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Simulator Training for Endovascular Neurosurgery

Simulator Training for Endovascular Neurosurgery

Published on: May 6, 2020

Targeted Simulation Training in ICU Shared Decision-Making Boosts Confidence and Competence in Medical Students.

Anna Dray¹, Renuka Chepuru², Stephanie Erickson³

¹University of Notre Dame, Notre Dame, IN, USA.

The American Journal of Hospice & Palliative Care

|April 29, 2025

Summary

This summary is machine-generated.

Simulation training significantly improved medical students' confidence and competence in shared decision-making (SDM). These communication skills and confidence were retained for at least seven months post-training.

Keywords:

bidirectional communication decision maker intensive care unit shared decision-making

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Area of Science:

Medical Education
Communication Skills Training

Background:

Shared decision-making (SDM) is a crucial communication standard in healthcare.
Medical providers often lack adequate training in SDM principles and practice.

Purpose of the Study:

To implement and evaluate a training simulation designed to enhance medical students' confidence and competence in SDM.
To assess the long-term retention of these skills and confidence levels.

Main Methods:

A prospective, non-randomized, observational pilot study was conducted at an academic medical center.
Second, third, and fourth-year medical students participated in communication training and simulations.
Confidence surveys and competence assessments were administered pre-training, post-training, and seven months later.

Main Results:

Thirty-seven participants showed a 100% improvement in confidence across 8 communication domains.
Statistically significant improvements in competence were observed in 87.5% of domains (7 out of 8).
A 59% retention rate was noted at seven months, with significantly higher confidence in nonverbal communication.

Conclusions:

Simulation-based training is an effective method for improving medical students' communication skills and confidence in SDM.
Enhanced confidence and competence in SDM were sustained for at least seven months.
Targeted simulation training early in medical school is recommended to standardize SDM and improve student communication abilities.