期刊
SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE
卷 9, 期 1, 页码 33-39出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SIH.0000000000000001
关键词
Clinical skill assessment; Simulation-based education; Boot camp
Introduction Medical school graduates are expected to possess a broad array of clinical skills. However, concerns have been raised regarding the preparation of medical students to enter graduate medical education. We designed a simulation-based boot camp experience for students entering internal medicine residency and compared medical student performance with the performance of historical controls who did not complete boot camp. Methods This was a cohort study of a simulation-based boot camp educational intervention. Twenty medical students completed 2 days (16 hours) of small group simulation-based education and individualized feedback and skills assessment. Skills included (a) physical examination techniques (cardiac auscultation); technical procedures including (b) paracentesis and (c) lumbar puncture; (d) recognition and management of patients with life-threatening conditions (intensive care unit clinical skills/mechanical ventilation); and (e) communication with patients and families (code status discussion). Student posttest scores were compared with baseline scores of postgraduate year 1 (PGY-1) historical controls to assess the effectiveness of the intervention. Results Boot camp-trained medical students performed significantly better than PGY-1 historical controls on each simulated skill (P < 0.01). Results remained significant after controlling for age, sex, and US Medical Licensing Examination step 1 and 2 scores (P < 0.001). Conclusions A 2-day simulation-based boot camp for graduating medical students boosted a variety of clinical skills to levels significantly higher than PGY-1 historical controls. Simulation-based education shows promise to help ensure that medical school graduates are prepared to begin postgraduate training.
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