Evidence map›Paper›PMID 33376436›Full record

ArticleAdvances in medical education and practice2020

Optimizing Multidisciplinary Simulation in Medical School for Larger Groups: Role Assignment by Lottery and Guided Learning.

Lawrence F Borges, Jamie M Robertson, Steven M Kappler, Suresh K Venkatan, David X Jin, Edward L Barnes, Farouc A Jaffer, Fidencio L Saldana, David M Dudzinski, Ada C Stefanescu Schmidt and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Advances in medical education and practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 49% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

15 authors at 8 institutions in 1 country.

Lawrence F BorgesDivision of Gastroenterology, Mount Auburn Hospital and Harvard Medical School, Cambridge, MA, USA.ORCID 0000-0001-9050-1789
Jamie M RobertsonDepartment of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Steven M KapplerCleveland Clinic Digestive Diseases Center, Port St. Lucie, FL, USA.ORCID 0000-0003-1277-8293
Suresh K VenkatanLearning Laboratory, Massachusetts General Hospital, Boston, MA, USA.
David X JinDivision of Gastroenterology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Edward L BarnesDivision of Gastroenterology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Farouc A JafferDivision of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-7980-384X
Fidencio L SaldanaDivision of Cardiovascular Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
David M DudzinskiLearning Laboratory, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-9363-9345
Ada C Stefanescu SchmidtDivision of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-5692-2616
Douglas E DrachmanDivision of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-1538-5807
Michael N YoungCardiology Division, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine, Lebanon, NH, USA.
Emily M HaydenDepartment of Emergency Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Stephen R PelletierOffice of Educational Quality Improvement, Harvard Medical School, Boston, MA, USA.
Helen M ShieldsDivision of Gastroenterology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-0457-9606
Harvard University · USBrigham and Women's Hospital · USCleveland Clinic · USDartmouth–Hitchcock Medical Center · USMassachusetts General Hospital · USMount Auburn Hospital · USOffice of Education · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMedical school simulations are often designed for a limited number of students to maximize engagement and learning. To ensure that all first-year medical students who wished to join had an opportunity to participate, we designed a novel method for larger groups. PATIENTS AND

methodsWe devised a low technology "Orchestra Leader's" chart approach to prominently display students' roles, chosen by lottery. During simulation, the chart was mounted on an intravenous pole and served as a group organizational tool. A course instructor prompted students using the chart to accomplish the course objectives in a logical order. Real-life cardiologists and gastroenterologists provided the students with expert subspecialty consultation. We analyzed 125 anonymous student evaluation ratings for 3 years (2017-2019) with a range of 8 to 19 students per laboratory session.

resultsOur 2017-2019 larger group sessions were all rated as excellent (1.26, Mean, SD ±.510) on the Likert scale where 1.0 is excellent and 5.0 is poor. There were no statistically significant differences in overall ratings among the 2017, 2018 and 2019 sessions. The subspecialists were uniformly rated as excellent. Verbatim free-text responses demonstrated resounding student appreciation for the role assignment by lottery method.

conclusionWe designed a novel, "Orchestra Leader's" chart approach for accommodating larger groups in a multidisciplinary simulation laboratory using role assignment by lottery, roles depicted on an organizational chart, and expert instructor prompting. Our consistently excellent ratings suggest that our methods are useful for achieving well-rated larger group simulation laboratories.

Indexed as

cardiologygastroenterologylarge group simulationmanikinmedical student

Identifiers

PMID33376436
PMCPMC7755877
OpenAlexW3113067380

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.