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Revista Latinoamericana de Simulación Clínica

ISSN 2683-2348 (Electronic)
Federación Latinoamericana de Simulación Clínica y Seguridad del Paciente
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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
Full text How to cite this article 10.35366/RSC191C

DOI

DOI: 10.35366/RSC191C
URL: https://dx.doi.org/10.35366/RSC191C

Language: Spanish
References: 19
Page: 11-17
PDF size: 225.99 Kb.


Key words:

Simulation training, paracentesis, low-cost simulation, hybrid simulation, OSCE.

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.


REFERENCES

  1. De Gottardi A, Thévenot T, Spahr L, Morard I, Bresson-Hadni S, Torres F, et al. Risk of complications after abdominal paracentesis in cirrhotic patients: a prospective study. Clin Gastroenterol Hepatol. 2009; 7 (8): 906-909.

  2. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2008; 23 Suppl 1: 46-49.

  3. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011; 86 (6): 706-711.

  4. Goolsby CA, Goodwin TL, Vest RM. Hybrid simulation improves medical student procedural confidence during EM clerkship. Mil Med. 2014; 179 (11): 1223-1227.

  5. Barsuk JH, McGaghie WC, Cohen ER, Balachandran JS, Wayne DB. Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit. J Hosp Med. 2009; 4 (7): 397-403.

  6. Barsuk JH, Cohen ER, Caprio T, McGaghie WC, Simuni T, Wayne DB. Simulation-based education with mastery learning improves residents’ lumbar puncture skills. Neurology. 2012; 79 (2): 132-137.

  7. Jiang G, Chen H, Wang S, Zhou Q, Li X, Chen K, et al. Learning curves and long-term outcome of simulation-based thoracentesis training for medical students. BMC Med Educ. 2011; 11: 39.

  8. Barsuk JH, Cohen ER, Vozenilek JA, O’Connor LM, McGaghie WC, Wayne DB. Simulation-based education with mastery learning improves paracentesis skills. J Grad Med Educ. 2012; 4 (1): 23-27.

  9. Barsuk JH, Cohen ER, Feinglass J, Kozmic SE, McGaghie WC, Ganger D, et al. Cost savings of performing paracentesis procedures at the bedside after simulation-based education. Simul Healthc. 2014; 9 (5): 312-318.

  10. Uslar T, Pizarro M, Villagrán I, Chachuán J, Caro I, Marziano G, et al. Diseño e implementación de un modelo de enseñanza en ambiente simulado de paracentesis abdominal. ARS MEDICA. 2017; 42 (2): 34-41.

  11. Bulova P. Going beyond the checklist with hybrid simulation. J Gen Intern Med. 2017; 32 (6): 595-596.

  12. Díaz-Plasencia JA, Moreno-Castillo PA, Calmet-Ipince J, Yan-Quiroz E, Díaz-Villazón M, Iglesias-Obando A et al. Validez concurrente del examen clínico objetivo estructurado con el portafolio electrónico, examen teórico y promedio ponderado en estudiantes de cirugía de la Universidad Privada Antenor Orrego. FEM. 2016; 19 (5): 237-245.

  13. García-Puig J, Vara-Pinedo F, Vargas-Núñez JA. Implantación del examen clínico objetivo y estructurado en la Facultad de Medicina de la Universidad Autónoma de Madrid. Educ Med. 2018; 19 (3): 178-187.

  14. Behrens C, Morales V, Parra P, Hurtado A, Fernández R, Giaconi E, et al. Diseño e implementación de OSCE para evaluar competencias de egreso en estudiantes de medicina en un consorcio de universidades chilenas. Rev Méd Chile. 2018; 146 (10): 1197-1204.

  15. Pugh D, Hamstra SJ, Wood TJ, Humphrey-Murto S, Touchie C, Yudkowsky R, et al. A procedural skills OSCE: assessing technical and non-technical skills of internal medicine residents. Adv Health Sci Educ Theory Pract. 2015; 20 (1): 85-100.

  16. Khan KZ, Ramachandran S, Gaunt K, Pushkar P. The Objective Structured Clinical Examination (OSCE): AMEE Guide No. 81. Part I: an historical and theoretical perspective. Med Teach. 2013; 35 (9): e1437-e1446.

  17. Yon J, Mentzer CJ, Adam BL, Young L. A low-cost, non-biologic, thoracentesis and thoracostomy simulator. J Surg Simul. 2014; 1: 18-21.

  18. Sorribes del Castillo J, Fernández-Gallego V, Sinisterra-Aquilin JA. Un modelo nuevo, sencillo, económico y reutilizable para el aprendizaje y práctica de la canalización ecoguiada de vías centrales. Educ Med. 2016; 17 (2): 74-79.

  19. Khan KZ, Gaunt K, Ramachandran S, Pushkar P. The Objective Structured Clinical Examination (OSCE): AMEE Guide No. 81. Part II: organisation & administration. Med Teach. 2013; 35 (9): e1447-e1463.




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Simulación Clínica. 2019;1