Improving medical students

Simulator Training Breeds Better Docs

Posted by medliorator on February 13, 2008

Senior internal medicine residents who are trained in critical resuscitation skills on patient simulators become more skilled than residents who undergo traditional training, according to new research [December issue of the journal CHEST].


researchers found that simulation-trained residents out-performed their traditionally trained counterparts in 8 of the 11 steps of initial airway management during a simulated scenario of respiratory arrest.


“In this scenario, the mannequin was programmed to represent a respiratory arrest situation, but not a cardiac arrest. This means that the ‘patient’ had stopped breathing, but the heart was still beating,” Dr. Kory explained. “The situation required that residents recognize this clinical state and take certain initial steps of airway management. We then scored each task as completed or not completed.”


Researchers found that 38% of the simulation-trained residents, compared with 0% of the traditionally trained residents, successfully resuscitated the mannequin. In addition, the simulation- trained residents performed significantly better in 8 of the 11 tasks of initial airway management. Researchers also found that only 20% of traditionally trained residents were able to successfully attach a CPR-bag-valve-mask to oxygen, insert an oral airway device, or achieve an adequate seal over the mouth with the CPR-bag-valve-mask. According to Dr. Kory, this demonstrates a serious and pervasive deficiency in critical resuscitation skills.

Doctors Trained On Patient Simulators Exhibit Superior Skills [ScienceDaily]


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