Repeated Versus Varied Simulation Scenarios to Teach Medical Students the Management of a Pediatric Asthma Exacerbation

NCT02754310 | Completed Results

• 1 other identifier: ILUMENS0001
• Study Type: interventional
• Target: 85
• Locations: 1 country
• Sites: 1

Brief Summary

Repeated exposure to simulated cases has been shown to improve performance, but repeating the same scenario may impair the ability of learners to transfer their knowledge and skills to slightly different situations. The objective of this study is to compare the use of repeated versus varied simulation cases for teaching the management of pediatric asthma exacerbation to 3rd year medical students.

Conditions

Education, Medical

Keywords

Education, medical; Simulation Training

Outcome Measures

Primary Outcomes (1)

• Management Score on Transfer Scenario n°1

  The transfer scenario n°1 is a new scenario that learners face for the first time. It is a pediatric asthma exacerbation rapidly worsening. The scale "Asthma exacerbation rapidly worsening" includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 10, 10 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.

  One week

Secondary Outcomes (7)

• Management Score on Transfer Scenario n°2

  One week

• Management Score on Evaluation Scenario n°1

  One week

• Management Score on Evaluation Scenario n°2

  One week

• Management Score on Transfer Scenario n°3

  4 months

• Management Score on Transfer Scenario n°4

  4 months

Study Arms (2)

Repeated scenarios

ACTIVE COMPARATOR

Participants in the repeated scenario group will learn the management of a pediatric asthma exacerbation on the same scenario repeated three times. The scenario is a pediatric moderate asthma exacerbation not responding to treatment, .

Other: Repeated scenarios

Varied scenarios

EXPERIMENTAL

Participants in the varied scenarios group will learn the management of a pediatric asthma exacerbation on three different scenarios: a moderate asthma exacerbation, a mild one, and a severe one, for the same length of time than the "repeated scenarios" group. In this group, there is a variation of scenarios.

Other: Variation of scenarios

Interventions

Variation of scenarios OTHER

Three different scenarios of pediatric asthma exacerbations: a mild exacerbation, a moderate exacerbation, and a severe exacerbation.

Varied scenarios

Repeated scenarios OTHER

The same scenario of a moderate pediatric asthma exacerbation is repeated three times.

Repeated scenarios

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Third year medical students from Paris Descartes and Paris Diderot medical faculties.
• Who are not opposed to participated in the study

You may not qualify if:

• Opposition to participate in the study

Sponsors & Collaborators

• Ilumens: lead

Study Sites (1)

Département de Simulation iLumens, Université Paris Descartes

Paris, 75006, France

Location

Related Publications (2)

• Tofil NM, Peterson DT, Wheeler JT, Youngblood A, Zinkan JL, Lara D, Jakaitis B, Niebauer J, White ML. Repeated versus varied case selection in pediatric resident simulation. J Grad Med Educ. 2014 Jun;6(2):275-9. doi: 10.4300/JGME-D-13-00099.1.

  PMID: 24949131 BACKGROUND

• Cook DA, Hamstra SJ, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, Hatala R. Comparative effectiveness of instructional design features in simulation-based education: systematic review and meta-analysis. Med Teach. 2013;35(1):e867-98. doi: 10.3109/0142159X.2012.714886. Epub 2012 Sep 3.

  PMID: 22938677 BACKGROUND

Related Links

• iLumens is the department of simulation in healthcare of the University Paris Descartes in Paris

Results Point of Contact

• Title: Dr David Drummond
• Organization: iLumens

david.drummond@ilumens.org

+0033144494848

Study Officials

• David Drummond, MD

  University Paris René Descartes

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr David Drummond

Study Record Dates

• First Submitted: April 26, 2016
• First Posted: April 28, 2016
• Study Start: May 1, 2016
• Primary Completion: May 1, 2016
• Study Completion: October 1, 2016
• Last Updated: June 28, 2019
• Results First Posted: June 28, 2019

Record last verified: 2019-03

Locations

FR (1)