The use of low-cost simulation in a resource-constrained teaching environment

dc.contributor.authorMwandri, M.
dc.contributor.authorWalsh, M.
dc.contributor.authorFrantz, Jose M.
dc.contributor.authorDelport, R.
dc.date.accessioned2017-12-13T08:48:21Z
dc.date.available2017-12-13T08:48:21Z
dc.date.issued2017
dc.description.abstractBACKGROUND. 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 (p<0.001)). The proportions of participants’ scores categorised as ‘full proficiency’ rose from 7% to 42%, and ‘reasonable proficiency’ from 30% to 60%, while both ‘some proficiency’ and ‘poor proficiency’ decreased from 50% and 20% to 0%. Most (93%) participants ‘strongly agreed’ that the training module was acceptable. CONCLUSION. Our results demonstrate the suitability of low-cost simulation for training and assessment in resource-constrained settings.en_US
dc.identifier.citationMwandri, M. et al. (2017). The use of low-cost simulation in a resource-constrained teaching environment. African Journal of Health Professions Education, 9(4): 168 - 170
dc.identifier.issn2078-5127
dc.identifier.urihttp://dx.doi.org/10.7196/AJHPE.2017.v9i4.829
dc.identifier.urihttp://hdl.handle.net/10566/3324
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherHealth and Medical Publishing Group (HMPG)en_US
dc.rightsThis open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.
dc.status.ispeerreviewedTRUE
dc.subjectSurgical skillen_US
dc.subjectLow-cost simulationen_US
dc.subjectChest injuryen_US
dc.subjectSurgical skills assessmenten_US
dc.subjectLow-middle-income-countriesen_US
dc.titleThe use of low-cost simulation in a resource-constrained teaching environmenten_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Mwandri_The-us-of_2017.pdf
Size:
105.5 KB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: