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Curriculum Innovations: How Real Is Real Enough?: A Pilot Study Comparing Standardized Patients vs Manikin Simulators

Catherine S W Albin1, Emil Petrusa1, James A Gordon1

  • 1From the Department of Neurology (C.A.), Emory University School of Medicine, Atlanta, GA; Departments of Surgery (E.P.), and Emergency Medicine (J.A.G.), Massachusetts General Hospital, Harvard Medical School, Boston; MGH Learning Laboratory (E.P, J.A.G), Massachusetts General Hospital, Boston; Department of Neurology (D.M.), University of Toledo, OH; and Department of Neurology (S.F.Z.), Massachusetts General Hospital, Harvard Medical School, Boston.

Neurology. Education
|August 14, 2025
PubMed
Summary
This summary is machine-generated.

Neurology residents improved knowledge and confidence in managing emergencies through simulation training. Both standardized patients and manikin-video formats were equally effective, highlighting simulation

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Area of Science:

  • Medical Education
  • Neurology Training
  • Simulation-Based Learning

Background:

  • Simulation training is increasingly used in neurology for active learning and feedback.
  • Uncertainty exists regarding the optimal high-fidelity simulation platform for resident education.
  • This study compares standardized patient versus manikin-video formats for acute neurology emergencies.

Purpose of the Study:

  • To determine if standardized patient or manikin-video simulation formats yield different increases in resident knowledge and confidence.
  • To investigate trainee deviations from established treatment guidelines during simulated emergencies.

Main Methods:

  • 20 junior neurology residents participated in a 5-session simulation course managing 3 acute neurologic emergencies.
  • Residents were assigned to either a standardized patient group or a manikin-video group.
  • Knowledge was assessed via multiple-choice tests, and confidence via surveys before and after the course. Decision-making was evaluated using a behavior checklist.

Main Results:

  • Knowledge scores significantly increased post-training (49% to 72%, p < 0.001).
  • No significant difference in knowledge gain was observed between the standardized patient and manikin-video groups (both increased 23%).
  • Self-reported confidence improved across both groups, and a behavior checklist revealed variations in treatment practices.

Conclusions:

  • Neurology resident knowledge and confidence in managing acute emergencies improve with simulation training.
  • Both standardized patient and manikin-video simulation platforms appear equally effective for enhancing trainee competence.
  • Behavior checklists are valuable for identifying guideline adherence variations and informing targeted feedback.