AN OBSERVER TOOL TO ENHANCE LEARNING OF MEDICAL STUDENTS DURING SIMULATION TRAINING OF CARDIOPULMONARY RESUSCITATION: A RANDOMIZED CONTROLLED TRIAL
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Keywords
Simulation Training, Cardiopulmonary Resuscitation, Observer Tool
Abstract
Background: In cardiopulmonary resuscitation (CPR), simulation training plays a vital part of medical education, but there is limited time of active practice due to large class sizes, resulting in a small learning effect. A tool called an observer tool (OT) is a checklist which summarizes CPR skills and actions stepwise, has been proposed to improve learning during observation.
Objective: To evaluate the importance of an OT in improving the learning outcome of medical students during simulation training of CPR.
Methodology: The study design was prospective, randomized controlled trial was conducted at Kabir Medical College, Gandhara University in a time span of February 2022 to February 2023. The sample size was 200 and these medical students were randomized into two groups: OT+ (using the observer tool) and OT- (without the observer tool). OT checklist assessed the primary outcome. Secondary outcomes included non-technical skills (NTS) scores, chest compression quality, knowledge scores (MCQ), perceived improvement in skills, and satisfaction levels.
Results: A significantly higher global performance score was of OT+ group (25.2 ± 0.9) compared to the OT- group (24.6 ± 1.3, p = 0.001). The OT+ group also showed significant improvements in chest compression quality (96% vs. 91%, p = 0.032), knowledge scores (19.2 ± 1.3 vs. 17.5 ± 1.6, p = 0.003), and perceived improvement in skills (4.7 ± 0.5 vs. 4.4 ± 0.6, p = 0.023). No significant differences were observed in NTS scores (p = 0.224) and satisfaction levels (p = 0.139).
Conclusion: An observer tool significantly improve the performance of medical students globally. Notable improvements were seen in participants using observer tool in chest compression quality, knowledge scores, and perceived skill improvement. However, no significant differences were seen in non-technical skills and overall satisfaction, the results suggest that structured observation can effectively enhance certain aspects of CPR training. These findings highlight the potential of observer tools to improve specific learning outcomes, representing their value in medical education.
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Dr Marina Khan
Director Medical Education, Gandhara University, Peshawar Pakistan
Dr Khurram Naushad
Lecturer, Department of Medical Education, Khyber Girls Medical College, Peshawar Pakistan
Dr Maidha Jadoon
Lecturer, DMER, Women Medical College, Abbottabad Pakistan
Dr Uzma Siddique
Lecturer, Department of Medical Education, Peshawar Medical College, Peshawar Pakistan
Dr Fatima Aman
Lecturer, DMER, Women Medical College, Abbottabad Pakistan
Dr Mushyyada Durrani
Assistant Professor, Department of Dental Education, Peshawar Dental College, Peshawar Pakistan