Paramedic Student Clinical Performance During High-Fidelity Simulation After a Physically Demanding Occupational Task

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alex (Sandy) MacQuarrie ◽  
Jayden R. Hunter ◽  
Samantha Sheridan ◽  
Amanda Hlushak ◽  
Clare Sutton ◽  
...  
Keyword(s):  
Clinical Performance ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Occupational Task

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 Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings

2021 ◽  
Vol 11 (3) ◽  
pp. 31
Author(s):  
Issam Tanoubi ◽  
Mathieu Tourangeau ◽  
Komi Sodoké ◽  
Roger Perron ◽  
Pierre Drolet ◽  
...  
Keyword(s):  
Visual Perception ◽  
Eye Tracking ◽  
Clinical Performance ◽  
Vital Signs ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Convenience Sample ◽  
Total View ◽  
Simulation Scenario ◽  
Tracking Technology

Introduction: We used eye-tracking technology to explore the visual perception of clinicians during a high-fidelity simulation scenario. We hypothesized that physicians who were able to successfully manage a critical situation would have a different visual focus compared to those who failed. Methods: A convenience sample of 18 first-year emergency medicine residents were enrolled voluntarily to participate in a high-fidelity scenario involving a patient in shock with a 3rd degree atrioventricular block. Their performance was rated as pass or fail and depended on the proper use of the pacing unit. Participants were wearing pre-calibrated eye-tracking glasses throughout the 9-min scenario and infrared (IR) markers installed in the simulator were used to define various Areas of Interest (AOI). Total View Duration (TVD) and Time to First Fixation (TFF) by the participants were recorded for each AOI and the results were used to produce heat maps. Results: Twelve residents succeeded while six failed the scenario. The TVD for the AOI containing the pacing unit was significantly shorter (median [quartile]) for those who succeeded compared to the ones who failed (42 [31–52] sec vs. 70 [61–90] sec, p = 0.0097). The TFF for the AOI containing the ECG and vital signs monitor was also shorter for the participants who succeeded than for those who failed (22 [6–28] sec vs. 30 [27–77] sec, p = 0.0182). Discussion: There seemed to be a connection between the gaze pattern of residents in a high-fidelity bradycardia simulation and their performance. The participants who succeeded looked at the monitor earlier (diagnosis). They also spent less time fixating the pacing unit, using it promptly to address the bradycardia. This study suggests that eye-tracking technology could be used to explore how visual perception, a key information-gathering element, is tied to decision-making and clinical performance.

Comparison of Live Rat Femoral Artery Model with Intraoperative Microvascular Anastomosis

2017 ◽  
Vol 33 (09) ◽  
pp. 641-648 ◽  
Author(s):  
Charles Butler ◽  
Hiroo Suami ◽  
Jun Liu ◽  
Jesse Selber ◽  
Mark Schaverien
Keyword(s):  
Operating Room ◽  
Femoral Artery ◽  
Gold Standard ◽  
Clinical Performance ◽  
Experimental Models ◽  
Performance Evaluations ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Microvascular Anastomosis ◽  
Validity And Reliability

Background The live rat femoral artery model is the gold standard in high-fidelity simulation for microvascular anastomosis worldwide. Despite widespread use, there is a paucity of evidence for its validity. This study aims to determine the correlation between microvascular anastomosis in the live rat femoral artery model and clinical performance. Methods Twenty-nine microsurgical fellows were included in the study. At the beginning and end of the 1-year fellowship, fellows were assessed performing arterial microvascular anastomoses in the laboratory in a live rat femoral artery model. Each procedure was digitally video recorded and blinded. Fellows were also assessed in the operating room at the beginning and end of training performing microvascular anastomoses in multiple free flap cases. Validated tools were used for assessment, and duration of procedure was also recorded. The results from the evaluations were compared and interfellow comparisons were performed. Results At both the beginning and end of the fellowship, there was no significant correlation between clinical performance evaluations during operating room cases and laboratory evaluations. In the laboratory, higher performance scores were associated with faster times at both the beginning and end of the fellowship. Conclusion Contrary to conventional wisdom, microsurgical skill in the live rat femoral artery model in the laboratory does not correlate with clinical performance in the operating room. This calls into question the utility of this model for training purposes. Further research is necessary to corroborate these results and potentially establish experimental models with greater validity and reliability.

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