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Effectiveness of near-peer simulation for managing the acutely deteriorating patient among residents of an internal medicine junior residency programme
- Source :
- Singapore Med J
- Publication Year :
- 2019
-
Abstract
- Introduction Near-peer teaching is gaining popularity as a teaching modality, as it improves the learner's understanding, is targeted at an appropriate level and promotes familiarisation. This study was initiated to evaluate the effectiveness of incorporating near-peer instruction into simulation-based training within a junior residency programme. Methods 42 first-year residents from an internal medicine junior residency programme were recruited. Participants underwent a simulation-based training programme conducted over five weeks. Each week involved either an emergency or acute clinical scenario. A structured questionnaire was administered prior to and after the course to compare participants' perceived knowledge, experience and confidence in managing the clinical scenarios. Results In our study, 83% of participants agreed/strongly agreed that the scenarios were realistic. There were improvements in perceived knowledge, experience and confidence after the course. The greatest improvement was seen for experience (post-simulation: median 7.00 [interquartile range (IQR) 6.00‒8.00] vs. pre-simulation: median 5.00 [IQR 3.00-6.25]). 65% of participants were keen to help with future training. Conclusion Near-peer simulation training was found to be a viable and valuable method of instruction for first-year residents for increasing experience, instilling confidence and improving perceived knowledge. Integration of such programmes within medical education curricula shows good promise of continuity, with many first-year residents inspired to organise subsequent sessions.
- Subjects :
- medicine.medical_specialty
Attitude of Health Personnel
education
030204 cardiovascular system & hematology
Peer Group
Simulation training
03 medical and health sciences
0302 clinical medicine
Interquartile range
Internal medicine
Physicians
Surveys and Questionnaires
medicine
Internal Medicine
Humans
030212 general & internal medicine
Clinical scenario
Training programme
Curriculum
Simulation Training
Singapore
business.industry
Internship and Residency
General Medicine
Popularity
Original Article
Clinical Competence
business
Subjects
Details
- ISSN :
- 00375675
- Volume :
- 61
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Singapore medical journal
- Accession number :
- edsair.doi.dedup.....425558248b60e78f700d8c1f93bef43d