gms | German Medical Science

Gemeinsame Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA) und des Arbeitskreises zur Weiterentwicklung der Lehre in der Zahnmedizin (AKWLZ)

20.09. - 23.09.2017, Münster

Does a simulation course lead to improved management of an emergency situation. (Clinical and non-clinical skills)

Meeting Abstract

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  • corresponding author presenting/speaker Cynzhia Szalai - Universitätsklinikum Essen Universität Duisburg Essen, Essen, Germany
  • Stephanie Herbstreit - Universitätsklinikum Essen Universität Duisburg Essen, Medizin, Essen, Germany

Gemeinsame Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA) und des Arbeitskreises zur Weiterentwicklung der Lehre in der Zahnmedizin (AKWLZ). Münster, 20.-23.09.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc281

doi: 10.3205/17gma281, urn:nbn:de:0183-17gma2818

Veröffentlicht: 24. November 2017

© 2017 Szalai et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe



A simulation course was offered to final year students. Each student was exposed to five emergency and elective medical scenarios with simulated patients and/or mannequins followed by extensive feedback. The aim was to investigate if participation in the course led to any changes in management of a standardized emergency scenario.

Summary of Work: The control group completed an emergency scenario before and, after completion of the simulation course. (Intervention). Clinical performance was rated with a checklist and non-technical elements were rated using the ANTS system. Anxiety scales before and after each simulation were measured. Two raters were used.

Summary of Results: The intervention group felt confident about their future performance before the simulation (Cohen’s d 0.77). The Intervention group (48%) exhibited guideline specific management, achieved ROSC in comparison 39% control group. There was also no significant difference in non technical skills rating between the two groups. No difference in rater agreeability was reported.

Discussion/Conclusion: Intervention group showed increased ROSC and reported being more confident of the challenge of an emergency simulation. This may be extrapolated to improved management and increased confidence in dealing with unknown situations. Course duration was only five weeks, perhaps an extended duration may have shown significant differences in non technical skills. Competence crosses all three domains of knowledge, skills and attitudes and requires time to be mastered but here is increasing focus on teaching and developing these skills. Establishing and quantifying competence are extremely difficult processes, requiring intricate measurement techniques. Clinical competence encompasses both clinical capability and non-technical skills.Simulation by increasing personal confidence and facilitating learning may help to develop competence, however longer exposure and experience is required.

ROSC: Return of Spontaneous Circulation, ANTS: Anaesthesia Non Technical Skills.


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