The Effectiveness of Medical Simulation in Teaching Medical Students Critical Care Medicine: A Systematic Review and Meta-analysis

Beal, Matt and Kinnear, John and Anderson, Caroline Rachael and Martin, Thomas D. and Wamboldt, Rachel and Hooper, Lee (2016) The Effectiveness of Medical Simulation in Teaching Medical Students Critical Care Medicine: A Systematic Review and Meta-analysis. Simulation in Healthcare. ISSN 1559-2332 (Accepted)

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Official URL: http://doi.org/10.1097/SIH.0000000000000189

Abstract

We aimed to assess effectiveness of simulation for teaching medical students critical care medicine and to assess which simulation methods were most useful. We searched AMED, EMBASE, MEDLINE, ERIC, BEI, AEI, plus bibliographies and citations, to July 2013. Randomised controlled trials comparing effectiveness of simulation with another educational intervention, or no teaching, for teaching medical students critical care medicine were included. Assessments for inclusion, quality and data extraction were duplicated and results synthesised using meta-analysis. We included 22 RCTs (n=1325). Fifteen studies comparing simulation with other teaching found simulation to be more effective (SMD 0.84, 95% CI 0.43 to 1.24; p<0.001; I2 89%). High-fidelity simulation was more effective than low-fidelity and subgrouping supported high-fidelity simulation being more effective than other methods. Simulation improved skill acquisition (SMD 1.01, 95% CI 0.49 to 1.53) but was no better than other teaching in knowledge acquisition (SMD 0.41, 95% CI -0.09 to 0.91).

Item Type: Journal Article
Additional Information: This is the author's accepted version. The final, published version can be viewed at: http://journals.lww.com/simulationinhealthcare/Abstract/publishahead/The_Effectiveness_of_Medical_Simulation_in.99665.aspx
Keywords: Medical education, Clinical education, Medical students, Medical school, Student doctors, Medical simulation, Meta-analysis, Critical care, Intensive care
Faculty: Faculty of Medical Science
Depositing User: Unnamed user with email john.kinnear@anglia.ac.uk
Date Deposited: 15 Sep 2016 10:15
Last Modified: 04 Apr 2017 09:08
URI: http://arro.anglia.ac.uk/id/eprint/700805

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