Title

Enhancing Learning Through Optimal Sequencing Of Web-Based And Manikin Simulators To Teach Shock Physiology In The Medical Curriculum

Keywords

Computer-aided instruction; Curriculum planning; Simulation in medical education

Abstract

The Association of American Medical Colleges has encouraged educators to investigate proper linkage of simulation experiences with medical curricula. The authors aimed to determine if student knowledge and satisfaction differ between participation in web-based and manikin simulations for learning shock physiology and treatment and to determine if a specific training sequencing had a differential effect on learning. All 40 second-year medical students participated in a randomized, counterbalanced study with two interventions: group 1 (n = 20) participated in a web-based simulation followed by a manikin simulation and group 2 (n = 20) participated in reverse order. Knowledge and attitudes were documented. Mixed-model ANOVA indicated a significant main effect of time (F1,38 = 18.6, P < 0.001, ηp2 = 0.33). Group 1 scored significantly higher on quiz 2 (81.5%) than on quiz 1 (74.3%, t19 = 3.9, P = 0.001), for an observed difference of 7.2% (95% confidence interval: 3.3, 11.0). Mean quiz scores of group 2 did not differ significantly (quiz 1: 77.0% and quiz 2: 79.7%). There was no significant main effect of group or a group by time interaction effect. Students rated the simulations as equally effective in teaching shock physiology (P = 0.88); however, the manikin simulation was regarded as more effective in teaching shock treatment (P < 0.001). Most students (73.7%) preferred the manikin simulation. The two simulations may be of similar efficacy for educating students on the physiology of shock; however, the data suggest improved learning when web-based simulation precedes manikin use. This finding warrants further study. © 2011 The American Physiological Society.

Publication Date

1-1-2011

Publication Title

American Journal of Physiology - Advances in Physiology Education

Volume

35

Issue

4

Number of Pages

402-407

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1152/advan.00061.2011

Socpus ID

84859373681 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84859373681

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