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Korean J Med Educ > Volume 21(4); 2009 > Article
Korean Journal of Medical Education 2009;21(4): 353-363. doi: https://doi.org/10.3946/kjme.2009.21.4.353
전문소생술 입문과정에서 환자시뮬레이션 교육방식에 따른 의과대학생들의 반응 및 과정 성취도 비교
김영민1,4, 이원재1, 강무일2, 김 선3, 박주현2,3,4, 박지은4
1가톨릭대학교 의과대학 응급의학교실
2가톨릭대학교 의과대학 내과학교실
3가톨릭대학교 의과대학 의학교육학과
4START 의학시뮬레이션 센터
Comparison of Medical Student Responses and Course Achievement According to Different Types of Patient Simulations in an Introductory Advanced Life Support Course
Young-Min Kim1,4, Won-Jae Lee1, Moo-Il Kang2, Sun Kim3, Joo-Hyun Park2,3,4, Ji-Eun Park4
1Department of Emergency Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
2Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
3Department of Medical Education, The Catholic University of Korea College of Medicine, Seoul, Korea.
4START Center for Medical Simulation, The Catholic University of Korea College of Medicine, Seoul, Korea
Corresponding Author: Young-Min Kim, Tel: 02-2258-1989, Fax: 02-536-1984, Email: emart@catholic.ac.kr
Received: August 20, 2009;  Accepted: September 24, 2009.
ABSTRACT
PURPOSE: The optimal type of patient simulation for different levels of learners has not been extensively studied. The purpose of the study was to compare preclerkship medical student responses and course achievement according to different types of patient simulations in an introductory advanced life support (IALS) course. METHODS: A full-day, simulation-based IALS course was developed for preclerkship medical students who attended a four-week introduction to a clinical medicine program. One hundred eighteen students were trained in three days. Onsite interactive simulation with verbal debriefing (interactive type) was applied on the first day, and full-mission, realistic simulation with video-assisted debriefing (realistic type) was applied on the second and third days. At the end of course, students evaluated the course and their simulation experiences and completed a written post-test. RESULTS: Student responses to the course and patient simulations were very positive. Students who experienced the realistic type of patient simulations more highly rated in realistic experiences, such as patient care, than the interactive type group (3.83+/-0.88 vs. 3.41+/-0.84, p=0.018). Values for team communication training were more highly rated by students in the interactive type group than the realistic type (4.69+/-0.52 vs. 4.39+/-0.86, p=0.022). There was no significant difference in post-test scores between the two groups (realistic, 67.63+/-10.80; interactive, 66.73+/-9.93, p=0.654). CONCLUSION: Both types of patient simulation provide valuable learning experiences to preclerkship medical students, with their own advantages in an IALS course. Onsite interactive simulation with verbal debriefing may be more cost-effective tool for preclerkship medical students.
Keywords: Patient simulation;Advanced life support;Medical students
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