Evidence map›Paper›PMID 35732874›Full record

ArticleIrish journal of medical science2023

Implementation of an on-site simulation programme during COVID-19 and the assessment of its impact on medical students' competence.

Niall James McInerney, Mohammad Faraz Khan, Laoise Coady, Jeffrey Dalli, Maurice Stokes, Suzzane Donnelly, Helen Heneghan, Ronan Cahill

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Irish journal of medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 42% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Niall James McInerneyUCD Centre for Precision Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland. nialljmcinerney@rcsi.com.ORCID http://orcid.org/0000-0003-4051-3882
Mohammad Faraz KhanUCD Centre for Precision Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
Laoise CoadyUCD School of Medicine, Belfield, Dublin 4, Ireland.
Jeffrey DalliUCD Centre for Precision Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
Maurice StokesUCD Centre for Precision Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
Suzzane DonnellyUCD School of Medicine, Belfield, Dublin 4, Ireland.
Helen HeneghanUCD School of Medicine, Belfield, Dublin 4, Ireland.
Ronan CahillUCD Centre for Precision Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
University College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 has greatly impacted medical students' clinical education. This study evaluates the usefulness of a rapidly implemented on-site simulation programme deployed to supplement our disrupted curriculum.

methodsStudents on surgical rotations received 4-hour tutor-led simulated patient sessions (involving mannikins with remote audio-visual observation) respecting hospital and public health protocols. Attitudes were questionnaire-assessed before and after. Independent, blinded, nonacademic clinicians scored students' clinical competencies by observing real patient interactions using the surgical ward assessment tool in a representative sample versus those completing same duration medicine clinical rotations without simulation (Mann-Whitney U testing, p < 0.05 denoting significance) with all students receiving the same surgical e-learning resources and didactic teaching.

resultsA total of 220 students underwent simulation training, comprising 96 hours of scheduled direct teaching. Prior to commencement, 15 students (7% of 191 completing the survey) admitted anxiety, mainly due to clinical inexperience, with only two (1%) anxious re on-site spreading/contracting of COVID-19. A total of 66 students (30%, 38 females and 29 graduate entrants) underwent formal competency assessment by clinicians from ten specialties at two clinical sites. Those who received simulation training (n = 35) were judged significantly better at history taking (p = 0.004) and test ordering (p = 0.01) but not clinical examination, patient drug chart assessment, or differential diagnosis formulation. Of 75 students providing subsequent feedback, 88% stated simulation beneficial (notably for history taking and physical examination skills in 63%) with 83% advocating for more.

conclusionOur rapidly implemented simulation programme for undergraduate medical students helped mitigate pandemic restrictions, enabling improved competence despite necessarily reduced clinical activity encouraging further development.

Indexed as

COVID-19Education, Medical, UndergraduateSimulation TrainingStudents, MedicalClinical CompetenceCurriculumFeedbackFemaleHumansCompetenceMedical educationSimulation

Identifiers

PMID35732874
PMCPMC9217171
OpenAlexW4283316663

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.