Impact of simulation-based-teaching in obstetrics and gynecology in under-graduate medical education
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20241059Keywords:
SBT, TLM, Medical educationAbstract
Background: Simulation based teaching (SBT) is an evolving teaching-learning method (TLM) that can enhance skill acquisition among students while providing multiple practice sessions, before on-patient implementation helping to improve confidence and competency among medical students.
Methods: The study was conducted among 150 students of Phase II MBBS students of Adesh medical college and hospital, KKR, Haryana, from April 2022 to October 2022 on batches of 30 students each during their clinical postings of 4 weeks in the OBG department. They were further divided into batches of 10, and given didactic lecture on the selected topic. Following which, the facilitators demonstrated the skill. The students were allowed to practice individually. There doubts were cleared. An OSCE evaluation of the skill was made, followed by a debriefing session. A feedback form was then filled by both students and facilitators to assess impact of SBT.
Results: Among the 150 students of phase II MBBS students, 146 responses were received. Both the medical students and the facilitators showed high levels of satisfaction with SBT. About 60.27% (88) students had a good overall experience with this new TLM.
Conclusions: SBT improves retention as well as understanding of the concept. The teachers witnessed improved confidence and enhanced overall performance. The current study concludes that SBT is a highly effective tool and should be firmly inculcated in medical education.
References
Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13(1): 2-10.
Maran NJ, Glavin RJ. Low- to high-fidelity simulation-a continuum of medical education? Med Educ. 2003;37(1):22-8.
Ericsson, KA. Deliberate Practice and the Acquisition and Maintenance of Expert Performance in Medicine and Related Domains. Acad Med. 2004;79(10):S70-81.
Rudolf JW, Simon R, Raemer RDB, Eppich WJ, Debriefing as formative assessment: Closing Prformance gaps in medical education. Acad Emrg Med. 2008;15(11):1010-6.
Abas T, Juma FZ. Benefits of simulation training in medical education. Adv Med Educ Pract. 2016;7:399-400.
Al-Elq AH. Simulation-based medical teaching and learning. J Family Community Med. 2010;17(1):35-40.
Gorantla S, Bansal U, Singh JV, Akhilesh DD, Atul M, Arunaz K. Introduction of an undergraduate interprofessional simulation-based skills training program in obstetrics and gynaecology in India. Adv Simul. 2019;4:6.
Riaz S, Jaradat AAK, Gutierrez R, Garadah TS. Outcome of Undergraduate Medical Education using Medical Simulation according to Students' Feedback. Sultan Qaboos Univ Med J. 2020;20(3):310-15.
Fernandez S, D’Cunha R, Sherif L. Evaluation of satisfaction and change in knowledge following use of high fidelity simulation based teaching for obstetric emergencies among nursing students. Int J Clin Obstetr Gynaecol. 2020;4(4):211-4.
Vozenilk J, Huff JS, Reznek M, Gordon JA. See One, do one, teach one: advanced Technology in medical education Aacad Emerg Med. 2004;11:1149-54.
Gordan JA, Wilkerson WM, Shaffer DW, Armstrong EG. Practicing medicine without risk: ‘Students and Educators’ response to high fidelity patient simulation. Acad Med. 2001;76:469-72.
Pian-Smith MC, Simon R, Minehart RD, Podraza, Rudolf J, Walzer T, et al. Teaching Residents the two-challenge rule: A simulation-based approach to improve education and patient safety. Simul Healthc. 2009;4(2):84-91.
Weller JM. Simulation in undergraduate medical education: Bridging the gap between theory and practice. Med Edu. 2004;38(1):32-8.
Margan PJ, Cleave-Hogg D. Simulation technology in training students, residents and faculty. Curr Opin Anaesthesiol. 2005;18:199-203.
Srinivasan M, M Hwang JC, West D, Yellowlees PM. Assessment of clinical skills using simulators technology Acad Psychiatry. 2006;30(6):505-15.
Weinberg ER, Auerbach MA, Shah NB. The use of simulation for paediatric training and assessment Curr Opin Pediatr. 2009;21(3):282-7.
Elshama SS. How to Develop Medical Education (Implimentation View). 1st ed. Scolar’ press Germany. 2016.
