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A pilot study to assess the utility of a freely downloadable mobile application simulator for undergraduate clinical skills training: a single-blinded, randomised controlled trial

机译:评估免费下载的移动应用程序模拟器对本科生临床技能培训的实用性的一项先导研究:单盲,随机对照试验

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Medical simulators offer an invaluable educational resource for medical trainees. However, owing to cost and portability restrictions, they have traditionally been limited to simulation centres. With the advent of sophisticated mobile technology, simulators have become cheaper and more accessible. Touch Surgery is one such freely downloadable mobile application simulator (MAS) used by over one million healthcare professionals worldwide. Nevertheless, to date, it has never been formally validated as an adjunct in undergraduate medical education. Medical students in the final 3 years of their programme were recruited and randomised to one of three revision interventions: 1) no formal revision resources, 2) traditional revision resources, or 3) MAS. Students completed pre-test questionnaires and were then assessed on their ability to complete an undisclosed male urinary catheterisation scenario. Following a one-hour quarantined revision period, all students repeated the scenario. Both attempts were scored by allocation-blinded examiners against an objective 46-point mark scheme. A total of 27 medical students were randomised (n?=?9 per group). Mean scores improved between baseline and post-revision attempts by 8.7% (p?=?0.003), 19.8% (p?=?0.0001), and 15.9% (p?=?0.001) for no resources, traditional resources, and MAS, respectively. However, when comparing mean score improvements between groups there were no significant differences. Mobile simulators offer an unconventional, yet potentially useful adjunct to enhance undergraduate clinical skills education. Our results indicate that MAS’s perform comparably to current gold-standard revision resources; however, they may confer significant advantages in terms of cost-effectiveness and practice flexibility. Not applicable.
机译:医学模拟器为医学学员提供了宝贵的教育资源。但是,由于成本和便携性的限制,传统上它们仅限于模拟中心。随着复杂的移动技术的出现,模拟器变得越来越便宜和易于使用。 Touch Surgery就是这样一种可免费下载的移动应用程序模拟器(MAS),全世界超过一百万的医疗保健专业人员都在使用它。然而,迄今为止,它从未被正式确认为本科医学教育的辅助手段。招收了课程最后三年的医学生,并随机分为以下三种修订干预措施之一:1)没有正式的修订资助资源; 2)传统的修订资助资源;或3)MAS。学生完成测试前的问卷调查,然后评估他们完成未公开的男性导尿管情况的能力。经过一个小时的隔离修订期,所有学生都重复了该方案。两次尝试均由盲目的检查员根据客观的46分制评分。总共对27名医学生进行了随机分组(每组n?=?9)。在没有资源,传统资源和MAS的情况下,基线尝试和修订后尝试之间的平均得分分别提高了8.7%(p?=?0.003),19.8%(p?=?0.0001)和15.9%(p?=?0.001)。 , 分别。但是,在比较各组之间的平均得分提高时,没有显着差异。移动模拟器提供了一种非常规的但可能有用的辅助工具,以增强本科生的临床技能教育。我们的结果表明,MAS的表现与目前的金标准修订资源相当;但是,它们可以在成本效益和实践灵活性方面带来显着优势。不适用。

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