learning in Obstetric Emergency...

Area of Science:

• Medical Education
• Simulation-Based Learning
• Obstetric Emergencies

Background:

• Simulation-based learning is vital for medical education, especially for high-risk obstetric emergencies.
• This study applied Gagné's nine-step instructional model to a postpartum hemorrhage (PPH) management simulation for fourth-year medical students.

Purpose of the Study:

• To design and evaluate a clinical simulation session for PPH management using Gagné's instructional model.
• To assess the impact of the simulation on medical students' knowledge and satisfaction.

Main Methods:

• The simulation incorporated Gagné's instructional events, including case vignettes, multimedia, practical activities, and feedback.
• Knowledge was measured using pre- and post-tests; student satisfaction was assessed via a Likert scale questionnaire.
• A focus group discussion (FGD) explored student perceptions, with thematic analysis identifying areas for improvement.

Main Results:

• Significant knowledge improvement was observed, with post-test scores (82.9%) higher than pre-test scores (68.4%; p < 0.001).
• Instructional activities received high satisfaction ratings (mean: 5/5), indicating alignment between objectives and content.
• FGD revealed themes of learning effectiveness, realism, feedback, challenges, and enhancement recommendations, including more diverse scenarios and extended debriefing.

Conclusions:

• Gagné's instructional model effectively enhanced knowledge and satisfaction in simulation-based PPH management training.
• Recommendations for improvement include refining feedback, increasing scenario diversity, and extending reflective discussions.
• This approach is valuable for teaching critical obstetric skills, with potential for further refinement.