Keywords
Higher Education
Emergency Medicine
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Abstract
Objective: To measure medical students' comprehension of deliberate rapid cycle practices, as well as their perceptions for a clinical scenario requiring a high-severity procedure such as cricothyroidostomy. Methods: A cross-sectional study with a qualitative approach. A closed-ended questionnaire with 11 questions on the students' perception of the strategy used and on the theme developed was constructed and applied. The data were recorded in Microsoft Excel and later imported into IBM-SPSS Statistics software version 28 - IBM Corporation, NY, USA; for exploratory data analysis. Results: 30 medical students from the fifth semester to the twelfth semester. The results showed absolute acceptance of this strategy and theme developed, considering, from the students' perspective, the superiority of this technique in relation to the traditional one. Conclusion: The results of this article corroborate the hypothesis that complex practices, which can generate serious complications, are more fixed by the students a greater sense of safety when taught step by step, 83.83% reported a self-perception of safety for performing the procedure and 100% considered the RCDP superior to traditional simulation.
References
AHMED R, et al. Rapid-cycle deliberate practice: death notification. Clinical Teacher, 2020; 17(6): 644-9.
AHO JM, et al. Every surgical resident should know how to perform a cricothyrotomy: An inexpensive cricothyrotomy task trainer for teaching and assessing surgical trainees. Journal of Surgical Education, 2015; 72(4):658-6.
BASTOS RA, et al. Solutions, enablers and barriers to online learning in clinical medical education during the first year of the Covid19 pandemic: A rapid review. Medical Teacher, 2022; 44(2): 187-95.
BAIR AE, et al. Cricothyrotomy: a 5-year experience at one institution. The Journal of Emergency Medicine, 2003; 24(2):151-6.
CASTRO LD e COUTO TB. Rapid Cycle Deliberate Practice: a modern simulation strategy. Scientia Medica, 2018; 28(1): ID28849.
CHANCEY R, et al. Learners' experiences during rapid cycle deliberate practice simulations: a qualitative analysis. Simulation in Healthcare, 2019; 14(1): 18-28.
CONOVER WJ. Practical nonparametric statistics. New York: John Wiley, 1999.
COOK DA, et al. Mastery learning for health professionals using technology- enhanced simulation: a systematic review and meta-analysis. Academic Medicine, 2013; 88(8): 1178-86.
COOK TM, et al. Major complications of airway management in the UK: results of the fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Brithish Journal of Anaesthesia, 2011; 106(5): 617-31.
DIRX J e PRENGER S. A Guide to Planning & Implementing Instruction for Adults: A Theme-Based Approach. San Francisco: Jossey-Bass, 1997.
DRISKELL JE, et al. Effect of overlearning on retention. Journal of Applied Psychology, 1992;77(5):615-22.
FERNANDO N, et al. Undergraduate medical students’ perceptions and expectations of theatre-based learning: how can we improve the student learning experience? Surgeon, 2007; 5(5): 271-4.
HERZFELD D, et al. A memory of errors in sensorimotor learning. Science 2014;345(6202):1349-53.
HUNT E, et al. A novel approach to life support training using “action - linked phrases”. Resuscitation, 2015; 86(1):1-5.
HUNT E, et al. Integration of in-hospital cardiac arrest contextual curriculum into a basic life support course: a randomized, controlled simulation study. Resuscitation 2017;114(5):127-32.
HUNT E, et al. Pediatric resident resuscitation skills improve after “rapid cycle deliberate practice” training. Resuscitation, 2014; 85(7):945-51.
HUNT EA. Delays and errors in cardiopulmonary resuscitation and de brillation by pediatric residents during simulated cardiopulmonary arrests. Resuscitation, 2009; 80(7): 819-25.
ISSENBERG S, et al. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical Teacher, 2005; 27(1):10-28.
JAYE P, et al. "The Diamond": a structure for simulation debrief. The Clinical Teacher. 2015; 12(3): 171-5.
JOWETT N, et al. Surgical skill acquisition with self-directed practice using computer-based video training. American Journal of Surgery, 2007; 193(2): 237-42.
LEMKE DS, et al. Improved team performance during pediatric resuscitations after rapid cycle deliberate practice compared with traditional debriefing: a pilot study. Pediatric Emergency Care. 2019; 35(7): 480-6.
MCKENZIE I, et al. Motor skill learning requires active central myelination. Science 2014; 346(6207): 318-22.
MELCHIORS J, et al. Self-directed simulation-based training of emergency cricothyroidotomy: a route to lifesaving skills. European Archives of Oto-rhino-laryngology, 2016; 273(12): 4623-28.
MOCK CN, et al. Essential surgery: key messages from Disease Control Priorities. Lancet, 2015; 385(9983): 2209-19.
MOTTA EV e BARACAT EC. Treinamento de habilidades cirúrgicas para estudantes de medicina – papel da simulação. Revista De Medicina, 2018; 97(1), 18-23. https://doi.org/10.11606/issn.1679-9836.v97i1p18-23.
NARANJO MP, et al. Grau de satisfação do estudante de medicina no ensino baseado em simulação para a ginecologia e obstetrícia. Revista Eletrônica Acervo Saúde, 2023; 23(2): e11808.
PAZIN FILHO A e SCARPELINI S. Simulação: definição. Medicina (Ribeirão Preto), 2007; 40(2): 162-6.
PERRETTA JS, et al. Best Practices and Theoretical Foundations for Simulation Instruction Using Rapid-Cycle Deliberate Practice. Simulation Healthcare, 2020; 15(5): 356-62.
PINTO-COELHO L, et al. Prática deliberada em ciclos rápidos no treinamento de ressuscitação cardiopulmonar pediátrica: uma revisão de escopo. Latinoamerica de Simulación Clínica, 2022; 4(3): 85-93.
PUTNAM R e BORKO H. What do new views of knowledge and thinking have to say about research on teacher learning? Educational Researcher, 2000; 29(1):4-15.
ROSMAN SL, et al. Rapid cycle deliberate practice vs. traditional simulation in a resource-limited setting. BMC Medical Education, 2019; 19(1): 314.
SPENCER JÁ e JORDAN RK. Learner centred approaches in medical education. BMJ (Clinical Research Ed.), 1999; 318(7193):1280-3.
TARAS J e EVERETT T. Rapid cycle deliberate practice in medical education - a systematic review. Cureus, 2017; 9(4): e1180.