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Osce Results After Voluntary Self-Training in a simulation laboratory at Granada Medical School
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Transcript of Osce Results After Voluntary Self-Training in a simulation laboratory at Granada Medical School
Osce Results After Voluntary Self-Training in a Simulation
Laboratory at Granada Medical School
Dr. C. Chung, J Florido, D Gonzalez, A Vilchez y JM Peinado
Dpto. Obstetrics and GynecologistGranada University
http://www.ugr.es/~obsgin/[email protected]
AMEE 2009XIXth SEDEM Meeting
Málaga, Spain29 August to 2 September 2009
OSCE
3344 6655
77
9911
22 889 Station/
9 Students
6 Min/
Self-Training Simulation Laboratory 2008
• 1.- Medicine• 2.- Gynecology• 3.- Obstetrics• 4.- Surgery• 5.- Specialities• 6.- Emergency
1.- Medical Skills
• A.- Heart Exploration• B.- Respiratory
Exploration• C.- Perform a
Electrocardiogram • D.- Perform
Parenteral Administration
• E.- Perform Intravenous Administration
2.- Gynecologic Skills
• A.- Genital Female Exploration• B.- Take a Papanicolau Smears• C.- Bimanual Exploration• D.- Breast Exploration• E.- Insert a IUD
3.- Obstetrics Skills
• A.- Abdominal Pregnant Exploration• B.- Foetal Heart Rate• C.- Cervix Exploration and Fetal Station• D.- Attendance at Simulator Birth• E.- Perform an Episiotomy and suturing
4.- Surgery Skills
• A.- Asepsis Rules and Basic surgical instruments
• B.- Infiltration anesthesia • C.- Simple Suture and Types• D.- Male and Female Urinary Catheter• E.- Anus, Rectum and Prostate
Exploration • F.- Bandages and Plasters
5.- Advanced and Emergency Medicine
• A.- Abdomen Exploration• B.- Place a Nasogastric Tube • C.- Perform a Lumbar Puncture • D.- Perform CPR by a Basic Life Support • E.- Perform CPR using an Advanced Life
Support• F.- Perform Endotracheal Intubation
6.- Other Skills• A.- Exploration of the Fundus Oculi by
Direct Ophthalmoscopy• C.- Perform Skin Biopsies• D.- Removing Cysts and Lipomas• E.- Perform Otoscopy• F.- Thyroid Gland, Pharynx and Larynx
Exploration
Educational Material at Each Stage
• 1.-Manikins and Simulators
• 2.-Poster with Pictures and Key
• 3.-Computer with Video
Manikins and Simulators
Poster with Pictures and Keydescribing step by step how to perform the skill
Computer with Video of each of the skills
Objectives of the Self-Training Simulation Laboratory
• Improve their Learning Curve
Objectives of this study
• The present study was conducted to analyze if self-training after programmed teaching, in a Simulation Laboratory specifically conditioned for that goal, has any effect on student OSCE performance and Score.
• This Study was conducted to see whether the group of Students who visited the Laboratory Training (180) had a different Outcome to those who did not (43 )
180 Students Who VisitedSimulator Laboratoy
• 138 visited it only Once (76,66%)
• 42 visited Twice (23,33%)
• 1 visited (three times )
Result• The ANOVA showed a statistically
significant effect of having Visited the laboratory once or more (180 students) or not (43 students),
• 0.8929 F p value < 0.000
OSCE Mark• Students who did not
visit the lab have lower average mark (50,75)
• than those who visited:• Once (58,89)• Twice or More (58.80)
• 46
48
50
52
54
56
58
60
Not Visited Once > Once
Columnas 1
Medical Skill
0 20 40 60 80
Anamnesis
Comunica
Exploration
Practical
Management
Treatment
OSCE
>=1No Visited
Average in Practical Skills• Was significantly lower in the
group that not visited the laboratory (51,26)
• Than in those who visited it• Once (66,67)• Two or more times (67,58)
Conclusions• Students who undertook this training
• 1.-Obtained a better rating in the overall OSCE mark than those who did not .
• 2.- Obtained a better mark in practical Skills than those who did not.