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Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients
BACKGROUND: Inexperienced interns are responsible for most iatrogenic complications after urethral catheterization (UC). Although training on simulators is common, little is known about the transfer of learned skills to real clinical practice. This study aimed to evaluate the short- and long-term ef...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3598217/ https://www.ncbi.nlm.nih.gov/pubmed/23433258 http://dx.doi.org/10.1186/1472-6920-13-29 |
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author | Todsen, Tobias Henriksen, Mikael V Kromann, Charles B Konge, Lars Eldrup, Jesper Ringsted, Charlotte |
author_facet | Todsen, Tobias Henriksen, Mikael V Kromann, Charles B Konge, Lars Eldrup, Jesper Ringsted, Charlotte |
author_sort | Todsen, Tobias |
collection | PubMed |
description | BACKGROUND: Inexperienced interns are responsible for most iatrogenic complications after urethral catheterization (UC). Although training on simulators is common, little is known about the transfer of learned skills to real clinical practice. This study aimed to evaluate the short- and long-term effects of UC simulated skills training on performance on real patients and to examine whether watching a video of the procedure immediately before assessment enhanced clinical performance. METHODS: This was an experimental study of the effect of a UC simulation-based skills course on medical students’ short-term (after one week) and long-term (after six weeks) performance. The additional effect of video instruction before performance testing on real patients was studied in a randomized trial. Sixty-four students participated in the study, which was preceded by a pilot study investigating the validity aspects of a UC assessment form. RESULTS: The pilot study demonstrated sufficient inter-rater reliability, intra-class correlation coefficient 0.86, and a significant ability to discriminate between trainee performances when using the assessment form, p= 0.001. In the main study, more than 90% of students demonstrated an acceptable performance or better when tested on real patients. There was no significant difference in the total score between the one-week and the six-week groups when tested on real patients and no significant difference between the video and the control groups. CONCLUSIONS: Medical students demonstrated good transfer of UC skills learned in the skills lab to real clinical situations up to six weeks after training. Simulated UC training should be the standard for all medical school curricula to reduce avoidable complications. However, this study did not demonstrate that an instructional video, as a supplement to simulated skills training, improved clinical UC performance. TRIAL REGISTRATION: Current Controlled Trials ISRCTN:ISRCTN90745002 |
format | Online Article Text |
id | pubmed-3598217 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35982172013-03-16 Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients Todsen, Tobias Henriksen, Mikael V Kromann, Charles B Konge, Lars Eldrup, Jesper Ringsted, Charlotte BMC Med Educ Research Article BACKGROUND: Inexperienced interns are responsible for most iatrogenic complications after urethral catheterization (UC). Although training on simulators is common, little is known about the transfer of learned skills to real clinical practice. This study aimed to evaluate the short- and long-term effects of UC simulated skills training on performance on real patients and to examine whether watching a video of the procedure immediately before assessment enhanced clinical performance. METHODS: This was an experimental study of the effect of a UC simulation-based skills course on medical students’ short-term (after one week) and long-term (after six weeks) performance. The additional effect of video instruction before performance testing on real patients was studied in a randomized trial. Sixty-four students participated in the study, which was preceded by a pilot study investigating the validity aspects of a UC assessment form. RESULTS: The pilot study demonstrated sufficient inter-rater reliability, intra-class correlation coefficient 0.86, and a significant ability to discriminate between trainee performances when using the assessment form, p= 0.001. In the main study, more than 90% of students demonstrated an acceptable performance or better when tested on real patients. There was no significant difference in the total score between the one-week and the six-week groups when tested on real patients and no significant difference between the video and the control groups. CONCLUSIONS: Medical students demonstrated good transfer of UC skills learned in the skills lab to real clinical situations up to six weeks after training. Simulated UC training should be the standard for all medical school curricula to reduce avoidable complications. However, this study did not demonstrate that an instructional video, as a supplement to simulated skills training, improved clinical UC performance. TRIAL REGISTRATION: Current Controlled Trials ISRCTN:ISRCTN90745002 BioMed Central 2013-02-25 /pmc/articles/PMC3598217/ /pubmed/23433258 http://dx.doi.org/10.1186/1472-6920-13-29 Text en Copyright ©2013 Todsen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Todsen, Tobias Henriksen, Mikael V Kromann, Charles B Konge, Lars Eldrup, Jesper Ringsted, Charlotte Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients |
title | Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients |
title_full | Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients |
title_fullStr | Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients |
title_full_unstemmed | Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients |
title_short | Short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients |
title_sort | short- and long-term transfer of urethral catheterization skills from simulation training to performance on patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3598217/ https://www.ncbi.nlm.nih.gov/pubmed/23433258 http://dx.doi.org/10.1186/1472-6920-13-29 |
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