Resumen
Objetivo: Evaluar la satisfacción de los estudiantes del sexto semestre de la facultad de medicina sobre un plan de estudios basado en la simulación en la especialidad de Ginecología y Obstetricia (G.O.). Métodos: Estudio de tipo observacional analítico con aplicación de cuestionario construido para medir la satisfacción de las simulaciones. Los datos se alinearon inicialmente en Excel y luego se utilizaron en IBM-SPSS Statistics para el análisis exploratorio de datos y el análisis comparativo. Resultados: La muestra del estudio estaba formada por 68 estudiantes de sexto a duodécimo semestre de la carrera de medicina. El resultado fue que cuanto más avanzado estaba el semestre, mayor era la posibilidad de indicar la simulación. La relación más relevante se evidencia en las variables en las que a mayor ganancia en habilidades y razonamiento clínico, mayor es la posibilidad de indicar simulación. Conclusión: Se concluyó que cuanto mayor es la percepción del alumno de haber mejorado su desempeño, mayor es la posibilidad de indicar el uso de la simulación en quirófano. Este artículo está en consonancia con la literatura en la que la satisfacción de los estudiantes con las actividades basadas en la simulación en ginecología y obstetricia es positiva y promueve la motivación para estudiar. La importancia de la confianza en el rendimiento y la satisfacción durante las actividades de simulación.
Referencias
BEAL MD, et al. The Effectiveness of Medical Simulation in Teaching Medical Students Critical Care Medicine: A Systematic Review and Meta-Analysis. Simulation in Healthcare, 2017; 12(2): 104-116.
BHOOPATKAR H, et al. Medical students’ experience of performing female pelvic examinations: Opportunities and barriers. The Australian and New Zealand Journal of Obstetrics and Gynecology, 2017; 57(5): 514-519.
BISHARA AJ, HITTNER JB. Confidence intervals for correlations when data are not normal. Behavior research methods, 2017; 49(1): 294-309.
BONETT DG, WRIGHT TA. Sample size requirements for estimating Pearson, Kendall and Spearman correlations. Psychometrika, 2000, 65, 23-28.
BRANDÃO CFS, et al. Centros de simulação e projeto pedagógico: dois lados da mesma moeda. Scientia Medica, 2018; 28(1): ID28709.
CAROLAN-OLAH M, et al. Communicating out loud: Midwifery students’ experiences of a simulation exercise for neonatal resuscitation. Nurse Education in Practice, 2018; 29: 8-14.
CECILIO-FERNANDES D, et al. Additional simulation training: does it affect students’ knowledge acquisition and retention? BMJ Simulation Technology Enhanced Learning, 2018; 5(3): 140-3.
COELHO G, VIEIRA T. História da simulação cirúrgica e sua aplicação em Neurocirurgia. Scientia Medica, 2018; 28(1): ID29688.
COHEN J. Statistical Power Analysis for the Behavioral Sciences. 2 ed. Abingdon: Routledge, 1988; 590p.
CONOVER WJ. Practical nonparametric statistics. New York: John Wiley & Sons, 1999.
CROFTS JF, et al. Training for shoulder dystocia: a trial of simulation using low-fidelity and high-fidelity mannequins. Obstetrics & Gynecology, 2006; 108(6): 1477-1485.
EL NAGGAR MA, ALMAEEN AH. Students' perception towards medical-simulation training as a method for clinical teaching. JPMA. The Journal of the Pakistan Medical Association, 2020; 70(4): 618-623.
STATISTICAL INFORMATION CENTRE. Emergency aid and medical rescue in 2016 – Information note. 2017. Disponível em: https://stat.gov.pl/files/gfx/portalinformacyjny/pl/defaultaktualnosci/5513/14/1/1/pomoc_dorazna_i_ratownictwo_medyczne_w_2016_r.pdf. Acessado em: 19 de dezembro de 2022.
EVERETT EN, et al. To the Point: The expanding role of simulation in obstetrics and gynecology medical student education. American Journal of Obstetrics and Gynecology, 2019; 220(2): 129-141.
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.
FERREIRA C, et al. 2015. Impacto da metodologia de Simulação Realística, enquanto tecnologia aplicada a educação nos cursos de Saúde. In: Anais do II STAES – Seminário Tecnologias Aplicadas a Educação e Saúde. Disponível em: https://www.revistas.uneb.br/index.php/staes/article/view/1617. Acessado em: 22 de março de2021.
GAVIN NR, SATIN AJ. Simulation Training in Obstetrics. Clinical Obstetrics and Gynecology, 2017; 60(4): 802-810.
GUARANA CVPS, et al. Avaliação da Competência de Estudantes de Medicina em Identificar Riscos à Segurança do Paciente através de Simulação. Revista Brasileira de Educação Médica, 2020; 43 (1 suppl 1).
HAMPTON BS, et al. To the point: teaching the obstetrics and gynecology medical student in the operating room. American Journal of Obstetrics & Gynecology, 2015; 213(4):464-8.
KLOSIEWICZ T, et al. Application of medical simulation in the education of medical students in the area of gynecology and obstetrics. Ginekologia Polska, 2020; 91(5): 281-286.
LETTERIE GS. How virtual reality may enhance training in obstetrics and gynecology. American Journal of Obstetrics & Gynecology, 2002; 187(3 Suppl): S37-40.
NELISSEN E, et al. Helping Mothers Survive Bleeding After Birth: retention of knowledge, skills, and con dence nine months after obstetric simulation-based training. BMC Pregnancy Childbirth, 2015; 15: 190.
NGUYEN N, et al. Simulation-Based Communication Training for General Surgery and Obstetrics and Gynecology Residents. Journal of Surgical Education, 2019; 76(3): 856-863.
OGUNYEMI D, et al. Evolution of an obstetrics and gynecology interprofessional simulation-based education session for medical and nursing students. Medicine (Baltimore), 2020; 99(43): e22562.
PAZIN FILHO A, SCARPELINI S. Simulação: definição. Medicina (Ribeirão Preto), 2007; 40(2): 162-6.
ROCK JA. Mentoring in gynecology: Presidential address. American Journal of Obstetrics and Gynecology, 1999; 181(6): 1293-5.
RUSSELL E, et al. Simulation in Canadian postgraduate emergency medicine training - a national survey. Canadian Journal of Emergency Medicine, 2018; 20(1): 132-141.
VAN DE VEN J, et al. Reducing errors in health care: cost-effectiveness of multidisciplinary team training in obstetric emergencies (TOSTI study); a randomised controlled trial. BMC Pregnancy Childbirth, 2010; 10: 59.
VAN DE VEN J, et al. Does the effect of one-day simulation team training in obstetric emergencies decline within one year? A post-hoc analysis of a multicentre cluster randomised controlled trial. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2017; 216: 79-84.
WEISS TG, RENTEA RM. Simulation Training and Skill Assessment in Obstetrics and Gynecology. 2020 Jul 10. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2021. Disponível em: https://pubmed.ncbi.nlm.nih.gov/32809343. Acessado em: 22 de março de 2021.
WORLD HEALTH ORGANIZATION (WHO). The World Health Report 2005 – make every mother and child count. 2005. Disponível em: https://www.who.int/publications/i/item/9241562900. Acessado em: 19 de dezembro de 2022.
YU JH, et al. Effects of high-fidelity simulation education on medical students' anxiety and confidence. PLoS One, 2021; 16(5): e0251078.
