Evidence map›Paper›PMID 40175995›Full record

ArticleBMC medical education2025

Effectiveness of a new basic course incorporating medical trainer simulator for HEMS education in Japan: a pre-post intervention study.

Kazuhiko Omori, Jiro Takahashi, Noriko Watanabe, Hiroko Iwasaki, Sachiko Mineyama, Kumiko Sakata, Kentaro Yamada, Susumu Ichikawa, Manabu Takamatsu, Ryukoh Ogino and 1 more

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Kazuhiko OmoriAcute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Nagaoka, Izunokuni City, 1129, Shizuoka Prefecture, Japan. koomori@juntendo.ac.jp.
Jiro TakahashiDepartment of Acute Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Noriko WatanabeNakanihon Air Co., Ltd., Toyoyama, Japan.
Hiroko IwasakiSaku Central Hospital Advanced Care Center, Nagano, Japan.
Sachiko MineyamaTokai University Hospital, Isehara, Japan.
Kumiko SakataCollege of Nursing, Aichi Medical University, Nagakute, Japan.
Kentaro YamadaAERO ASAHI CORPORATION, Tokyo, Japan.
Susumu IchikawaAERO ASAHI CORPORATION, Tokyo, Japan.
Manabu TakamatsuEmergency and Critical Care Medicine, Saiseikai Shiga Hospital, Ritto, Japan.
Ryukoh OginoDepartment of General and Emergency Medicine, Mizushima Kyodo Hospital, Kurashiki, Japan.
Tatsuya HayakawaDepartment of Emergency Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJapan's HEMS (Helicopter Emergency Medical Services) has recently shifted from quantitative expansion to qualitative improvement, highlighting the need for standardizing training and enhancing safety. This study aimed to evaluate a newly developed basic training course that integrates a Medical Trainer (MeTra) simulator, addressing the need for standardized education and improved safety in HEMS operations.

methodsIn total, 208 HEMS professionals (83 doctors, 49 nurses, and 76 operational staff) participated in the revamped course, which combines e-learning, practical discussions, and MeTra simulation. Self-reported questionnaires assessing non-technical (4 items) and technical skills (6 items) using a 5-point Likert scale were administered pre- and post-course. Wilcoxon signed-rank tests evaluated changes in perceived competence. We also measured the MeTra simulator's fidelity and overall course satisfaction.

resultsAll non-technical and technical skills items improved significantly (p < 0.05), with notable gains in patient management during aircraft malfunction (average increase of 1.49 points) and fire extinguisher use (average increase of 1.11 points). Participants rated the MeTra simulator highly, especially for its enclosed environment, with 91% rating it four or higher, and for its communication system fidelity, with 96% rating it four or higher. Overall course satisfaction was high, with 96% rating it four or higher. Nonetheless, in line with Cook's caution on Kirkpatrick Level 2 data, these findings primarily reflect participants' perceptions rather than objective performance, and no control group was included.

conclusionsThe new basic course incorporating the MeTra simulator may enhance self-reported competencies for diverse HEMS professionals. This standardized education program marks a significant step towards aligning Japan's HEMS training with international standards.

Indexed as

Clinical CompetenceEmergency Medical ServicesSimulation TrainingAdultCurriculumFemaleHumansJapanMaleSurveys and QuestionnairesAir ambulancesCrew Resource Management, HealthcareEmergency Medical ServicesSimulation Training

Identifiers

PMID40175995
PMCPMC11966801

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.