ID | 66143 |
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Murakami, Taku
Department of General Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
Yamamoto, Akira
Department of Hematology and Oncology, Okayama University Hospital
Hagiya, Hideharu
Department of General Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
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Obika, Mikako
Department of General Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
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Mandai, Yasuhiro
Department of Emergency Medicine, The JIKEI University
Miyoshi, Tomoko
Department of General Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
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Kataoka, Hitomi
Diversity Enhancement Center, Okayama University Hospital
Otsuka, Fumio
Department of General Medicine, Dentistry and Pharmaceutical Sciences, Okayama University Graduate School of Medicine
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Abstract | Background Simulation-based education and peer-assisted learning (PAL) are both known as useful educational methods. Previous research has reported that combining these two methods are effective for training medical residents in short-term evaluation. This study was aimed to evaluate the middle- to long-term effects of simulation-based education combined with PAL on the performance of medical residents during emergency department duties.
Methods This study was designed as a case-control study and conducted over three years at Okayama University Hospital in Japan. Postgraduate-year-one medical residents were assigned to three groups: a simulation group that received simulation-based education, a lecture group that received traditional lecture-based education, and a control group that received no such prior trainings. Prior training in emergency department duties using PAL was performed as an educational intervention for the simulation and lecture groups during the clinical orientation period. The residents' medical knowledge was assessed by written examinations before and after the orientation. The performance of residents during their emergency department duties was assessed by self-evaluation questionnaires and objective-assessment checklists, following up with the residents for three months after the orientation period and collecting data on their 1st, 2nd, and 3rd emergency department duties. All the datasets collected were statistically analyzed and compared by their mean values among the three groups. Results A total of 75 residents were included in the comparative study: 27 in the simulation group, 24 in the lecture group, and 24 in the control group. The simulation and lecture groups obtained significantly higher written examination scores than the control group. From the self-evaluation questionnaires, the simulation group reported significantly higher satisfaction in their prior training than the lecture group. No significant differences were found in the emergency department performance of the residents among the three groups. However, when evaluating the improvement rate of performance over time, all three groups showed improvement in the subjective evaluation, and only the simulation and lecture groups showed improvement in the objective evaluation.ConclusionSimulation-based education combined with PAL is effective in improving the knowledge and satisfaction of medical residents, suggesting the possibility of improving work performance during their emergency department duties. |
Keywords | Medical Education
Educational Measurement
Simulation Training
Peer Group
Emergency Medicine
Internship and residency
Curriculum
Personal satisfaction
Case-control studies
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Note | The version of record of this article, first published in BMC Medical Education, is available online at Publisher’s website: http://dx.doi.org/10.1186/s12909-023-04798-w
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Published Date | 2023-11-12
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Publication Title |
BMC Medical Education
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Volume | volume23
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Issue | issue1
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Publisher | BMC
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Start Page | 859
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ISSN | 1472-6920
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Content Type |
Journal Article
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language |
English
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OAI-PMH Set |
岡山大学
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Copyright Holders | © The Author(s) 2023.
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File Version | publisher
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Related Url | isVersionOf https://doi.org/10.1186/s12909-023-04798-w
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License | http://creativecommons.org/licenses/by/4.0/
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Citation | Murakami, T., Yamamoto, A., Hagiya, H. et al. The effectiveness of simulation-based education combined with peer-assisted learning on clinical performance of first-year medical residents: a case-control study. BMC Med Educ 23, 859 (2023). https://doi.org/10.1186/s12909-023-04798-w
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Funder Name |
Japan Society for the Promotion of Science
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助成番号 | 21K10327
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