Evidence map›Paper›PMID 40200645›Full record

ArticleMedical education online2025

Surgical simulation in emergency management and communication improves performance, confidence, and patient safety in medical students.

Mazlum Baris, Nils von Schaper, Hannah Sofie Weis, Klaus Fröhlich, Christian Rustenbach, Anne Herrmann-Werner, Christian Schlensak, Christoph Salewski

Abstract read
In one paragraph

Article in Medical education online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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.

Mazlum BarisDepartment of Thoracic and Cardiovascular Surgery, University Medical Center Tübingen, Tübingen, Germany.
Nils von SchaperDepartment of Thoracic and Cardiovascular Surgery, University Medical Center Tübingen, Tübingen, Germany.
Hannah Sofie WeisDepartment of Thoracic and Cardiovascular Surgery, University Medical Center Tübingen, Tübingen, Germany.
Klaus FröhlichMedical Faculty, University of Tübingen, Tübingen, Germany.
Christian RustenbachDepartment of Thoracic and Cardiovascular Surgery, University Medical Center Tübingen, Tübingen, Germany.ORCID 0000-0003-2178-8397
Anne Herrmann-WernerTIME Tübingen Institute for Medical Education, Tübingen, Germany.ORCID 0000-0003-2413-7047
Christian SchlensakDepartment of Thoracic and Cardiovascular Surgery, University Medical Center Tübingen, Tübingen, Germany.
Christoph SalewskiDepartment of Thoracic and Cardiovascular Surgery, University Medical Center Tübingen, Tübingen, Germany.ORCID 0000-0001-7155-6039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aims to enhance the confidence and operational safety of 5th-year medical students in the operating room (OR), addressing their corona pandemic gap in surgical training.

methodsWe augmented the surgical curriculum focusing on pre-, intra-, and post-operative skills, centered around a phantom operation as a pre-test-retest simulation. We measured confidence to assist in surgery on a 5-level Likert-scale and monitored surgical performance metrics (skin-to-skin time, blood loss, blood and volume transfusion, complications, fatal outcome). Half the cohort was explicitly video trained in hemostasis, while the other half in emergency communication. Factual knowledge gains were assessed with online questionnaires. The groups served as reciprocal controls, as confidence (communication group) and surgical performance (bleeding group) were compared.

resultsInitially, the pre-test performance of the 126 participants on the phantom operation was suboptimal, ranging from poor to mediocre. Notably, the retest outcomes demonstrated significant surgical performance improvements following the targeted lessons (e.g. blood loss pre-test 906 ± 468 mL, retest 292 ± 173 mL, DISCUSSION: This approach appears to foster a justified increase in confidence and surgical performance, potentially elevating patient safety among students and residents in training.

Indexed as

Clinical CompetenceCommunicationPatient SafetySimulation TrainingStudents, MedicalCOVID-19CurriculumEducation, Medical, UndergraduateFemaleHumansMaleOperating Roomsbleeding controlEmergency communicationemergency managementintraoperative emergencymedical educationphantom trainersimulationsurgical education

Identifiers

PMID40200645
PMCPMC11983577

What OpenQuestion holds

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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.