Effect of Simulation Based Education on Medical Knowledge

Effect of pretence Based Education on Medical KnowledgeEFFECT OF SIMULATION BASED EDUCATION ON KNOWLEDGE OF MEDICAL STUDENTS IN CONTEXT OF COMMUNITY MEDICINEBogam Rahul R.Corresponding AuthorDr Rahul Ramesh BogamABSTRACT subterfuges are macrocosm progressively used to train medical examination exam exam students in diverse clinical skills. Simulation is arguably the most braggy innovation in medical education over the past 15 years. position play is a semblance technique which can potentially strengthen knowledge that will overstep to modify expertise. The present conceive was undertaken to assess an enduringness of artless intervention in the get up of part turning Simulation on the knowledge of undergraduate MBBS medical students of one of randomly selected medical colleges in Maharashtra regarding Epidemics Investigations. Methods A cross-sectional bailiwick consisting of pre and post exam intervention was conducted at one of the randomly selected medical coll eges in Western Maharashtra. A structured pretested self administered questionnaire consisting of 15 close ended questions was distributed to all receipts participants. The present pick out attempted to interconnected simulation based social function play which was based on epidemic/outbreak investigations for food poisoning. Immediately later on this intervention, same questionnaire was distributed to participants as a post test and responses were collected. Paired t-test was used to assess pre and post intervention knowledge of participants. Results give way study revealed significant procession in knowledge of participants more or less epidemic investigations from pre to post intervention as a result of fiber Play Simulation Based Education (t = 42.87, p Conclusion A simple simulation form give care role play can make significant change in knowledge of medical students virtually very important topic i.e. Epidemic Investigation in Community Medicine subject. come across words Simulations, Community Medicine, Knowledge, Medical students, Role playINTRODUCTIONThere have been burgeoning developments and changes in medical education.1 The information and communicating technology has revolutionized the educational activity and learning process.1 Various new article of belief methodogies are being used to impart medical education to the students in more effective way. The basic reason to view for these methodologies is the dis-satisfaction with conventional mode of education, which is losing its relevance in this era of information explosion. 1Simulations are being increasingly used to train medical students in diverse clinical skills. Simulation is arguably the most prominent innovation in medical education over the past 15 years. 2 They help us to iterate situations which may not possible to get in rattling settings or where it may be logistically unenviable to work on real patients. 1 Role play is a simulation technique which can potentially st rengthen knowledge that will lead to improved expertise. Despite of an effectiveness of role play in providing medical education, its use in educating medical students is limited. 3Epidemic Investigation is not only an substantial aspect in Community Medicine subject but also it has public health relevance. veritable(a) though very a couple of(prenominal) studies have been conducted so far in India to evaluate the knowledge of medical students pertaining to investigations of epidemic, some evidences have shown that Simulation Based Education can be an effective teaching neb to educate medical students about emergency situation like epidemics. Clinical situations for teaching and learning purposes are created using various forms of simulation like mannequins, part-task trainers, simulated patients or computer-generated simulations.The present study was undertaken to assess an effectiveness of simple intervention in the form of Role Play Simulation on the knowledge of undergraduat e MBBS medical students of one of randomly selected medical colleges in Maharashtra regarding Epidemics Investigations.OBJECTIVETo assess an effectiveness of Role Play Simulation on knowledge of undergraduate MBBS medical students about Epidemics Investigations.MATERIAL AND METHODSA cross-sectional study consisting of pre and post test intervention was conducted at one of the randomly selected medical colleges in Western Maharashtra. The inclusion body criteria were all revenue undergraduate medical students from 7th semester who were present on the day of an intervention. Those who did not practise the class on the day of an intervention were excluded from the study. Written permission was also obtained from participants after explaining the purpose of study to them.A structured pretested self administered questionnaire consisting of 15 close ended questions was distributed to all participants. They were allowed 15 minutes to slay questionnaire under strict supervision. A quest ionnaire consisted of questions based on various aspects of epidemic investigations like essential criteria for tick of existence of an epidemic, spot map, epidemiological case sheet etc.The present study attempted to incorporate simulation based role play which was based on epidemic/outbreak investigations for food poisoning. a couple of(prenominal) volunteer medical students were selected and trained to participate in simulation based role play. They were asked to focus on ten important steps in investigation of an epidemic i.e. verification of diagnosis, confirmation of an existence of an epidemic, delimitate the population at risk, rapid search for all cases and their characteristics, data analysis, formulation of hypothesis, testing of hypothesis, evaluation of bionomical factors, further investigation of population at risk and writing the report (Table 1). Remaining students were asked to watch this simulation based role play. Total duration of role play was about 20 minut es. Immediately after this intervention, same questionnaire was distributed to participants as a post test and responses were collected.Data AnalysisThe scoring system for each complete question was assigned for pre and post intervention. Statistical analysis was done using Microsoft Office excel Sheet. Paired t-test was used to assess pre and post intervention knowledge of participants.RESULTS AND DISCUSSIONIn present study, of 144 participants 78(54.16%) were males and 66 (45.83%) were females. All (100%) participants were in age bracket of 20-23 years.In contemporary medical education, there is satisfying emphasis on the use of innovative teaching methods like Problem Based Learning, One second Preceptor (OMP), Computer Assisted Learning, Flipped Teaching etc. Uses of these types of methods help students to learn various clinical skills in more effective way.The present study attempted to impart knowledge to undergraduate medical students about investigations of an epidemic by using Role Play Method rather than using traditional teaching method.The present study showed that simple simulation form like role play made procession in the knowledge of participants about Epidemic Investigations. Similarly other Studies also reported that the use of simulations as a teaching tool increases students comprehension of complex theoretical concepts in telling to modules that are taught solely with the traditional lecture/seminar format. 4 Jennifer M Weller et al. 5 also recommended that Simulation Based Education of necessity to be integrated into medical curricula at the development stage, with careful attention paid to transfer of skills learnt to the real clinical environment. In a Malaysian medical school, role plays have been used to teach communication skills in primary care medicine. 6Table. 1. Pre and Post intervention questions with correct response (n = 144)Table. 2. Mean marks of participants (n = 144)Present study revealed significant improvement in kn owledge of participants about epidemic investigations from pre to post intervention as a result of Role Play Simulation Based Education (t = 42.87, p However anterior to an intervention, poor level of knowledge was found amongst participants regarding certain aspects of epidemic investigations like Spot Map, criteria for confirmation of epidemic, cessation of investigation of an epidemic etc.( Table 2).The present study reiterates the need for incorporation of innovative methodologies like simulations along with traditional methods for better learning of students. At some places, methodology like Role Play has been fixture teaching method in medical colleges.7At the University of Heidelberg, Germany, introducing role plays augmented the realism of technical training and improved doctor-patient communication and to teach students to obtain a sexual history and discuss sexual health issues. 8 Role-play is simple form of simulation which can be a valuable teaching tool for medical e ducation, requiring few resources and allowing students to look at the material they are learning in a new light.CONCLUSIONSPresent study reported significant improvement in knowledge of undergraduate medical students pertaining to epidemic investigation from pre to post-intervention as a result of role play method. It shows that even a simple simulation form like role play can make significant change in knowledge of medical students about very important topic i.e. Epidemic Investigation in Community Medicine subject.ACKNOWLEDGEMENTWe cordially acknowledge the cooperation and support of Dr. Shekhar M. Kumbhar for conduction of this study.DECLARATION OF INTERESTThe author reports no conflicts of interest. The author alone is prudent for the content and writing of the article.REFERENCESTejinder Singh, Piyush Gupta, Daljit Singh. Principles of Medical Education. Jaypee Brothers Medical Publishers (P) Ltd. 2013 4th Edn, 1-14.Morgan Passiment Heather Sacks Grace Huang. Medical Simulati on in Medical Education Results of an AAMC Survey. 2011, Association of American Medical Colleges 1-42.P.Ravi Shankar, Rano M.Piryani, Kundan K.Singh and Bal Man Karki. Student feedback about the use of role plays in Sparshanam, a medical humanities module. F 1000 research. 2012 1 (65) 1-10.Govinda Clayton and Theodora-Ismene Gizelis. Learning through Simulation or Simulated Learning? An Investigation into the Effectiveness of Simulations as a Teaching Tool in Higher Education.1-25.Jennifer M Weller, Debra Nestel,Stuart D Marshall, Peter M Brooks, Jennifer J Conn. Simulation in clinical teaching and learning.MJA.2012 196 (9)1-5.Sherina HN and Chia YC Communication skills teaching in primary care medicine.Medical Journal of Malaysia. 2002 57(Suppl E) 7477.Manzoor I, Mukhtar F and Hashmi NR Medical students perspective about role playsas a teaching strategy in society medicine. Journal of the College of Physicians and Surgeons, Pakistan. 2012 22(4) 2225.Nikendei C, Kraus B, Schrauth M, P.Weyrich, S.Zipfel, W.Herzogi et al. Integration of role-playing into technical skills training a randomized controlled trial. Medical Teacher. 2007 29(9) 956960.1