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High-fidelity medical simulation training improves medical students' knowledge and confidence levels in septic shock resuscitation

机译：高保真医学模拟培训可提高医学生对败血性休克复苏的知识和信心水平

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Background: Septic shock resuscitation bundles have poor compliance worldwide partly due to a lack of knowledge and clinical skills. High-fidelity simulation-based training is a new teaching technology in our faculty which may improve the performance of medical students in the resuscitation process. However, since the efficacy of this training method in our institute is limited, we organized an extra class for this evaluation. Purpose: The aim was to evaluate the effect on medical students’ knowledge and confidence levels after the high-fidelity medical simulation training in septic shock management. Methods: A retrospective study was performed in sixth year medical students during an internal medicine rotation between November 2015 and March 2016. The simulation class was a 2-hour session of a septic shock management scenario and post-training debriefing. Knowledge assessment was determined by a five-question pre-test and post-test examination. At the end of the class, the students completed their confidence evaluation questionnaire. Results: Of the 79 medical students, the mean percentage score ± standard deviation (SD) of the post-test examination was statistically significantly higher than the pre-test (66.83%±19.7% vs 47.59%±19.7%, p <0.001). In addition, the student mean percentage confidence level ± SD in management of septic shock was significantly better after the simulation class (68.10%±12.2% vs 51.64%±13.1%, p <0.001). They also strongly suggested applying this simulation class to the current curriculum. Conclusion: High-fidelity medical simulation improved the students’ knowledge and confidence in septic shock resuscitation. This simulation class should be included in the curriculum of the sixth year medical students in our institute.
机译：背景：败血性休克复苏包在全球范围内依从性差，部分原因是缺乏知识和临床技能。基于高保真模拟的培训是我们教师中的一种新的教学技术，可以提高医学学生在复苏过程中的表现。但是，由于这种培训方法在我们机构中的功效有限，因此我们为此评估组织了额外的一堂课。目的：目的是评估败血症性休克管理的高保真医学模拟培训后对医学生知识和信心水平的影响。方法：回顾性研究在2015年11月至2016年3月期间进行内科轮换期间对六年级医学生进行。模拟课是2小时的败血症性休克管理方案和训练后汇报。知识评估是通过五个问题的测试前和测试后考试来确定的。在课堂结束时，学生们完成了信心评估问卷。结果：在79名医学生中，测试后考试的平均百分比得分±标准差（SD）在统计学上显着高于测试前（66.83％±19.7％对47.59％±19.7％，p <0.001） 。此外，模拟班结束后，感染性休克的学生平均置信水平±SD显着提高（68.10％±12.2％vs 51.64％±13.1％，p <0.001）。他们还强烈建议将此模拟课程应用于当前课程。结论：高保真医学模拟提高了学生对败血性休克复苏的知识和信心。该模拟课应纳入我所第六年级医学生的课程。

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