Evidence map›Paper›PMID 38608720›Full record

ArticleJornal de pediatria

High-fidelity simulation versus case-based discussion for training undergraduate medical students in pediatric emergencies: a quasi-experimental study.

Nathalia Veiga Moliterno, Vitor Barreto Paravidino, Jaqueline Rodrigues Robaina, Fernanda Lima-Setta, Antônio José Ledo Alves da Cunha, Arnaldo Prata-Barbosa, Maria Clara de Magalhães-Barbosa

Abstract readComparative Study
In one paragraph

Article in Jornal de pediatria. 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
–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

3 citing papers in PubMed.

  1. Role of Simulation-Based Education in the Integration of Continuing Education, Quality Improvement, and Patient Safety.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  2. Review
  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

7 authors.

Nathalia Veiga MoliternoInstituto D'Or de Pesquisa e Educação (IDOR), Departamento de Pediatria, Rio de Janeiro, RJ, Brazil; Faculdade de Medicina de Petrópolis, Departamento de Pediatria, Petrópolis, RJ, Brazil. Electronic address: nathalia.moliterno@prof.unifase-rj.edu.br.
Vitor Barreto ParavidinoUniversidade do Estado do Rio de Janeiro (UERJ), Instituto de Medicina Social, Departamento de Epidemiologia, Rio de Janeiro, RJ, Brazil; Academia Naval, Marinha do Brasil, Departamento de Educação Física e Desportos, Rio de Janeiro, RJ, Brazil.
Jaqueline Rodrigues RobainaInstituto D'Or de Pesquisa e Educação (IDOR), Departamento de Pediatria, Rio de Janeiro, RJ, Brazil.
Fernanda Lima-SettaInstituto D'Or de Pesquisa e Educação (IDOR), Departamento de Pediatria, Rio de Janeiro, RJ, Brazil; Fundação Oswaldo Cruz, Instituto Fernandes Figueira, Unidade de Terapia Intensiva Pediátrica, Rio de Janeiro, RJ, Brazil.
Antônio José Ledo Alves da CunhaInstituto D'Or de Pesquisa e Educação (IDOR), Departamento de Pediatria, Rio de Janeiro, RJ, Brazil; Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG), Rio de Janeiro, RJ, Brazil.
Arnaldo Prata-BarbosaInstituto D'Or de Pesquisa e Educação (IDOR), Departamento de Pediatria, Rio de Janeiro, RJ, Brazil; Universidade Federal do Rio de Janeiro (UFRJ), Instituto de Puericultura e Pediatria Martagão Gesteira (IPPMG), Rio de Janeiro, RJ, Brazil.
Maria Clara de Magalhães-BarbosaInstituto D'Or de Pesquisa e Educação (IDOR), Departamento de Pediatria, Rio de Janeiro, RJ, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of high-fidelity simulation of pediatric emergencies compared to case-based discussion on the development of self-confidence, theoretical knowledge, clinical reasoning, communication, attitude, and leadership in undergraduate medical students.

methods33 medical students were allocated to two teaching methods: high-fidelity simulation (HFS, n = 18) or case-based discussion (CBD, n = 15). Self-confidence and knowledge tests were applied before and after the interventions and the effect of HFS on both outcomes was estimated with mixed-effect models. An Objective Structured Clinical Examination activity was conducted after the interventions, while two independent raters used specific simulation checklists to assess clinical reasoning, communication, attitude, and leadership. The effect of HFS on these outcomes was estimated with linear and logistic regressions. The effect size was estimated with the Hedge's g.

resultsBoth groups had an increase in self-confidence (HFS 59.1 × 93.6, p < 0.001; CDB 50.5 × 88.2, p < 0.001) and knowledge scores over time (HFS 45.1 × 63.2, p = 0.001; CDB 43.5 × 56.7, p-value < 0.01), but no difference was observed between groups (group*time effect in the mixed effect models adjusted for the student ranking) for both tests (p = 0.6565 and p = 0.3331, respectively). The simulation checklist scores of the HFS group were higher than those of the CBD group, with large effect sizes in all domains (Hedges g 1.15 to 2.20).

conclusionHFS performed better than CBD in developing clinical reasoning, communication, attitude, and leadership in undergraduate medical students in pediatric emergency care, but no significant difference was observed in self-confidence and theoretical knowledge.

Indexed as

Clinical CompetenceEducation, Medical, UndergraduateStudents, MedicalClinical ReasoningCommunicationEducational MeasurementEmergenciesFemaleHigh Fidelity Simulation TrainingHumansMalePediatricsSelf ConceptYoung AdultCase-based discussionHigh-fidelity simulationMedical simulationPediatric emergency careUndergraduate

Identifiers

PMID38608720
PMCPMC11331236

What OpenQuestion holds

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LicenceCC BY
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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.