2019, Number 1
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Simulación Clínica 2019; 1 (1)
Evaluation of paracentesis competence in medical students using a repurposed obstetric simulator
Elbers A, Mas G, Shibao H, Armijo S, Cantariño R
Language: Spanish
References: 19
Page: 11-17
PDF size: 225.99 Kb.
ABSTRACT
Introduction: Paracentesis is a procedure carried out by general practitioners and may have serious complications. In Peru, students training for this skill set do it with actual patients, due to the high cost of simulators. Hybrid simulation allows the evaluation of technical and nontechnical skills.
Objective: To assess competency for paracentesis in medical students during an OSCE exam using a repurposed simulator in the setting of hybrid simulation.
Material and methods: Descriptive, cross-sectional study. A paracentesis simulator was designed reusing a childbirth simulator and a hybrid simulation scenario. This scenario was applied to a cohort of sixth-year medical students during an OSCE.
Results: 129 students were evaluated. Nontechnical skills attained higher levels of achievement. Technical skills of asepsis and antisepsis were achieved to a lesser extent. The total cost of the simulator was 87 dollars, and the same simulator was used throughout the OSCE.
Conclusions: By reusing an obstetric simulator, it is possible to get a suitable paracentesis simulator for heavy usage. The cost of the simulator is low, which makes its use viable. Hybrid simulation allows real-life assessment of technical and non-technical skills linked to a procedure.
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