Does Teaching Before or After Simulation Improve Learning?

Study Overview
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Brief Summary
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The goal of the randomized educational intervention study is to test whether simulation preceding didactic teaching leads to improved knowledge and performance retention compared to a didactic lecture proceeding simulation for medical students Participants will be randomized to one of two different groups with reverse orders for simulation and lectures. Researchers will compare each group to see which way is better for learning.

Official Title
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Outcome of a Lecture Before vs After Simulation-based Education on Pediatric Status Epileptics: A Randomized Controlled Pilot Trial

Conditions
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Medical Education, Simulation

Intervention / Treatment
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* Other: Simulation on Pediatric Status Epilepticus
* Other: Didactic Lecture on Pediatric Status Epilepticus


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Second year medical student at the University of British Columbia Exclusion Criteria: - None
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Simulation - Didactic Lecture Group<br>This group will start with a Simulation and debrief followed by a didactic lecture afterwards. They will then complete a simulation 2 months later. | Other: Simulation on Pediatric Status Epilepticus<br>* The participants will complete a simulation session and debrief lead by a pediatric emergency medicine physician on status epilepticus.<br>Other: Didactic Lecture on Pediatric Status Epilepticus<br>* The participants will complete a lecture on pediatric status epilepticus<br>|
| Experimental: Didactic Lecture - Simulation Group<br>This group will start with a didactic lecture and then complete a simulation and debrief. They will then complete a simulation 2 months later. | Other: Simulation on Pediatric Status Epilepticus<br>* The participants will complete a simulation session and debrief lead by a pediatric emergency medicine physician on status epilepticus.<br>Other: Didactic Lecture on Pediatric Status Epilepticus<br>* The participants will complete a lecture on pediatric status epilepticus<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in resuscitation performance retention score 2 months post-initial training assessed using global simulation performance score | The scoring sheet used will be the Global Simulation performance score a one to seven scale that assess over medical expertise performance in the simulation with higher values representing increased competence. | From initial simulation until repeat simulation 2 months later | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in knowledge assessment score at 2 months post-initial training assessed using an MCQ | The knowledge test is a 15 questions multiple choice exam scored from 0 to 15 with higher numbers representing a higher score. | From initial knowledge test until repeat testing 2 months later | 
| Learner satisfaction measured by Likert scale items after each simulation debrief | The Likert scale will be a one to five scale with higher scores representing increased satisfaction | Single time metric completed five minutes after initial simulation session | 
| Time to resuscitation metrics | The following time to metrics will be measured from simulation start until completion of each activity within that simulation: glucose check, IV access, first-line anti-epileptic administration, second-line anti-epileptic administration, chemistry panel | The time for each metric will be measured once during the second evaluatory simulation 2 months after the initial simulation and participant enrolment. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Medical Education, Simulation, Pediatrics