Telemed J E Health - Web-conferenced simulation sessions: a satisfaction survey of clinical simulation encounters via remote supervision.

Tópicos

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Resumo

RPOSE: A critical barrier to expanding simulation-based instruction in medicine is the availability of clinical instructors. Allowing instructors to remotely observe and debrief simulation sessions may make simulation-based instruction more convenient, thus expanding the pool of instructors available. This study compared the impact of simulation sessions facilitated by in-person (IP) faculty versus those supervised remotely using Web-conferencing software (WebEx(?), Cisco [ www.webex.com/ ]).SUBJECTS AND METHODS: A convenience sample of preclinical medical students volunteered to "care for" patients in a simulation laboratory. Students received either standard IP or Web-conferenced (WC) instruction. WC sessions were facilitated by off-site instructors. A satisfaction survey (5-point Likert scale, where 1=strongly disagree and 5=strongly agree) was completed immediately following the sessions.RESULTS: Forty-four surveys were analyzed (WC n=25, IP n=19). In response to the question "Was the communication between faculty and students a barrier to understanding the case?," the average student responses were 2.8 (95% confidence interval [CI] 2.4-3.2) for WC and 4.5 (95% CI 4.0-5.0) for IP (p<0.0001). In response to the question "Would you participate again in such a session?," the average student responses were 4.2 (95% CI 4.0-4.5) for WC and 4.9 (95% CI 4.6-5.2) for IP (p=0.0003). Both groups agreed that they acquired new skills (4.2 for WC, 4.5 for IP; p=0.39) and new knowledge (4.6 for WC, 4.7 for IP; p=0.41).CONCLUSIONS: Telecommunication can successfully enhance access to simulation-based instruction. In this study, a Web interface downgraded the quality of student-faculty communication. Future investigation is needed to better understand the impact of such an effect on the learning process and to reduce barriers that impede implementation of technology-facilitated supervision.

Resumo Limpo

rpose critic barrier expand simulationbas instruct medicin avail clinic instructor allow instructor remot observ debrief simul session may make simulationbas instruct conveni thus expand pool instructor avail studi compar impact simul session facilit inperson ip faculti versus supervis remot use webconferenc softwar webex cisco wwwwebexcom subject method conveni sampl preclin medic student volunt care patient simul laboratori student receiv either standard ip webconferenc wc instruct wc session facilit offsit instructor satisfact survey point likert scale strong disagre strong agre complet immedi follow sessionsresult fortyfour survey analyz wc n ip n respons question communic faculti student barrier understand case averag student respons confid interv ci wc ci ip p respons question particip session averag student respons ci wc ci ip p group agre acquir new skill wc ip p new knowledg wc ip pconclus telecommun can success enhanc access simulationbas instruct studi web interfac downgrad qualiti studentfaculti communic futur investig need better understand impact effect learn process reduc barrier imped implement technologyfacilit supervis

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