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  • 标题:The use of low-cost simulation in a resource-constrained teaching environment
  • 本地全文:下载
  • 作者:M. Mwandri ; M. Walsh ; J. Frantz
  • 期刊名称:African Journal of Health Professions Education
  • 出版年度:2017
  • 卷号:9
  • 期号:4
  • 页码:168-170
  • 语种:English
  • 出版社:African journals online
  • 摘要:Background. To improve the management of chest trauma at the University of  Botswana, Gaborone, Botswana, we incorporated simulation into a theorybased chest trauma module by developing procedural guides, checklists and low-cost simulation.Objectives. To assess the suitability of low-cost simulation-based training and its impact on students’ proficiency, as well as its general acceptability.Methods. A total of 39 medical students who completed their surgical rotation and 20 intern doctors in their first clinical rotation participated. A checklist was used in a pre- and post-test design to assess procedural proficiency, and a rating system categorised scores. Thirteen content-based items assessed the students’  knowledge relating to the diagnosis and management of a chest injury and one item assessed their ability to perform the procedure correctly. A questionnaire was administered after the second assessment to evaluate the acceptability of the  training module. Findings were summarised by median, proportion and range, and pre- and post-test outcomes were compared by Student’s paired t-test.Results. Pre- and post-test assessment scores differed significantly (median  (range) 11.3 (4.5 - 21.0) and 19.5 (15.5 - 23.0), respectively (pConclusion. Our results demonstrate the suitability of low-cost simulation for  training and assessment in resource-constrained settings.
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