Evidence map›Paper›PMID 30680344›Full record

ArticleAEM education and training2019

A Mixed-methods Comparison of Participant and Observer Learner Roles in Simulation Education.

Mark J Bullard, Anthony J Weekes, Randolph J Cordle, Sean M Fox, Catherine M Wares, Alan C Heffner, Lisa D Howley, Deborah Navedo

Abstract read
In one paragraph

Article in AEM education and training, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Telehealth in emergency medicine residency training: A model curriculum.Journal of the American College of Emergency Physicians open · 2024
    Article
  6. Article
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  8. Acute-on-Chronic Lithium Toxicity: A Simulation Case for Emergency Medicine Residents.MedEdPORTAL : the journal of teaching and learning resources · 2023
    Article
  9. A Mixed-Methods Realist Analysis of an Interdisciplinary Simulation Intervention for Psychiatry Residents.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Unifying Resident Education: 12 Interdisciplinary Critical Care Simulation Scenarios.MedEdPORTAL : the journal of teaching and learning resources · 2020
    Article
  15. Article
  16. Article
  17. A Simulated Mass Casualty Incident Triage Exercise: SimWars.MedEdPORTAL : the journal of teaching and learning resources · 2019
    Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mark J BullardDepartment of Emergency Medicine Carolinas Medical Center Carolinas HealthCare System Charlotte NC.
Anthony J WeekesDepartment of Emergency Medicine Carolinas Medical Center Carolinas HealthCare System Charlotte NC.
Randolph J CordleDepartment of Emergency Medicine Carolinas Medical Center Carolinas HealthCare System Charlotte NC.
Sean M FoxDepartment of Emergency Medicine Carolinas Medical Center Carolinas HealthCare System Charlotte NC.
Catherine M WaresDepartment of Emergency Medicine Carolinas Medical Center Carolinas HealthCare System Charlotte NC.
Alan C HeffnerDepartment of Emergency Medicine Carolinas Medical Center Carolinas HealthCare System Charlotte NC.
Lisa D HowleyAssociation of American Medical Colleges Washington DC.
Deborah NavedoMGH Institute of Health Professions Boston MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraditional simulation-based education prioritizes participation in simulated scenarios. The educational impact of observation in simulation-based education compared with participation remains uncertain. Our objective was to compare the performances of observers and participants in a standardized simulation scenario.

methodsWe assessed learning differences between simulation-based scenario participation and observation using a convergent, parallel, quasi-experimental, mixed-methods study of 15 participants and 15 observers (

resultsQuantitative data analysis comparing the learners' first and second exposure to the investigation scenario demonstrated participants' time to calcium administration as the only statistically significant difference between participant and observer roles (316 seconds vs. 200 seconds, p = 0.0004). Qualitative analysis revealed that both participation and observation improved learning, debriefing was an important component to learning, and debriefing closed the learning gap between observers and participants.

conclusionsParticipants and observers had similar performances in simulation-based learning in an isolated scenario of cardiac arrest due to hyperkalemia. Findings support current limited literature that observation should not be underestimated as an important opportunity to enhance simulation-based education. When paired with postevent debriefing, scenario observers and participants may reap similar educational benefits.

Identifiers

PMID30680344
PMCPMC6339532

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.