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GARCIA RODRIGUEZ, CARLOS, SHAH, RAJ, SMITH, CODY, GAY, CHRISTOPHER, ALVARADO, JARED, RAPPAPORT, DOUGLAS, ADAMAS-RAPPAPORT, WILLIAM RT, AMINI, RICHARD. (1398). Students teaching students: A novel solution for teaching procedures via instruction on the corpse. سامانه مدیریت نشریات علمی, 7(2), 51-55. doi: 10.30476/jamp.2019.44708
CARLOS E GARCIA RODRIGUEZ; RAJ J SHAH; CODY SMITH; CHRISTOPHER J GAY; JARED ALVARADO; DOUGLAS RAPPAPORT; WILLIAM RT J ADAMAS-RAPPAPORT; RICHARD AMINI. "Students teaching students: A novel solution for teaching procedures via instruction on the corpse". سامانه مدیریت نشریات علمی, 7, 2, 1398, 51-55. doi: 10.30476/jamp.2019.44708
GARCIA RODRIGUEZ, CARLOS, SHAH, RAJ, SMITH, CODY, GAY, CHRISTOPHER, ALVARADO, JARED, RAPPAPORT, DOUGLAS, ADAMAS-RAPPAPORT, WILLIAM RT, AMINI, RICHARD. (1398). 'Students teaching students: A novel solution for teaching procedures via instruction on the corpse', سامانه مدیریت نشریات علمی, 7(2), pp. 51-55. doi: 10.30476/jamp.2019.44708
GARCIA RODRIGUEZ, CARLOS, SHAH, RAJ, SMITH, CODY, GAY, CHRISTOPHER, ALVARADO, JARED, RAPPAPORT, DOUGLAS, ADAMAS-RAPPAPORT, WILLIAM RT, AMINI, RICHARD. Students teaching students: A novel solution for teaching procedures via instruction on the corpse. سامانه مدیریت نشریات علمی, 1398; 7(2): 51-55. doi: 10.30476/jamp.2019.44708

Students teaching students: A novel solution for teaching procedures via instruction on the corpse

Journal of Advances in Medical Education & Professionalism
مقاله 1، دوره 7، شماره 2، تیر 2019، صفحه 51-55    اصل مقاله (704.6 K)
شناسه دیجیتال (DOI): 10.30476/jamp.2019.44708
نویسندگان
CARLOS E GARCIA RODRIGUEZ* 1؛ RAJ J SHAH1؛ CODY SMITH1؛ CHRISTOPHER J GAY2؛ JARED ALVARADO1؛ DOUGLAS RAPPAPORT3؛ WILLIAM RT J ADAMAS-RAPPAPORT4؛ RICHARD AMINI5
1College of Medicine, University of Arizona, 1501 N Campbell Ave, Tucson, AZ 85724, USA
2University of Arizona College of Medicine - Tucson
3Department of Emergency Medicine,Mayo Clinic Hospital, Phoenix, AZ, USA
4Department of Surgery, University of Arizona, Tucson, AZ, USA
5Department of Emergency Medicine, University of Arizona, Tucson, AZ, USA
چکیده
Introduction: Increased faculty and resident responsibilities have ledto the decreased time available for teaching clinical skills to medicalstudents. Numerous advances in education and simulation haveattempted to obviate this problem; however, documented success islacking. Our objective was to describe a novel fresh cadaver-based,student-driven procedural skills lab and to compare the educationaleffectiveness of student instructors to the senior instructor (SI).
Methods: This was a prospective study performed at an academic medical center. A pilot program, “Students Teaching Students,” was introduced where four trained first-year medical students (TMS)
instructed 41 other untrained first-year medical students in technical procedures. This study compared the teaching evaluations of the SI with the TMS teaching equivalent procedures. Paired t-test was used to determine statistically significant changes in procedural confidence between pre- and post-training. Utilizing a post-training questionnaire, average post-training confidence improvement values and objective post-training test scores of the participants were compared between TMS and SI, using a 2 sample t-test. Statistical significance was considered as a pResults: Twenty-nine out of 39 (74%) students completed the questionnaire. Both groups demonstrated a statistically significant improvement in subjective confidence level in performing each procedure when pre- and post-training scores were compared, while there was no statistically significant difference found in cognitive knowledge between the groups (p=0.73). There was no statistically significant difference in the mean confidence improvement between the SI and TMS groups for chest tube insertion (2.06 versus 1.92 respectively, p=0.587), femoral line placement (2.00 versus 1.94 respectively, p=0.734) or student test score (88% versus 85% respectively).
Conclusion: Our results demonstrate that first-year medical students well-trained in technical skills, such as our TMS, may be a valuable additional teaching resource. The Students Teaching Students
procedure lab employed in this study was effective at immediately increasing first-year medical students’ confidence and technical skill. First-year medical students well-trained in technical skills, such as our TMS, may be a valuable additional teaching resource.
کلیدواژه‌ها
Emergency Medicine. Procedure. Education. Technical Skills. Airway
مراجع
  1. Kaplan SJ, Carroll JT, Nematollahi S, Chuu A, Adamas-Rappaport W, Ong E. Utilization of a non-preserved cadaver to address deficiencies in technical skills during the third year of medical school: A cadaver model for teaching technical skills. World J Surg. 2013;37(5):953-955. doi:10.1007/s00268-013-1905-0.
  2. DiMaggio PJ, Waer AL, Desmarais TJ, et al. The use of a lightly preserved cadaver and full thickness pig skin to teach technical skills on the surgery clerkship—a response to the economic pressures facing academic medicine today. Am J Surg. 2017;200(1):162-166. doi:10.1016/j.amjsurg.2009.07.039.
  3. McCrary HC, Krate J, Savilo CE, et al. Development of a fresh cadaver model for instruction of ultrasound-guided breast biopsy during the surgery clerkship: pre-test and post-test results among third-year medical students. Am J Surg. 2016;212(5):1020-1025. doi:10.1016/j.amjsurg.2016.02.008.
  4. Bridges M, Diamond DL. The financial impact of teaching surgical residents in the operating room. Am J Surg. 1999;177(1):28-32. doi:10.1016/S0002-9610(98)00289-X.
  5. Qayumi a K, Cheifetz RE, Forward a D, Baird RM, Litherland HK, Koetting SE. Teaching and evaluation of basic surgical techniques: the University of British Columbia experience. J Invest Surg. 1999;12(6):341-350. http://www.ncbi.nlm.nih.gov/pubmed/10630398.
  6. Miller R, Ho H, Ng V, et al. Introducing a Fresh Cadaver Model for Ultrasound-guided Central Venous Access Training in Undergraduate Medical Education. West J Emerg Med. 2016;17(3):362-366. doi:10.5811/westjem.2016.3.30069.
  7. Nematollahi S, Kaplan SJ, Knapp CM, et al. Introduction of a fresh cadaver laboratory during the surgery clerkship improves emergency technical skills. Am J Surg. 2017;210(2):401-403.e2. doi:10.1016/j.amjsurg.2015.01.018.
  8. Amini R, Stolz LA, Breshears E, et al. Assessment of ultrasound-guided procedures in preclinical years. Internal and Emergency Medicine. 2016:1-7.
  9. Kay RD, Manoharan A, Nematollahi S, et al. A novel fresh cadaver model for education and assessment of joint aspiration. J Orthop. 2016;13(4):419-424. doi:10.1016/j.jor.2016.09.003.
  10. Parent RJ, Plerhoples TA, Long EE, et al. Early, Intermediate, and Late Effects of a Surgical Skills “Boot Camp” on an Objective Structured Assessment of Technical Skills: A Randomized Controlled Study. J Am Coll Surg. 2017;210(6):984-989. doi:10.1016/j.jamcollsurg.2010.03.006.
  11. Chenot JF, Simmenroth-Nayda A, Koch A, et al. Can student tutors act as examiners in an objective structured clinical examination? Med Educ. 2007;41(11):1032-1038. doi:10.1111/j.1365-2923.2007.02895.x.
  12. Holland JP, Waugh L, Horgan A, Paleri V, Deehan DJ. Cadaveric hands-on training for surgical specialties: Is this back to the future for surgical skills development? J Surg Educ. 2011;68(2):110-116. doi:10.1016/j.jsurg.2010.10.002.
  13. Akaike M, Fukutomi M, Nagamune M, et al. 2-Simulation-based medical education in clinical skills laboratory. J Med Investig JMI. 2012;59(1-2):28-35. http://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=22449990&site=ehost-live.
  14. Berman JR, Ben-Artzi A, Fisher MC, Bass AR, Pillinger MH. A comparison of arthrocentesis teaching tools: cadavers, synthetic joint models, and the relative utility of different educational modalities in improving trainees’ comfort with procedures. J Clin Rheumatol. 2012;18(4):175-179. doi:10.1097/RHU.0b013e318258259e.
  15. Sutherland LM, Middleton PF, Anthony A, et al. Surgical simulation: a systematic review. Ann Surg. 2006;243(3):291-300. doi:10.1097/01.sla.0000200839.93965.26.
  16. Wong DT. What Is the Minimum Training Required for Successful Cricothyroidotomy? Anesthesiology. 2003;98(2):349-353. doi:10.1097/01.sa.0000132001.87115.78.
  17. Scott DJ, Dunnington GL. The New ACS/APDS Skills Curriculum: Moving the Learning Curve Out of the Operating Room. J Gastrointest Surg. 2008;12(2):213-221. doi:10.1007/s11605-007-0357-y.
  18. Varga S, Smith J, Minneti M, et al. Central venous catheterization using a perfused human cadaveric model: Application to surgical education. J Surg Educ. 2015;72(1):28-32. doi:10.1016/j.jsurg.2014.07.005.
  19. Soriano RP, Blatt B, Coplit L, et al. Teaching medical students how to teach: a national survey of students-as-teachers programs in U.S. medical schools. Acad Med. 2010;85(11):1725-1731. doi:10.1097/ACM.0b013e3181f53273.
  20. Kensinger CD, McMaster WG, Vella MA, Sexton KW, Snyder RA, Terhune KP. Residents as educators: A modern model. J Surg Educ. 2015;72(5):949-956. doi:10.1016/j.jsurg.2015.04.004.
  21. Shea CH, Lai Q, Black C, Park J-H. Spacing practice sessions across days benefits the learning of motor skills. Hum Mov Sci. 2000;19:737-760. doi:10.1016/S0167-9457(00)00021-X.
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