Big Bang: Developing a Subarachnoid Hemorrhage Simulation for Preclinical Medical Students (1090-003961) (Developmental Research Projects: Procedure (By Invitation Only))
Start time: Tuesday, February 2, 2021, 3:00 PM End time: Tuesday, February 2, 2021, 4:00 PM Session Type: Research Study Development and Presentation Program Abstracts
Simulation-based learning in medical training has increased significantly in the past decade, due to increased regulation around medical students’ interaction with patients, paired with the recognized need for hands on instruction.1 Simulation-based learning is especially important for rare, high mortality cases which are unlikely to be witnessed during clinical rotations but are likely to be encountered during future practice, such as subarachnoid hemorrhage.2 Neurology case simulations, especially those targeted at preclinical learners, are underrepresented in simulation pedagogy.3,4 In this project we designed a low fidelity simulation for preclinical medical students to determine their ability to detect the signs and symptoms of subarachnoid hemorrhage. Our hypothesis is that the implementation of a low fidelity simulation for subarachnoid hemorrhage will improve the perceived learning experience of preclinical medical students.
We designed a low-fidelity simulation using a standardized patient and one confederate. In the Fall of 2020, we will recruit twenty-four pre-clinical medical student volunteers to complete the simulation. A pre- and post- simulation survey will be used to collect quantitative data on self-assessed confidence in neurology history taking, physical exam, and the students’ ability to generate a differential diagnosis. The questions from the pre- and post- simulation surveys will be compared and analyzed using multivariate regression analysis to account for potential selection bias in volunteers as well as the effects of strong opinions regarding simulation. The data analysis will detect changes in the students’ level of confidence with simulation-based learning and their comfort with diagnosing a subarachnoid hemorrhage. We will also ask open-ended questions to collect qualitative data and identify emergent themes from the students experience with the simulation.
Results are pending based on implementation of the simulation in the Fall 2020. This may be delayed due to public health restrictions in place for COVID19. In order to determine the degree of student interest in the project, anonymous upper year clinical students with various levels of simulation experience were contacted in order to determine the possible benefit of a neurology-based simulation in the preclinical curriculum. They were provided with the simulation learning objectives and structure. The students stated that this simulation would be beneficial to pre-clerkship students, especially in light of the students’ experiences during clerkship.
Disclosure: No financial relationships with ineligible companies.