How do clinical clerkship students experience simulator-based teaching? A qualitative analysis.

作者: James K. Takayesu , Susan E. Farrell , Adelaide J. Evans , John E. Sullivan , John B. Pawlowski

DOI: 10.1097/01.SIH.0000245787.40980.89

关键词:

摘要: OBJECTIVES To critically analyze the experience of clinical clerkship students exposed to simulator-based teaching, in order better understand student perspectives on its utility. METHODS A convenience sample (n = 95) rotating through an emergency medicine, surgery, or longitudinal patient-doctor voluntarily participated a 2-hour teaching session. Groups 3-5 managed acute scenarios including respiratory failure, myocardial infarction, multisystem trauma. After session, completed brief written evaluation asking for free text commentary strengths and weaknesses experience; they also provided simple satisfaction ratings. Using qualitative research approach, textual was transcribed parsed into fragments, coded emergent themes, tested inter-rater agreement. RESULTS Six major thematic categories emerged from analysis: The "Knowledge & Curriculum" domain described by 35% respondents, who commented opportunity self-assessment, recall memory, basic science learning, motivation. "Applied Cognition Critical Thought" highlighted 53% value decision-making, active thought, integration, uniqueness learning-by-doing. "Teamwork Communication" "Procedural/Hands-On Skills" were each mentioned 12% subjects. Observations "Teaching/Learning Environment" offered 80% students, realism, interactivity, safety, emotionality here feedback format, logistics, instructors. Finally, "Suggestions Use/Place Undergraduate Medical Education" 22% subjects, primarily recommended more exposure. On rating scale, 94% rated quality simulator session as "excellent," whereas 91% felt exercises should be "mandatory." CONCLUSION Full-body simulation promises address wide range pedagogical objectives using unified educational platform. Students experiential "practice without risk" want exposure simulation. In this study, thought that integrated exercise could help solidify knowledge across domains, foster critical action, enhance technical-procedural skills, promote effective teamwork communication.

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