Literature DB >> 33632210

Improving competence and safety in pain medicine: a practical clinical teaching strategy for students combining simulation and bedside teaching.

Sandra Kurz1, Jana Lohse2, Holger Buggenhagen2, Irene Schmidtmann2, Rita Laufenberg-Feldmann2, Kristin Engelhard2.   

Abstract

BACKGROUND: Pain is a devastating sensation and has to be treated immediately. Therefore, we developed a training program to improve the knowledge of medical students in the field of pain medicine. In the present study, the applicability and efficacy of this training program was tested.
METHODS: Half of the students attended first a training with simulated patients (SP) followed by bedside teaching (Group 1). Group 2 performed the training programs in reverse order. The evaluation based on standardized questionnaires completed by students (self-assessment) and all students took part in two practical examinations after the learning interventions.
RESULTS: This study included 35 students. The quality of the simulation was evaluated by the students with average grade 1.1 (1 = very good, 6 = very bad). The practical work on the ward with patients was rated with grade 1.4 of 6, the whole course with 1.1. Students of Group A were significantly better in the final examination (grade 1.7 vs. grade 2.2, p < 0.05). To rate the improvement of skills (self-assessment) we used a Likert Scale (1 = very certain, 5 = very uncertain). The following skills were similar in both groups and significantly better after the course: taking responsibility, expert knowledge, empathy, relationship building and communication.
CONCLUSIONS: Training with simulated patients in combination with small-group teaching at the bedside with real patients achieves a dramatic increase in student competence. Students prefer learning from the simulation before bedside teaching and propose to include simulation into the curricular teaching of pain medicine.

Entities:  

Keywords:  Bedside teaching; Curriculum innovation; Interactive medical training; Medical training; Multi-professional education; Simulated patients

Mesh:

Year:  2021        PMID: 33632210      PMCID: PMC7905916          DOI: 10.1186/s12909-021-02554-6

Source DB:  PubMed          Journal:  BMC Med Educ        ISSN: 1472-6920            Impact factor:   2.463


  45 in total

1.  Clinical supervision of SpRs: where does it happen, when does it happen and is it effective? Specialist registrars.

Authors:  Janet Grant; Sue Kilminster; Brian Jolly; David Cottrell
Journal:  Med Educ       Date:  2003-02       Impact factor: 6.251

Review 2.  [Interprofessional education in pain management: development strategies for an interprofessional core curriculum for health professionals in German-speaking countries].

Authors:  K Fragemann; N Meyer; B M Graf; C H R Wiese
Journal:  Schmerz       Date:  2012-08       Impact factor: 1.107

3.  Teaching anaesthesia induction to medical students: comparison between full-scale simulation and supervised teaching in the operating theatre.

Authors:  Juhana Hallikainen; Olli Väisänen; Tarja Randell; Pekka Tarkkila; Per H Rosenberg; Leila Niemi-Murola
Journal:  Eur J Anaesthesiol       Date:  2009-02       Impact factor: 4.330

4.  [Cross-sectional field pain medicine Q14 - the Mainz model : Development of the pain medicine curriculum in the standard study course at the University Medical School of the Johannes Gutenberg University Mainz].

Authors:  S Kurz; H Buggenhagen; R Schwab; R Laufenberg-Feldmann
Journal:  Schmerz       Date:  2017-10       Impact factor: 1.107

Review 5.  Simulation-Based Education and Team Training.

Authors:  Anjan Shah; Christine L Mai; Ronak Shah; Adam I Levine
Journal:  Otolaryngol Clin North Am       Date:  2019-09-13       Impact factor: 3.346

6.  Advancing Simulation-Based Education in Pain Medicine.

Authors:  Naileshni Singh; Alison A Nielsen; David J Copenhaver; Samir J Sheth; Chin-Shang Li; Scott M Fishman
Journal:  Pain Med       Date:  2018-09-01       Impact factor: 3.750

Review 7.  Acute pain in undergraduate medical education: an unfinished chapter!

Authors:  Nalini Vadivelu; Sukanya Mitra; Roberta Hines; Maxwell Elia; Richard W Rosenquist
Journal:  Pain Pract       Date:  2012-06-20       Impact factor: 3.183

Review 8.  [Cross-sectional subject 14--training in pain].

Authors:  A Kopf; M Dusch
Journal:  Schmerz       Date:  2015-10       Impact factor: 1.107

Review 9.  A qualitative analysis of virtual patient descriptions in healthcare education based on a systematic literature review.

Authors:  Inga Hege; Andrzej A Kononowicz; Daniel Tolks; Samuel Edelbring; Katja Kuehlmeyer
Journal:  BMC Med Educ       Date:  2016-05-13       Impact factor: 2.463

Review 10.  Core competencies for pain management: results of an interprofessional consensus summit.

Authors:  Scott M Fishman; Heather M Young; Ellyn Lucas Arwood; Roger Chou; Keela Herr; Beth B Murinson; Judy Watt-Watson; Daniel B Carr; Debra B Gordon; Bonnie J Stevens; Debra Bakerjian; Jane C Ballantyne; Molly Courtenay; Maja Djukic; Ian J Koebner; Jennifer M Mongoven; Judith A Paice; Ravi Prasad; Naileshni Singh; Kathleen A Sluka; Barbara St Marie; Scott A Strassels
Journal:  Pain Med       Date:  2013-04-11       Impact factor: 3.750

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  3 in total

1.  [Testing of practical surgical teaching at a distance-Experiences with a hybrid OSCE in surgery].

Authors:  S Kurz; H Buggenhagen; N Wachter; L Penzkofer; S O Dietz; T T König; M K Heinemann; A Neulen; L I Hanke; T Huber
Journal:  Chirurgie (Heidelb)       Date:  2022-05-20

2.  Enhanced learning strategies of undergraduate medical students with a structured case presentation format.

Authors:  Sarabmeet Singh Lehl; Monica Gupta; Sanjay D'Cruz
Journal:  J Educ Health Promot       Date:  2021-11-30

3.  [The cross-sectional field "pain medicine" in medical studies at the University of Leipzig-What has been achieved? : An analysis of self-estimation of students before, during and 5 years after establishment of the cross-sectional field].

Authors:  Gunther Hempel; Andreas Weissenbacher; Diana Becker-Rux; Swantje Mescha; Sebastian N Stehr; Robert Werdehausen
Journal:  Schmerz       Date:  2022-08-26       Impact factor: 1.629

  3 in total

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