Council on Medical Student Education in Pediatrics

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COMSEP 2009 Baltimore Meeting with APPD

Poster Presentation:


THE INTEGRATION OF THE HIGH FIDELITY SIMULATOR IN THE THIRD YEAR PEDIATRICS CLERKSHIP

Authors:
Yasmin Pedrogo, MD, UPR School of Medicine, San Juan, Puerto Rico, Nerian Ortiz, MD, UPR School of Medicine, Puerto Rico, Nydia Bonet, MD, UPR School of Medicine, San Juan, Puerto Rico

BACKGROUND: Simulation in medicine is a useful tool for assessing competencies. Scenarios range in complexity depending on trainee level. Some are used to review assessment skills. LCME expects students to have simulation experiences in medical school curriculum. 40% of US medical schools use simulators. AAMC reported that the number of schools using standardized patients in courses increased to 50% but still fail to employ evaluation methods that specifically assess student’s achievement of the skills. At the UPR School of Medicine the simulator has been used during clinical correlations. Integration of these simulators have been encouraged for clinical clerkships. The Pediatrics Clerkship has incorporated an activity using the pediatric simulator. The objective is to provide students the opportunity to demonstrate knowledge relevant to pediatrics practice using the human simulator. METHODS: During the academic year 2007-08 a formative activity using the high fidelity simulator was implemented in the Pediatrics Clerkship. Two scenarios were designed with stated objectives. Third year medical students were required to participate in the activity. The simulator presented with respiratory distress. A group of six students worked the scenario, which was discussed by a faculty member. Students completed an evaluation form. RESULTS: One hundred twenty four students participated in the activity during the academic year 2007-08. 94%expressed that the objectives were clearly stated and that adequate orientation was offered before the activity. 98%percent agreed that the level of difficulty was adequate for the educational level.98%agreed that the use of the simulator in an scenario with relevant general pediatric issues such as the one presented allowed a better understanding of clinical concepts studied in the clerkship. More than 85% of the students recommended the integration of the simulator in other major clinical clerkships. CONCLUSIONS: The use of the high fidelity simulator during the pediatrics clinical clerkship has been an excellent tool to reinforce learned skills. The activity has served to strengthen history taking, physical exam and critical thinking skills