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Assessing the performance and satisfaction of medical residents utilizing standardized patient versus mannequin-simulated training

Authors Alsaad AA, Davuluri S, Bhide VY, Lannen AM, Maniaci MJ

Received 8 February 2017

Accepted for publication 4 May 2017

Published 18 July 2017 Volume 2017:8 Pages 481—486

DOI https://doi.org/10.2147/AMEP.S134235

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Shakila Srikumar

Peer reviewer comments 2

Editor who approved publication: Dr Anwarul Azim Majumder


Video abstract presented by Ali Alsaad.

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Ali A Alsaad,1 Swetha Davuluri,2 Vandana Y Bhide,3 Amy M Lannen,4 Michael J Maniaci3

1Department of Internal Medicine, Mayo Clinic, 2University of Miami, Coral Gables, 3Division of Hospital Internal Medicine, 4J. Wayne and Delores Barr Weaver Simulation Center, Mayo Clinic, Jacksonville, FL, USA

Background: Conducting simulations of rapidly decompensating patients are a key part of internal medicine (IM) residency training. Traditionally, mannequins have been the simulation tool used in these scenarios.
Objective: To compare IM residents’ performance and assess realism in specific-simulated decompensating patient scenarios using standardized patients (SPs) as compared to mannequin.
Methods: Nineteen IM residents were randomized to undergo simulations using either a mannequin or an SP. Each resident in the two groups underwent four different simulation scenarios (calcium channel blocker overdose, severe sepsis, severe asthma exacerbation, and acute bacterial meningitis). Residents completed pretest and post-test evaluations as well as a questionnaire to assess the reality perception (realism score).
Results: Nine residents completed mannequin-based scenarios, whereas 10 completed SP-based scenarios. Improvement in the post-test scores was seen in both groups. However, there were significantly higher post-test scores achieved with SP simulations in three out of the four scenarios (P=0.01). When compared with the mannequin group, the SP simulation group showed a significantly higher average realism score (P=0.002).
Conclusions: Applying SP-based specific-simulation scenarios in IM residency training may result in better performance and a higher sense of a realistic experience by medical residents.

Keywords: simulation, standardized patient, satisfaction, mannequin, assessment, resident education

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