Enhancing Student Learning by Simulation

Study Overview
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Brief Summary
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As the standard of best practice, care of complicated or difficult patient needs not only knowledge but also including skills and clinical thinking in many aspects. Simulation is now accepted as the way of teaching for adult learners. This learning method can help students to apply their knowledge, practical skills and non-technical skills. A systematic review study showed that self-directed learning (SDL) in health professions education is associated with moderate improvement in the knowledge domain. SDL also help the learners to improve self-efficacy and the learning outcomes in complicated tasks.In this study, the investigators wanted to evaluate that simulation can enhance student to do SDL in the both pre and post session period.

Detailed Description
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After approval from the instution's Ethics Committee, a prospective cohort study was conducted between November 2017 to March 2018. Twenty-five anesthesia residents were participated in this study. Students were noticed about the simulation classes which are emergencies in pediatric anesthesia and complications at one-month prior the day of practice. The list of standard references was given. On the day of study, at the institute's simulation center, students were voluntarily separated into two groups, directed- learner and observer. Post class debriefing sessions were done as routine activities. After the class, the investigator invited the students to be enrolled in this study by using the flyers. Following the consent process, three consecutive questionnaires (day 0 ,30, 90) were sent to the subjects. The data analysis will be done by using R program. The statistically significance in this study was classified at p <0.05.

Official Title
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Enhancing Student Learning by Simulation

Conditions
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Pre and Post Simulation Session Self-directed Learning Time

Intervention / Treatment
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* Other: Simulation class


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Anesthesia residences who are currently studying in the department of Anesthesia Exclusion Criteria: Refuse to participate
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| anesthesia residence<br>anesthesia residences who currently study in the department of Anesthesia and voluntarily enrolled into the study | Other: Simulation class<br>* Pediatric anesthesia simulation class for anesthesia residences<br>* Other names: Simulation session;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pre-class Self-directed learning time | Time spent for studying by the student, themselves, prior the simulation class | 1 month before class | 
| Post-class Self-directed learning time | Time spent for studying by the student, themselves, after the simulation class | upto 3 months after class | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge retention | The percentage of knowledge (in pediatric anesthesia topic) retain after class | upto 3 months after class | 
| Level of self-confidence to treat the real patient | Level of self-confidence to treat the real patient after class | upto 3 months after class |