J Educ Eval Health Prof.  2016;13:13. 10.3352/jeehp.2016.13.13.

Medical students' satisfaction with the Applied Basic Clinical Seminar with Scenarios for Students, a novel simulation-based learning method in Greece

Affiliations
  • 1Medical Department, Aristotle University of Thessaloniki, Thessaloniki, Greece. ppantele@auth.gr
  • 2Medical Department, National and Kapodistrian University of Athens, Athens, Greece.
  • 3Medical Department, University of Thessaly, Larissa, Greece.
  • 4Medical Department, Democritus University of Thrace, Alexandroupolis, Greece.
  • 5The London Deanery HEE, Queen Mary University, London, United Kingdom.
  • 6First Department of Cardiology, AHEPA Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
  • 7First Department of Surgery, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
  • 8Second Propaedeutic Department of Internal Medicine, Hippokration Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Abstract

PURPOSE
The integration of simulation-based learning (SBL) methods holds promise for improving the medical education system in Greece. The Applied Basic Clinical Seminar with Scenarios for Students (ABCS3) is a novel two-day SBL course that was designed by the Scientific Society of Hellenic Medical Students. The ABCS3 targeted undergraduate medical students and consisted of three core components: the case-based lectures, the ABCDE hands-on station, and the simulation-based clinical scenarios. The purpose of this study was to evaluate the general educational environment of the course, as well as the skills and knowledge acquired by the participants.
METHODS
Two sets of questions were distributed to the participants: the Dundee Ready Educational Environment Measure (DREEM) questionnaire and an internally designed feedback questionnaire (InEv). A multiple-choice examination was also distributed prior to the course and following its completion. A total of 176 participants answered the DREEM questionnaire, 56 the InEv, and 60 the MCQs.
RESULTS
The overall DREEM score was 144.61 (±28.05) out of 200. Delegates who participated in both the case-based lectures and the interactive scenarios core components scored higher than those who only completed the case-based lecture session (P=0.038). The mean overall feedback score was 4.12 (±0.56) out of 5. Students scored significantly higher on the post-test than on the pre-test (P<0.001).
CONCLUSION
The ABCS3 was found to be an effective SBL program, as medical students reported positive opinions about their experiences and exhibited improvements in their clinical knowledge and skills.

Keyword

Medical education; Greece; Personality inventory; Surveys and questionnaires

MeSH Terms

Education, Medical
Greece*
Humans
Learning*
Lectures
Methods*
Personality Inventory
Societies, Scientific
Students, Medical
Surveys and Questionnaires

Figure

  • Fig. 1. The evaluation instruments used. The Dundee Ready Educational Environment Measure (DREEM) and the internal evaluation (InEv) were used to assess the educational environment, while the multiple-choice questions (MCQs) evaluated knowledge acquired in the seminar. a)230 participants took part in the seminar, of whom 60 were in the full category (lectures and scenarios), while 170 formed the observers (OB) category (lectures only). b)The DREEM instrument was distributed to both full and OB participants after the completion of the seminar. A total of 53 (30.1%) full and 123 (69.9%) OB participants responded. c)The InEv instrument was distributed only to the full category (56 of 60 answered). d) The MCQs were distributed to the full participants, before (pre-test) and after (post-test) the completion of the seminar with a 100% response rate (60 replies).

  • Fig. 2. Simulation-based clinical scenarios Sc10 and Sc5 achieved the highest general satisfaction score on the InEv inventory, while Sc2 received the lowest.


Reference

References

1. Dagnone JD, McGraw R, Howes D, Messenger D, Bruder E, Hall A, et al. How we developed a comprehensive resuscitation-based simulation curriculum in emergency medicine. Med Teach. 2016; 38:30–35. http://dx.doi.org/10.3109/0142159X.2014.976187.
Article
2. Boysen-Osborn M, Anderson C, Navarro R, Yanuck J, McCoy C, Youm J, Ypma-Wong MF, Langdorf MI. Flipping the advanced cardiac life support classroom with team-based learning: comparison of cognitive testing performance for medical students at the University of California, Irvine, United States. J Educ Eval Health Prof. 2016; 2016:2016–2016. http://dx.doi.org/10.3352/jeehp.2016.13.11.
Article
3. Brydges R, Hatala R, Zendejas B, Erwin PJ, Cook DA. Linking simulation-based educational assessments and patient-related outcomes: a systematic review and meta-analysis. Acad Med. 2015; 90:246–256. http://dx.doi.org/10.1097/ACM.0000000000000549.
4. Apiranthiti K, Alexiou V, Falagas M. Medical training in Greece: a crisis inprogress. Postgrad Med. 2015; 127:591–599. http://dx.doi.org/10.1080/00325481.2015.1069167.
5. Walsh K. Documentary research and evaluation in medical education. J Educ Eval Health Prof. 2014; 11:18. http://dx.doi.org/10.3352/jeehp.2014.11.18.
Article
6. Yim MK. Reforms of the Korean Medical Licensing Examination regarding item development and performance evaluation. J Educ Eval Health Prof. 2015; 12:6. http://dx.doi.org/10.3352/jeehp.2015.12.6.
Article
7. Miles S, Swift L, Leinster SJ. The Dundee Ready Education Environment Measure (DREEM): a review of its adoption and use. Med Teach. 2012; 34:e620–34. http://dx.doi.org/10.3109/0142159X.2012.668625.
Article
8. Stratulat SI, Dombici C, Forna D. Evaluation of student perception of the lecture “Oral functional medical rehabilitation: balneophysiotherapy. Rev Med Chir Soc Med Nat Iasi. 2013; 117:875–879.
9. Sunkad MA, Javali S, Shivapur Y, Wantamutte A. Health sciences students’ perception of the educational environment of KLE University, India as measured with the Dundee Ready Educational Environment Measure (DREEM). J Educ Eval Health Prof. 2015; 12:37. http://dx.doi.org/10.3352/jeehp.2015.12.37.
Article
10. Kohli V, Dhaliwal U. Medical students’ perception of the educational environment in a medical college in India: a cross-sectional study using the Dundee Ready Education Environment questionnaire. J Educ Eval Health Prof. 2013; 10:5. http://dx.doi.org/10.3352/jeehp.2013.10.5.
Article
11. Belayachi J, Razine R, Boufars A, Saadi A, Madani N, Chaouir S, Abouqal R. Moroccan medical students’ perceptions of their educational environment. J Educ Eval Health Prof. 2015; 12:47. http://dx.doi.org/10.3352/jeehp.2015.12.47.
Article
12. Cook DA, Lineberry M. Consequences validity evidence: evaluating the impact of educational assessments. Acad Med. 2016; [Epub ahead of print] http://dx.doi.org/10.1097/ACM.0000000000001114.
13. Newton PM, Wallace MJ, McKimm J. Improved quality and quantity of written feedback is associated with a structured feedback proforma. J Educ Eval Health Prof. 2012; 9:10. http://dx.doi.org/10.3352/jeehp.2012.9.10.
Article
14. Hamaoui K, Sadideen H, Saadeddin M, Onida S, Hoey AW, Rees J. Is it time for integration of surgical skills simulation into the United Kingdom undergraduate medical curriculum? A perspective from King’s College London School of Medicine. J Educ Eval Health Prof. 2013; 10:10. http://dx.doi.org/10.3352/jeehp.2013.10.10.
Article
15. Heitz C, Eyck RT, Smith M, Fitch M. Simulation in medical student education: survey of clerkship directors in emergency medicine. West J Emerg Med. 2011; 12:455–460. http://dx.doi.org/10.5811/westjem.2011.3.2107.
Article
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