scholarly journals Effect of high-fidelity simulation on alpha-amylase activity and concentrations of secretory immunoglobulin class A, cortisol, and testosterone among medical students

Endocrine ◽  
2021 ◽  
Author(s):  
Szymon Bialka ◽  
Maja Copik ◽  
Adam Ubych ◽  
Radosław Marciniak ◽  
Jacek Smereka ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Medical Students ◽  
Amylase Activity ◽  
Alpha Amylase ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Immunoglobulin Class ◽  
Class A ◽  
Secretory Immunoglobulin

Abstract Purpose High-fidelity simulation calls heavily upon cognitive capacities and generates stress and anxiety. The objective of this prospective, observational study was to evaluate the degree of stress in medical students by measuring hormone levels during critical care classes. Methods Overall, 55 students (senior years of medical faculty) of both sexes were divided into 5-person teams. Demographic data and information on diagnosed diseases, stimulants used, and previous experience in the field of medical simulation were collected with a personal questionnaire. Before starting the scenario (T0), after the end of the scenario (T1), and 120 min thereafter (T2), stress level was measured. For this purpose, systolic blood pressure, diastolic blood pressure, mean blood pressure, heart rate and blood oxygen saturation were evaluated. In addition, saliva was collected to determine alpha-amylase activity and the concentrations of secretory immunoglobulin class A, cortisol, and testosterone. Results Among hemodynamic parameters, systolic and mean blood pressure and heart rate were significantly higher in T1 than in T0 and T2 time points (p < 0.05). Cortisol concentration was higher at T2 compared with T0 and T1. Alpha-amylase activity was highest at T1. Secretory immunoglobulin class A concentration was highest at T0, followed by T1 and then T2. These differences were not statistically significant. Testosterone concentration showed significantly higher values at T2 compared with T0 and T1 (p < 0.05). The analysis of team leaders vs. other members revealed significantly lower cortisol and alpha-amylase values in leaders (p < 0.05). Conclusions High-fidelity simulation is a useful education method in medical subjects, especially in cases where a mistake could produce serious or irreversible consequences. It can increase stress hormone concentrations and thus can be assumed effective as a learning aid even in senior-year students of medical faculty.

scholarly journals High Fidelity Simulation Enhances Advanced Cardiac Life Support Training in Medical Students

2014 ◽  
Vol 46 (2) ◽  
pp. 286-287 ◽  
Author(s):  
A. Amin ◽  
C.L. Anderson ◽  
C. Canales ◽  
M. Langdorf ◽  
S. Lotfipour ◽  
...  
Keyword(s):  
Medical Students ◽  
Life Support ◽  
Advanced Cardiac Life Support ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals Effects of high-fidelity simulation education on medical students’ anxiety and confidence

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251078
Author(s):  
Ji Hye Yu ◽  
Hye Jin Chang ◽  
Soon Sun Kim ◽  
Ji Eun Park ◽  
Wou Young Chung ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Medical Students ◽  
Patient Care ◽  
Clinical Setting ◽  
Clinical Performance ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Simulation Education ◽  
Before And After ◽  
Care Situation

Introduction Psychological factors such as anxiety and confidence that students have in the patient care situation are important in that this affects the actual clinical performance. Students who are just starting clinical practice have a lack of clinical knowledge, skill proficiency, and patient communication skills, so they experience anxiety and lack of confidence in clinical setting. Practice in a safe environment, such as simulation education, can help students perform more settled and competently in patient care. The purpose of this study was to analyze the effect of high-fidelity simulation experience on anxiety and confidence in medical students. Materials and methods This study enrolled 37 5th-year students at Ajou University School of Medicine in 2020. Two simulation trainings were implemented, and a survey was conducted to measure students’ level of anxiety and confidence before and after each simulation. Based on the research data, a paired t-test was conducted to compare these variables before and after the simulation, and whether this was their first or second simulation experience. Results Students had a significantly lower level of anxiety and a significantly higher level of confidence after the simulation than before. In addition, after one simulation experience, students had less anxiety and more confidence before the second simulation compared to those without simulation experience. Conclusions We confirmed that medical students need to be repeatedly exposed to simulation education experiences in order to have a sense of psychological stability and to competently deliver medical treatment in a clinical setting. There is a practical limitation in that medical students do not have enough opportunities to meet the patients during clinical practice in hospitals. Therefore, in order to produce excellent doctors, students should have the expanded opportunities to experience simulation education so they can experience real-world medical conditions.

scholarly journals Preclinical Medical Students' Perceptions of the Utility of High-Fidelity Simulation to Learn the Mechanisms and Presentations of Hypersensitivity Reactions

2020 ◽  
Vol 145 (2) ◽  
pp. AB159
Author(s):  
Marie Cavuoto Petrizzo ◽  
Maria Louise Barilla Labarca ◽  
Artemio Jongco ◽  
Michael Cassara ◽  
James Anglim ◽  
...  
Keyword(s):  
Medical Students ◽  
High Fidelity ◽  
Hypersensitivity Reactions ◽  
High Fidelity Simulation ◽  
Preclinical Medical Students

Introduction of high-fidelity simulation in Pediatric Basic Life Support training for medical students

Resuscitation ◽  
2014 ◽  
Vol 85 ◽  
pp. S107
Author(s):  
Javier Gil-Anton ◽  
Julio Lopez-Bayon ◽  
Manuel Nieto ◽  
Diego Garcia-Urabayen ◽  
Yolanda Lopez-Fernandez ◽  
...  
Keyword(s):  
Medical Students ◽  
Basic Life Support ◽  
Life Support ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals What must we know about cardiovascular prevention in medical school freshmen?

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
Y Venevtseva ◽  
ELENA Golubeva ◽  
LEV Putilin
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Heart Rate ◽  
Medical Students ◽  
Screen Time ◽  
Body Height ◽  
Real Life ◽  
Male Students ◽  
First Year ◽  
Normal Range

Abstract Funding Acknowledgements Type of funding sources: None. Background/Introduction. Medical students have been found to report high levels of perceived stress that may be influenced on health status and academic performance. Digital era and e-learning produce novel risk factors for cardiovascular disease (CVD) including arterial hypertension. In real life clinical practice in large healthy populations it is quite difficult to follow guidelines for hypertension screening due to the time deficit. Purpose. The aim of the study was to examine prevalence of CVD risk factors and impact of casual blood pressure on cognitive function in 1st and 6th year medical male students. Methods. Cross-sectional study was conducted during the period from 2014 to 2020. 222 first year (age (M ± m) 18.5 ± 0.1 years) and 207 6th year male medical students (age 23.5 ± 0.3 years) completed 45-item questionnaire about habitual life-behavior and performed 9 cognitive tasks. Blood pressure (BP) was self-measured by electronic device just prior to testing. Results. In freshmen mean body height was (M ± m) 180.3 ± 0.5 cm; weight – 76.8 ± 1.1 kg, body mass index (BMI) – 23.6 ± 0.3 kg/m2; heart rate – 82.1 ± 0.9 bpm; casual systolic BP (SBP) -131.9 ± 2.3 and diastolic BP (DBP) – 77.6 ± 0.6 mm Hg. 6th year male students had similar height (179.6 ± 0.5 cm), but were heavier (80.5 ± 1.0 kg; p &lt; 0.01; BMI =24.9 ± 0.3 kg/m2; p &lt; 0.01). Heart rate (78.7 ± 0.8 bpm; p &lt; 0.05) and casual SBP (126.7 ± 0.8 mm Hg; p &lt; 0.05) were lower. No difference was found in DBP (77.8 ± 0.6 mm Hg). Excessive body weight was detected in 16.6 % of 1st and in 36.2 % of 6th year students, obesity – in 8.5 and 6.8 % of students. 3 first year males and 1 – from 6th year group had morbid obesity (BMI &gt; 40.0). Low physical activity reported 22.1% and 29.9%. Current smokers were 16.1 % of 1st and 33.3 % of 6th year students, but only 9.4 and 18.8 % smoked permanently. Casual SBP lay in high normal range in 27.4 % of 1st and in 34.3% of 6th year, and above 140 mm Hg – in 21.5 and 14%. Correlation analysis revealed in both groups significant positive correlations SBP and DBP to weight and BMI, SBP to height (p &lt; 0.05) and screen time (p &lt; 0.01) and DBP - to heart rate. Only in freshmen SPB was related to cognitive functions: 17-18 year’s ones with elevated BP made tests faster may be due to their greater arousal, whereas 19-20 year’s – slower, but had better working vision memory. Only in 17-18 year group existed negative association SBP to subjective vision value and smoking status. Conclusions. Modern medical male students are at high risk of CVD: casual BP within the normal range was only in 49 % of 1st and in 48 % of 6th year students, 25 % of freshmen and 43 % of 6th year males were overweight or obese, and one quarter was physically inactive. Besides healthy lifestyle and nutrition promotion quite necessary is also to limit screen time.

Does deliberate practice with high fidelity simulation training improve the resuscitation technique of UK final year medical students?

Resuscitation ◽  
2013 ◽  
Vol 84 ◽  
pp. S90
Author(s):  
Timothy Knowles ◽  
Ben Rea ◽  
Oscar Duke ◽  
Charles Butcher ◽  
Elizabeth Good ◽  
...  
Keyword(s):  
Medical Students ◽  
Simulation Training ◽  
Deliberate Practice ◽  
High Fidelity ◽  
High Fidelity Simulation
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