Manikins versus simulated patients in emergency medicine training: a comparative analysis

  • Purpose: Every physician must be able to sufficiently master medical emergencies, especially in medical areas where emergencies occur frequently such as in the emergency room or emergency surgery. This contrasts with the observation that medical students and young residents often feel insufficiently prepared to handle medical emergencies. It is therefore necessary to train them in the treatment of emergency patients. The aim of this study is to analyze the influence of the assignment of manikin versus simulated patients during a training for undergraduate medical students on learning outcomes and the perceived realism. Methods: The study had a prospective cross-over design and took place in a 3-day emergency medicine training for undergraduate medical students. Students completed three teaching units (‘chest pain’, ‘impaired consciousness’, ‘dyspnea’), either with manikin or simulated patient. Using a questionnaire after each unit, overall impression, didactics, content, the quality of practical exercises, and the learning success were evaluated. The gained competences were measured in a 6-station objective structured clinical examination (OSCE) at the end of training. Results: 126 students participated. Students rated simulated patients as significantly more realistic than manikins regarding the possibility to carry out examination techniques and taking medical history. 54.92% of the students would prefer to train with simulated patients in the future. Regarding the gained competences for ‘chest pain’ and ‘impaired consciousness’, students who trained with a manikin scored less in the OSCE station than the simulated patients-group. Conclusion: Simulated patients are rated more realistic than manikins and seem to be superior to manikins regarding gained competence.

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Author:Jasmina SterzORCiDGND, Niklas GutenbergerGND, Maria-Christina StefanescuORCiDGND, Uwe Zinßer, Lena Bepler, Svea Katharina LinßenGND, Verena SchäferGND, Patrick Carstensen, René VerboketORCiDGND, Farzin AdiliORCiDGND, Miriam RüsselerORCiDGND
Parent Title (English):European journal of trauma and emergency surgery
Publisher:Springer Medizin
Place of publication:Heidelberg
Document Type:Article
Date of Publication (online):2021/07/30
Date of first Publication:2021/07/30
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2022/11/30
Tag:Patient manikins; Simulated patients; Simulation training; Undergraduate medical education
Page Number:9
First Page:3793
Last Page:3801
Open Access funding enabled and organized by Projekt DEAL.
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):License LogoCreative Commons - Namensnennung 4.0