Pre-simulation orientation for medical trainees: An approach to decrease anxiety and improve confidence and performance - 02/02/18
Abstract |
Background |
We assessed the effect of basic orientation to the simulation environment on anxiety, confidence, and clinical decision making.
Methods |
Twenty-four graduating medical students participated in a two-week surgery preparatory curriculum, including three simulations. Baseline anxiety was assessed pre-course. Scenarios were completed on day 2 and day 9. Prior to the first simulation, participants were randomly divided into two groups. Only one group received a pre-simulation orientation. Before the second simulation, all students received the same orientation. Learner anxiety was reported immediately preceding and following each simulation. Confidence was assessed post-simulation. Performance was evaluated by surgical faculty.
Results |
The oriented group experienced decreased anxiety following the first simulation (p = 0.003); the control group did not. Compared to the control group, the oriented group reported less anxiety and greater confidence and received higher performance scores following all three simulations (all p < 0.05).
Conclusions |
Pre-simulation orientation reduces anxiety while increasing confidence and improving performance.
Le texte complet de cet article est disponible en PDF.Keywords : Simulation, Medical education, Anxiety, Surgery
Plan
Vol 215 - N° 2
P. 266-271 - février 2018 Retour au numéro
Article précédent
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