HFS in the Assessement and Management of Severe Asthma Attack Among Fifth Year Medical School Students

Study Overview
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Brief Summary
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Bedside clinical case learning, such for respiratory distress, represent a challenge for medical teachers, especially in critical conditions. In fact, this kind of learning implicate the presence of an appropriate case (the patient itself), framework and may be time consuming which could compromise the patient's safety and wellbeing. New pedagogic tools have emerged to strengthen the medical reasoning and the acquisition of knowledge. in recent years, the development of medical simulation has found a growing interest in the medical teaching field. Contextualization, reproducibility and reliability are the characteristics of high-fidelity simulation (HFS) which guarantee a lifetime experience of clinical conditions without putting at risk patient's safety and comfort. The aim of this study is to assess the impact of HFS on fifth year medical students learning skills in the assessement and management of an acute asthma attack in the emergency room, and to compares it to other modern teaching tools such as video-case

Official Title
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High Fidelity Simulation (HFS) Versus Video-case(VC) Trainings in the Assessement and Management of Severe Asthma Attack Among Medical School Students: a Randomized Controlled Study

Conditions
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Asthma

Intervention / Treatment
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* Other: High Fidelity Simulation
* Other: Video case


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all fifth year medical students allocated to the one month internship period in the emergency departement. Exclusion Criteria: students refusing to participate in the protocol.
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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Design Details

Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: High Fidelity Simulation<br>Students will receive a 1 hour High fidelity simulation session | Other: High Fidelity Simulation<br>* A HFS session for an asthma attack require: a 5 minutes briefing session: case and equipments presentation and choice of participants 15 minutes of actual simulation 40 minutes of debriefing A pre and a post test will be taken by the students before and after the session and a satisfaction questionnaire at the end of the course. Also, another test will be done after 7 days of the course.<br>|
| Experimental: Video Case<br>Students will receive a 1 hour assisted Video Case learning session | Other: Video case<br>* a video case (or video box) session in which students will attend a video-projection of a real case of an asthma attack and discuss with the trainer the different steps of the assessement and management of an asthma attack. A pre and a post test will be taken by the students before and after the session and a satisfaction questionnaire at the end of the course. Also, another test will be done after 7 days of the course.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference between the pre and the post-test scores in each group (delta Score) | The difference between the pre and the post-test scores is calculated as follow: delta score = post-test score - pre-test score | Just before the teaching course (baseline) and one hour later | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Late performance score | This score is calculated based on a test taken 7 days after the teaching course to assess the students memory of the clinical case and acquired knowledge. | 7 days after the teaching course | 
| Level of satisfaction | A five point likert scale is given to each student to assess their level of satisfaction regarding the teaching technique. | one hour after the teaching course |