Peripheral venous catheter insertion simulation training: A randomized controlled trial comparing performance after instructor-led teaching versus peer-assisted learning - 29/11/17
, Arnaud Grégoire b, c, Patrice Kirmizigul b, Sandrine Maillot d, Bernard Bui-Xuan b, Guy Llorca b, Sylvain Boet e, f, g, Jean-Jacques Lehot b, h, Thomas Rimmelé b, cBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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Abstract |
Introduction |
Peripheral venous catheter insertion is a procedural skill that every medical student should master. Training is often limited to a small number of students and is poorly evaluated. The objective of this study was to evaluate the performance of peer-assisted learning in comparison to instructor-led teaching for peripheral venous catheter insertion training.
Methods |
Students were randomized to the control group attending a traditional instructor-led training session (slideshow and demonstration by an anesthetist instructor, followed by training on a procedural simulator) or to the test group attending a peer-assisted training session (slideshow and demonstration video-recorded by the same instructor, followed by training on a procedural simulator). The primary endpoint was the performance of peripheral venous catheter insertion, assessed on procedural simulator one week later by blinded experts using a standardized 20-item grid. Students self-evaluated their confidence levels using a numeric 10-point scale.
Results |
Eighty-six students were included, 73 of whom attended the assessment session. The median performance score was 12/20 [8–15] in the instructor-led teaching group versus 13/20 [11–15] in the peer-assisted learning group (P=0.430). Confidence levels improved significantly after the assessment session and were significantly higher in the peer-assisted learning group (7.6/10 [7.0–8.0] versus 7.0/10 [5.0–8.0], P=0.026).
Conclusion |
Peer-assisted learning is effective for peripheral venous catheter insertion training and can be as effective as instructor-led teaching. Given the large number of students to train, this finding is important for optimizing the cost-effectiveness of peripheral venous catheter insertion training.
El texto completo de este artículo está disponible en PDF.Keywords : Peripheral venous catheter insertion, Motor skills, Simulation training, Instructor-led teaching, Peer-assisted learning, Medical education
Esquema
Vol 36 - N° 6
P. 397-402 - décembre 2017 Regresar al número
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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