Education, Medical
Conditions
Keywords
Education, medical, Simulation Training
Brief summary
Repeated exposure to simulated cases has been shown to improve performance, but repeating the same scenario may impair the ability of learners to transfer their knowledge and skills to slightly different situations. The objective of this study is to compare the use of repeated versus varied simulation cases for teaching the management of pediatric asthma exacerbation to 3rd year medical students.
Interventions
OTHERVariation of scenarios
Three different scenarios of pediatric asthma exacerbations: a mild exacerbation, a moderate exacerbation, and a severe exacerbation.
OTHERRepeated scenarios
The same scenario of a moderate pediatric asthma exacerbation is repeated three times.
Sponsors
Ilumens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Third year medical students from Paris Descartes and Paris Diderot medical faculties. * Who are not opposed to participated in the study
Exclusion criteria
* Opposition to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Management Score on Transfer Scenario n°1 | One week | The transfer scenario n°1 is a new scenario that learners face for the first time. It is a pediatric asthma exacerbation rapidly worsening. The scale Asthma exacerbation rapidly worsening includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 10, 10 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Management Score on Transfer Scenario n°2 | One week | The transfer scenario n°2 is a new scenario that learners face for the first time. It is a pediatric pneumonia. Students are expected to realize that the child's presentation differs from an asthma exacerbation and should not start short-acting beta agonists nor steroids. The scale Pediatric Pneumonia includes different items related to the sequence of the treatments administered. The score ranges between 0 and 4, 4 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1. |
| Management Score on Evaluation Scenario n°1 | One week | The evaluation scenario n°1 is a scenario of a moderate asthma exacerbation not responding to treatment, used during the learning phase of both groups (3 times for the group repetition and just once for the group variation). The scale moderate asthma exacerbation includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 16, 16 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1. |
| Management Score on Evaluation Scenario n°2 | One week | The evaluation scenario n°2 is a scenario of a mild asthma exacerbation not responding to treatment, used during the learning phase of the variation group.The scale mild asthma exacerbation includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 9, 9 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1. |
| Management Score on Transfer Scenario n°3 | 4 months | The transfer scenario n°3 is a new scenario that learners face for the first time. It is a severe asthma exacerbation improving before relapsing.The scale Asthma exacerbation improving then relapsing includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 16, 16 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1. |
| Management Score on Transfer Scenario n°4 | 4 months | The transfer scenario n°4 is a new scenario that learners face for the first time. It is a pediatric laryngitis. Students are expected to realize that the child's presentation differs from an asthma exacerbation and should not start short-acting beta agonists. The scale Pediatric laryngitis includes different items related to the sequence and the dose of the treatments provided. The score ranges between 0 and 3, 3 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1. |
Countries
France
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Varied Scenarios Participants in the varied scenarios group will learn the management of a pediatric asthma exacerbation on three different scenarios: a moderate asthma exacerbation, a mild one, and a severe one, for the same length of time than the repeated scenarios group. In this group, there is a variation of scenarios.
Variation of scenarios: Three different scenarios of pediatric asthma exacerbations: a mild exacerbation, a moderate exacerbation, and a severe exacerbation. | 42 |
| Repeated Scenarios Participants in the repeated scenario group will learn the management of a pediatric asthma exacerbation on the same scenario repeated three times. The scenario is a pediatric moderate asthma exacerbation not responding to treatment, .
Repeated scenarios: The same scenario of a moderate pediatric asthma exacerbation is repeated three times. | 43 |
| Total | 85 |
Baseline characteristics
| Characteristic | Repeated Scenarios | Total | Varied Scenarios |
|---|---|---|---|
| Age, Continuous | 22 years | 22 years | 22 years |
| Asthma | 3 Participants | 5 Participants | 2 Participants |
| Familiar with low-fidelity manikins | 40 Participants | 79 Participants | 39 Participants |
| Medical Experience in pediatrics | 8 Participants | 11 Participants | 3 Participants |
| Race and Ethnicity Not Collected | — | 0 Participants | — |
| Sex: Female, Male Female | 27 Participants | 56 Participants | 29 Participants |
| Sex: Female, Male Male | 16 Participants | 29 Participants | 13 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 43 | 0 / 42 |
| serious Total, serious adverse events | 0 / 43 | 0 / 42 |
Outcome results
Primary
Management Score on Transfer Scenario n°1
The transfer scenario n°1 is a new scenario that learners face for the first time. It is a pediatric asthma exacerbation rapidly worsening. The scale Asthma exacerbation rapidly worsening includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 10, 10 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: One week
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Transfer Scenario n°1 | 8.3 units on a scale |
| Repeated Scenarios | Management Score on Transfer Scenario n°1 | 8.0 units on a scale |
Secondary
Management Score on Evaluation Scenario n°1
The evaluation scenario n°1 is a scenario of a moderate asthma exacerbation not responding to treatment, used during the learning phase of both groups (3 times for the group repetition and just once for the group variation) The scale moderate asthma exacerbation includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 16,16 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: 4 months
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Evaluation Scenario n°1 | 13.6 units on a scale |
| Repeated Scenarios | Management Score on Evaluation Scenario n°1 | 13.8 units on a scale |
Secondary
Management Score on Evaluation Scenario n°1
The evaluation scenario n°1 is a scenario of a moderate asthma exacerbation not responding to treatment, used during the learning phase of both groups (3 times for the group repetition and just once for the group variation). The scale moderate asthma exacerbation includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 16, 16 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: One week
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Evaluation Scenario n°1 | 14.1 units on a scale |
| Repeated Scenarios | Management Score on Evaluation Scenario n°1 | 15.0 units on a scale |
Secondary
Management Score on Evaluation Scenario n°2
The evaluation scenario n°2 is a scenario of a mild asthma exacerbation not responding to treatment, used during the learning phase of the variation group. The scale mild asthma exacerbation includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 16,16 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: 4 months
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Evaluation Scenario n°2 | 7.5 units on a scale |
| Repeated Scenarios | Management Score on Evaluation Scenario n°2 | 7.5 units on a scale |
Secondary
Management Score on Evaluation Scenario n°2
The evaluation scenario n°2 is a scenario of a mild asthma exacerbation not responding to treatment, used during the learning phase of the variation group.The scale mild asthma exacerbation includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 9, 9 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: One week
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Evaluation Scenario n°2 | 9.0 units on a scale |
| Repeated Scenarios | Management Score on Evaluation Scenario n°2 | 7.0 units on a scale |
Secondary
Management Score on Transfer Scenario n°2
The transfer scenario n°2 is a new scenario that learners face for the first time. It is a pediatric pneumonia. Students are expected to realize that the child's presentation differs from an asthma exacerbation and should not start short-acting beta agonists nor steroids. The scale Pediatric Pneumonia includes different items related to the sequence of the treatments administered. The score ranges between 0 and 4, 4 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: One week
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Transfer Scenario n°2 | 3.0 units on a scale |
| Repeated Scenarios | Management Score on Transfer Scenario n°2 | 4.0 units on a scale |
Secondary
Management Score on Transfer Scenario n°3
The transfer scenario n°3 is a new scenario that learners face for the first time. It is a severe asthma exacerbation improving before relapsing.The scale Asthma exacerbation improving then relapsing includes different items related to the sequence, the dose, and the administration technique of the treatments. The score ranges between 0 and 16, 16 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: 4 months
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Transfer Scenario n°3 | 13.0 units on a scale |
| Repeated Scenarios | Management Score on Transfer Scenario n°3 | 12.3 units on a scale |
Secondary
Management Score on Transfer Scenario n°4
The transfer scenario n°4 is a new scenario that learners face for the first time. It is a pediatric laryngitis. Students are expected to realize that the child's presentation differs from an asthma exacerbation and should not start short-acting beta agonists. The scale Pediatric laryngitis includes different items related to the sequence and the dose of the treatments provided. The score ranges between 0 and 3, 3 meaning perfect management of the medical condition. The detailed scale can be found in the supplementary material of the article published here: https://link.springer.com/article/10.1007/s00431-017-3054-1.
Time frame: 4 months
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Varied Scenarios | Management Score on Transfer Scenario n°4 | 2.0 units on a scale |
| Repeated Scenarios | Management Score on Transfer Scenario n°4 | 3.0 units on a scale |