Clinical Simulation as a Learning Tool in Medical Students

NCT05269576 | Unknown DMC

• 1 other identifier: FMartinez medical simulation
• Study Type: interventional
• Target: 84
• Locations: 1 country
• Sites: 1

Brief Summary

The hypothesis of our work is that with the simulation techniques applied in the Medical School of the Autonomous University of Barcelona (UAB), students accelerate the learning curve of clinical skills, acquire transversal skills in medicine, and obtain a higher quality learning.

Conditions

Simulation; Students, Medical; Feedback; Competency-based Education; Learning

Outcome Measures

Primary Outcomes (1)

• to know the effectiveness of simulation in 3rd year medical students, through the objective evaluation of clinical and transversal competences with Mini Clinical Evaluation Exercise (Mini-CEX)

  Evaluation of competencies through Mini-CEX, which is done in 3 different moments of each course: at the beginning; after clinicar care practice or simulation session; and at the end of the course after clinical care practice and simulation session.

  Through study completion, an average of 6 months.

Secondary Outcomes (10)

• To know the effect of clinical care practice in 3rd year medical students

  Through study completion, an average of 6 months.

• To compare the effect of simulation with that of clinical practice

  Through study completion, an average of 6 months.

• Qualitative analysis of the simulation by analyzing its objectives by questionnaire

  Through study completion, an average of 6 months.

• Contrast the evaluation of the objectives between student who did the simulation, observer students and teacher, by questionnaire

  Through study completion, an average of 6 months.

• Contrast the evaluation of the objectives between the different cases of each session by questionnare

  Through study completion, an average of 6 months.

Study Arms (1)

Single arm that receive two different interventions (clinical practice and clinical simulation).

EXPERIMENTAL

An analysis is carried out to the entire group prior to intervention. A second analysis is carried out to the entire group after one of the two interventions. Finally, a last analysis is carried out to the entire group after complete both types of interventions. We apply the study in a group of medicine students of 3rth course of the degree. We examine their competencies at the beginning of the course. Re-examination is done after they do a period of clinical practice or a period of clinical simulation. At the end of the course, all the students done both interventions (clinical practice and clinical simulation), moment when we do the last examination of their competencies.

Other: Clinical practice; Other: Clinical simulation

Interventions

Clinical practice OTHER

Period of 5 days where medical students carry out hospital clinical practices with real patients supervised by professionals who teach them at the same time.

Single arm that receive two different interventions (clinical practice and clinical simulation).

Clinical simulation OTHER

Clinical simulation classes through 2 sessions of 5 simulated cases each day. All students actively participate in one or two of the simulation cases and observed and discussed all the cases in the debriefings of all of them.

Single arm that receive two different interventions (clinical practice and clinical simulation).

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Students in the 3rd year of medicine at the UAB (Autonomous University of Barcelona) who, at the beginning of the study, have not carried out any type of hospital clinical practice or clinical simulation.

You may not qualify if:

• Students with prior experience in hospital clinical practice or clinical simulation
• Students who have not attended clinical practices or simulation classes

Sponsors & Collaborators

• Corporacion Parc Tauli: lead

Study Sites (1)

Autonomous University of Barcelona

Bellaterra, Barcelona, 08193, Spain

RECRUITING

Related Publications (7)

• McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011 Jun;86(6):706-11. doi: 10.1097/ACM.0b013e318217e119.

  PMID: 21512370 RESULT

• Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, Hamstra SJ. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011 Sep 7;306(9):978-88. doi: 10.1001/jama.2011.1234.

  PMID: 21900138 RESULT

• Norcini JJ, Blank LL, Duffy FD, Fortna GS. The mini-CEX: a method for assessing clinical skills. Ann Intern Med. 2003 Mar 18;138(6):476-81. doi: 10.7326/0003-4819-138-6-200303180-00012.

  PMID: 12639081 RESULT

• Norcini JJ, Blank LL, Arnold GK, Kimball HR. The mini-CEX (clinical evaluation exercise): a preliminary investigation. Ann Intern Med. 1995 Nov 15;123(10):795-9. doi: 10.7326/0003-4819-123-10-199511150-00008.

  PMID: 7574198 RESULT

• Norcini JJ, Blank LL, Arnold GK, Kimball HR. Examiner differences in the mini-CEX. Adv Health Sci Educ Theory Pract. 1997;2(1):27-33. doi: 10.1023/A:1009734723651.

  PMID: 16180056 RESULT

• Hatala R, Ainslie M, Kassen BO, Mackie I, Roberts JM. Assessing the mini-Clinical Evaluation Exercise in comparison to a national specialty examination. Med Educ. 2006 Oct;40(10):950-6. doi: 10.1111/j.1365-2929.2006.02566.x.

  PMID: 16987184 RESULT

• Leblanc VR. Review article: simulation in anesthesia: state of the science and looking forward. Can J Anaesth. 2012 Feb;59(2):193-202. doi: 10.1007/s12630-011-9638-8. Epub 2011 Dec 17.

  PMID: 22179792 RESULT

Study Officials

• Fernando Martínez-López, MD

  Universitat Autonoma de Barcelona

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Fernando Martínez-López, MD

CONTACT

+34937231010; fmartinezlo1969@gmail.com

Sandra Montmany-Vioque, phD, MD

CONTACT

+34937231010; sandra.montmany@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: The investigator and the outcomes assessor didn't know the moment of the interventions in each participant of the group.
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD. Principal investigator. Anesthesiology coordinator.

Study Record Dates

• First Submitted: February 13, 2022
• First Posted: March 8, 2022
• Study Start: September 12, 2020
• Primary Completion: June 22, 2022
• Study Completion: September 22, 2022
• Last Updated: March 22, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)