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Sterz J, Gutenberger N, Stefanescu MC, Zinßer U, Bepler L, Linßen S, Schäfer V, Carstensen P, Verboket RD, Adili F, Ruesseler M. Manikins versus simulated patients in emergency medicine training: a comparative analysis. Eur J Trauma Emerg Surg 2021; 48:3793-3801. [PMID: 34331074 PMCID: PMC9532276 DOI: 10.1007/s00068-021-01695-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 04/30/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE Every physician must be able to sufficiently master medical emergencies, especially in medical areas where emergencies occur frequently such as in the emergency room or emergency surgery. This contrasts with the observation that medical students and young residents often feel insufficiently prepared to handle medical emergencies. It is therefore necessary to train them in the treatment of emergency patients. The aim of this study is to analyze the influence of the assignment of manikin versus simulated patients during a training for undergraduate medical students on learning outcomes and the perceived realism. METHODS The study had a prospective cross-over design and took place in a 3-day emergency medicine training for undergraduate medical students. Students completed three teaching units ('chest pain', 'impaired consciousness', 'dyspnea'), either with manikin or simulated patient. Using a questionnaire after each unit, overall impression, didactics, content, the quality of practical exercises, and the learning success were evaluated. The gained competences were measured in a 6-station objective structured clinical examination (OSCE) at the end of training. RESULTS 126 students participated. Students rated simulated patients as significantly more realistic than manikins regarding the possibility to carry out examination techniques and taking medical history. 54.92% of the students would prefer to train with simulated patients in the future. Regarding the gained competences for 'chest pain' and 'impaired consciousness', students who trained with a manikin scored less in the OSCE station than the simulated patients-group. CONCLUSION Simulated patients are rated more realistic than manikins and seem to be superior to manikins regarding gained competence.
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Affiliation(s)
- Jasmina Sterz
- Department for Trauma-, Hand- and Reconstructive Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, Frankfurt, Germany.,Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany
| | - Niklas Gutenberger
- Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany
| | - Maria-Christina Stefanescu
- Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany
| | - Uwe Zinßer
- Medical Faculty, SP Training Center, Goethe University, Frankfurt, Germany
| | - Lena Bepler
- Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany
| | - Svea Linßen
- Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany
| | - Verena Schäfer
- Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany
| | - Patrick Carstensen
- Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany
| | - René Danilo Verboket
- Department for Trauma-, Hand- and Reconstructive Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, Frankfurt, Germany
| | - Farzin Adili
- Division of Vascular and Endovascular Surgery, Department of Vascular Medicine, Klinikum Darmstadt, Darmstadt, Germany
| | - Miriam Ruesseler
- Department for Trauma-, Hand- and Reconstructive Surgery, University Hospital Frankfurt, Goethe University, Theodor-Stern-Kai 7, Frankfurt, Germany. .,Medical Faculty, Frankfurt Interdisciplinary Simulation Center FIneST, Goethe University, Frankfurt, Germany.
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