Skill retention following simulation learning in acute coronary syndrome versus cardiac arrest

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Published Jul 2, 2022
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Vol. 100 No. 7 (2022): Issue Jul 2022

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Hanen Ghazali
Islem Ouaness
Khedija Zaouch
Rym Hamed
Chermiti Ines
Hela Manai

Abstract

Background: The acquisition skills in pathologies involving life prognosis is often problematic for young family medicine (MF). Simulation
learning seems to be the technique of choice. Few studies have studied the maintenance of skills acquired in simulation.

Aim: Study the retention of skills acquired in simulation learning from a distance of simulation learning.

Methods: Prospective randomized study. Inclusion of MF working in emergency departments. Theoretical training on the management of
cardiac arrest (ACR) and acute coronary syndrome with ST segment elevation (ACS). Randomization into 2 groups to receive simulation
training to manage ACR (ACR group) or ACS (ACS group). Evaluation of the groups by a common scenario. at T0 (the day of the simulation)
and at T1 (1 month after). Study of the evolution of grades between T0 and T1.

Results: Inclusion ACR group: T0 (n = 19), T1 (n = 13), ACS group: T0 (n = 14), T1 (n = 9). At T0, the participants trained on a simulator had
significantly better results than those of the control group (14.92 ± 2 (ACR group) vs. 7.51± 3.37 (ACS group), p <0.001 for the ACR scenario
and 11 ± 2 (ACR group) vs. 13± 2 (ACS group), p = 0.03 for the ACS scenario. The ACS group maintained its knowledge at T1 for the ACS
scenario. For the ACR group, a significant drop in scores in T1 for the ACR scenario was noted.

Conclusion: Our study confirms the educational benefit of simulator training. This benefit is maintained only for the ACS.

Keywords:

Medical simulation - pedagogy - acute coronary syndrome with ST segment elevation - cardiac arrest - retention

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References

  1. Okuda Y, Bryson EO, DeMaria SJ. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009, 76:330–43
  2. Mc Gaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation based education research. Med Educ. 2010;44(1) : 50-63.
  3. Ammirati C, Amsallem C, Gignon M. Les techniques modernes en pédagogie appliquée aux gestes et soins d’urgences. Ann Fr Med Urg. 2010;61(3) :693-707.
  4. Cook DA, Hatala R, Brydges R. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306(9):978-88.
  5. Cook DA. One drop at a time: research to advance the science of simulation. Simulation in Healthcare. 2010;5(1):1-7.
  6. Lo BM, Devine AS, Evans DP. Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation. 2011,82:1440–3
  7. Soar J, Nolan JP, Bottiger B, Perkins GD, Lott C, Carli P, et al. European resuscitation council guidelines for resuscitation: adult advanced life support. Resuscitation. 2015;95(3):100-47.
  8. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J. 2017;39(2):1-66.
  9. Boet S, Borges BCR, Naik VN, et al. Complex procedural skills are retained for a minimum of 1 year after a single high-fidelity simulation training session. Br J Anaesth. 2011;107(4):533-9.
  10. Bruppacher HR, Alam SK, Le Blanc VR, Latter D, Naik VN, Savoldelli GL, et al. Simulation-based training improves physicians’ performance in patient care in high-stakes clinical setting of cardiac surgery. Anesthesiology. 2010;112(4):985-92
  11. Kuduvalli PM, Jervis A, Tighe SQ, Robin NM. Unanticipated difficult airway management in anaesthetised patients: a prospective study of the effect of mannequin training on management strategies and skill retention. Anaesthesia. 2008;63(4):364-9
  12. Lo BM, Devine AS, Evans DP. Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation. 2011,82:1440–3
  13. Tolou S. Evaluation de la prise en charge de l’arrêt cardiaque de l’enfant par simulation in situ, à un an de formation [Thèse]. Médecine : Toulouse ; 2014. 52p.
  14. Abella BS, Alvarado JP, Myklebust H, Edelson H, Barry A, O’Hearn N, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293(3):305-10.
  15. Morgan PJ, Kurrek MM, Bertram S, Le Blanc V, Przybyszewski T. Non-technical skills assessment after simulation-based continuing medical education. Simul Health. 2011;6(5):255-9.