Widening medical students’ exposure and confidence toward resuscitation management and discussions
Aniruddh Shenoy, Fahad Mohammad
College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
We would like to thank Aggarwal and Khan1 on their review of medical students’ experiences of resuscitation and discussions surrounding resuscitation status, which we read with great interest. As medical undergraduates ourselves, we found it insightful and valuable to read the opinions of fellow students on such an essential and delicate matter.
Tomorrow’s Doctors, the guidance provided to medical undergraduates by the General Medical Council, states that students should be able to “provide cardiopulmonary resuscitation (CPR) or direct other team members to carry out resuscitation”.2
However, basic life support taught in accordance with this guidance is unlikely to replicate the stress and pressure of performing CPR on real patients, as detailed by the students reflecting on the realities of CPR. More eye opening was the scarcity with
which students had encountered such an important medical experience (11 of the 20 interviewed). Considering how sporadic and urgent cardiopulmonary arrest is, it is unlikely that any progress will be made toward increasing students’ exposure to CPR.
However, we believe that more steps could be taken to simulate the urgency of having to perform CPR, to provide more representative preparation for students. For instance, Gokhale et al3 found that employing the strategy of “on the spot” simulation of CPR led to a statistically significant improvement in CPR knowledge post-session and all participants reported increased confidence in performing resuscitation in the future.
View the original paper by Aggarwal and Khan
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