Osce Results After Voluntary Self-Training in a Simulation

Laboratory at Granada Medical School

Dr. C. Chung, J Florido, D Gonzalez, A Vilchez y JM Peinado

Dpto. Obstetrics and GynecologistGranada University

http://www.ugr.es/~obsgin/chung@ugr.es

AMEE 2009XIXth SEDEM Meeting

Málaga, Spain29 August to 2 September 2009

OSCE

3344 6655

77

9911

22 889 Station/

9 Students

6 Min/

Self-Training Simulation Laboratory 2008

• 1.- Medicine• 2.- Gynecology• 3.- Obstetrics• 4.- Surgery• 5.- Specialities• 6.- Emergency

1.- Medical Skills

• A.- Heart Exploration• B.- Respiratory

Exploration• C.- Perform a

Electrocardiogram • D.- Perform

Parenteral Administration

• E.- Perform Intravenous Administration

2.- Gynecologic Skills

• A.- Genital Female Exploration• B.- Take a Papanicolau Smears• C.- Bimanual Exploration• D.- Breast Exploration• E.- Insert a IUD

3.- Obstetrics Skills

• A.- Abdominal Pregnant Exploration• B.- Foetal Heart Rate• C.- Cervix Exploration and Fetal Station• D.- Attendance at Simulator Birth• E.- Perform an Episiotomy and suturing

4.- Surgery Skills

• A.- Asepsis Rules and Basic surgical instruments

• B.- Infiltration anesthesia • C.- Simple Suture and Types• D.- Male and Female Urinary Catheter• E.- Anus, Rectum and Prostate

Exploration • F.- Bandages and Plasters

5.- Advanced and Emergency Medicine

• A.- Abdomen Exploration• B.- Place a Nasogastric Tube • C.- Perform a Lumbar Puncture • D.- Perform CPR by a Basic Life Support • E.- Perform CPR using an Advanced Life

Support• F.- Perform Endotracheal Intubation

6.- Other Skills• A.- Exploration of the Fundus Oculi by

Direct Ophthalmoscopy• C.- Perform Skin Biopsies• D.- Removing Cysts and Lipomas• E.- Perform Otoscopy• F.- Thyroid Gland, Pharynx and Larynx

Exploration

Educational Material at Each Stage

• 1.-Manikins and Simulators

• 2.-Poster with Pictures and Key

• 3.-Computer with Video

Manikins and Simulators

Poster with Pictures and Keydescribing step by step how to perform the skill

Computer with Video of each of the skills

Objectives of the Self-Training Simulation Laboratory

• Improve their Learning Curve

Objectives of this study

• The present study was conducted to analyze if self-training after programmed teaching, in a Simulation Laboratory specifically conditioned for that goal, has any effect on student OSCE performance and Score.

• This Study was conducted to see whether the group of Students who visited the Laboratory Training (180) had a different Outcome to those who did not (43 )

180 Students Who VisitedSimulator Laboratoy

• 138 visited it only Once (76,66%)

• 42 visited Twice (23,33%)

• 1 visited (three times )

Result• The ANOVA showed a statistically

significant effect of having Visited the laboratory once or more (180 students) or not (43 students),

• 0.8929 F p value < 0.000

OSCE Mark• Students who did not

visit the lab have lower average mark (50,75)

• than those who visited:• Once (58,89)• Twice or More (58.80)

• 46

48

50

52

54

56

58

60

Not Visited Once > Once

Columnas 1

Medical Skill

0 20 40 60 80

Anamnesis

Comunica

Exploration

Practical

Management

Treatment

OSCE

>=1No Visited

Average in Practical Skills• Was significantly lower in the

group that not visited the laboratory (51,26)

• Than in those who visited it• Once (66,67)• Two or more times (67,58)

Conclusions• Students who undertook this training

• 1.-Obtained a better rating in the overall OSCE mark than those who did not .

• 2.- Obtained a better mark in practical Skills than those who did not.