osce results after voluntary self-training in a simulation laboratory at granada medical school
TRANSCRIPT
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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
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OSCE
3344 6655
77
9911
22 889 Station/
9 Students
6 Min/
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Self-Training Simulation Laboratory 2008
• 1.- Medicine• 2.- Gynecology• 3.- Obstetrics• 4.- Surgery• 5.- Specialities• 6.- Emergency
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1.- Medical Skills
• A.- Heart Exploration• B.- Respiratory
Exploration• C.- Perform a
Electrocardiogram • D.- Perform
Parenteral Administration
• E.- Perform Intravenous Administration
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2.- Gynecologic Skills
• A.- Genital Female Exploration• B.- Take a Papanicolau Smears• C.- Bimanual Exploration• D.- Breast Exploration• E.- Insert a IUD
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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
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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
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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
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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
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Educational Material at Each Stage
• 1.-Manikins and Simulators
• 2.-Poster with Pictures and Key
• 3.-Computer with Video
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Manikins and Simulators
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Poster with Pictures and Keydescribing step by step how to perform the skill
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Computer with Video of each of the skills
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Objectives of the Self-Training Simulation Laboratory
• Improve their Learning Curve
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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.
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• 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 )
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180 Students Who VisitedSimulator Laboratoy
• 138 visited it only Once (76,66%)
• 42 visited Twice (23,33%)
• 1 visited (three times )
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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
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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
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Medical Skill
0 20 40 60 80
Anamnesis
Comunica
Exploration
Practical
Management
Treatment
OSCE
>=1No Visited
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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)
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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.