1) The document describes a study examining the effects of voluntary self-training in a simulation laboratory on medical student performance on Objective Structured Clinical Examinations (OSCEs).
2) The study found that the 180 students who visited the simulation laboratory at least once scored significantly higher on their OSCEs on average than the 43 students who did not visit the lab.
3) Students who visited the lab one or more times also performed better on the practical skills portion of the OSCE compared to students who did not visit the lab.
The aim of this study was to investigate the effectiveness of plasma exchange therapy in patients with various
forms of hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome.
The aim of this study was to investigate the effectiveness of plasma exchange therapy in patients with various
forms of hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome.
In a pregnant woman presenting with thrombocytopenia, the possibility of HELLP syndrome should always be considered by the treating clinician so as to initiate the therapy at the earliest to prevent the high perinatal mortality and postpartum morbidity. Here we report an unusual case of young Primigravida (postpartum) who presented at Indraprastha Apollo hospitals, New Delhi with altered sensorium, paraperesis, DIC and septic shock. On evaluation she was found to have HELLP syndrome for which Plasmapheresis was given and patient showed remarkable improvement.
Anaesthetic Management of a Patient with HELLP SyndromeMd Rabiul Alam
HELLP syndrome can be an extremely serious and complex multisystem disorder involving much more than just eclampsia. Special considerations in obstetric and anaesthetic management are necessary, to minimize the morbidity and mortality are associated with this syndrome and its complications.
2012.07.02 The Use of Simulation in ObstetricsNUI Galway
Dr. Niamh Hayes, College of Anaesthetists in Ireland, presented The Use of Simulation in Obstetrics at Simulation in Irish Medical Education: Where Are We, and Where Are We Going? held at NUI Galway on the 2nd July 2012.
Interdisciplinary simulation training for obstetric and neonatal emergency co...MCH-org-ua
Presentation by Victor Petrov at the International conference on Simulation-based training in medicine (Kyiv, Ukraine, March 19-20, 2015)
http://motherandchild.org.ua/eng/SimConf-2015
UOG Journal Club August 2013
Intensive training program for ultrasound diagnosis of adnexal masses: protocol and preliminary results
J. L. Alcázar, L. Díaz, P. Flórez, S. Guerriero and M. Jurado
Link to the article (open access):
onlinelibrary.wiley.com/doi/10.1002/uog.12440/abstract
Part 3: Rare Disease Clinical Development – Strategies for Ensuring Endpoint ...Medpace
n this free webinar, Medpace partners with Michelle Eagle of ATOM International, a provider of CE training for clinical trials across the world, to discuss approaches and steps that can be taken to ensure quality and integrity.
In a pregnant woman presenting with thrombocytopenia, the possibility of HELLP syndrome should always be considered by the treating clinician so as to initiate the therapy at the earliest to prevent the high perinatal mortality and postpartum morbidity. Here we report an unusual case of young Primigravida (postpartum) who presented at Indraprastha Apollo hospitals, New Delhi with altered sensorium, paraperesis, DIC and septic shock. On evaluation she was found to have HELLP syndrome for which Plasmapheresis was given and patient showed remarkable improvement.
Anaesthetic Management of a Patient with HELLP SyndromeMd Rabiul Alam
HELLP syndrome can be an extremely serious and complex multisystem disorder involving much more than just eclampsia. Special considerations in obstetric and anaesthetic management are necessary, to minimize the morbidity and mortality are associated with this syndrome and its complications.
2012.07.02 The Use of Simulation in ObstetricsNUI Galway
Dr. Niamh Hayes, College of Anaesthetists in Ireland, presented The Use of Simulation in Obstetrics at Simulation in Irish Medical Education: Where Are We, and Where Are We Going? held at NUI Galway on the 2nd July 2012.
Interdisciplinary simulation training for obstetric and neonatal emergency co...MCH-org-ua
Presentation by Victor Petrov at the International conference on Simulation-based training in medicine (Kyiv, Ukraine, March 19-20, 2015)
http://motherandchild.org.ua/eng/SimConf-2015
UOG Journal Club August 2013
Intensive training program for ultrasound diagnosis of adnexal masses: protocol and preliminary results
J. L. Alcázar, L. Díaz, P. Flórez, S. Guerriero and M. Jurado
Link to the article (open access):
onlinelibrary.wiley.com/doi/10.1002/uog.12440/abstract
Part 3: Rare Disease Clinical Development – Strategies for Ensuring Endpoint ...Medpace
n this free webinar, Medpace partners with Michelle Eagle of ATOM International, a provider of CE training for clinical trials across the world, to discuss approaches and steps that can be taken to ensure quality and integrity.
OSCE is an approach to the assessment of clinical competence in which the components of competence are assessed in a planned and structured way, with attention being paid to the objectivity of the examination (HARDEN 1988)
OSCE is an assessment tool in which the components of clinical competence such as history taking, physical examination, simple procedures, interpretation of lab results, patient management problems, communication, attitude etc. are tested using agreed check lists and rotating the student round a number of stations some which have observers with checklists.
objectivity - state in which something is based only on facts and evidence.not influenced by personal feelings or opinions in considering and representing facts.
Standardisation - a level of consistency or uniformity to certain practices or operations within the selected environment. develop and maintain uniformity
Marking scheme for each station is structured and determined in advance.
Each station is manned by one or two examiners to assess the candidate's performance of the required task and award marks based on predetermined and documented criteria called checklists (marking guides).
Candidates rotate through the stations,completing all the stations on their circuit.
All the candidates take the same stations and are assessed on same tasks
Best OSCE stations are created from real clinical scenarios
Miller’s pyramid model divides the development of clinical competence into four, hierarchical processes.1 On the lowest level of the pyramid is ‘knowledge’, tested by written exams and traditional multiple-choice questions (MCQs)
.2 The next level stands for ‘application of knowledge’, assessed by essays, clinical problem-solving exercises and extended MCQs.
3 The third tier of the pyramid represents ‘clinical skills competency’, assessed by standardized patient exercises, simulations and clinical exams.
2 Finally, on top of the pyramid is ‘clinical performance’, assessed by direct observation in real clinical settings.2
The lower level processes account for the cognitive components of competence and involve classroom-based assessments, while the two higher tiers of the pyramid account for the behavioural components of clinical competence, which involve assessment in simulated and real clinical settings.
What are the Best Training Courses for IVF?IVF Treatment
Assisted reproductive technology, also known as assisted reproductive treatment, is a treatment method that helps patients achieve pregnancy. ART courses cover a wide range of treatments. The type of treatment will be recommended based on the cause of infertility. Among the areas of study in ART are:
• Ovulation Induction (OI)
• Artificial Insemination (AI)
• donor concept
• In-Vitro Fertilization (IVF)
• Gamete Intrafallopian Transfer (GIFT)
• Intracytoplasmic Sperm Injection (ICSI)
• Preimplantation Genetic Testing (PGT)
• Surrogacy
Track 12. Educational Innovation
Authors: Anastasio P. Santos, Ricardo Castedo, Covadonga Alarcon, Kyan Dios, María Chiquito, Isabel España and Lina M. López
https://youtu.be/Spf_W5B--8c
Osce Results After Voluntary Self-Training in a simulation laboratory at Granada Medical School
1. Osce Results After Voluntary
Self-Training in a Simulation
Laboratory at Granada Medical
School
Dr. C. Chung, J Florido, D Gonzalez, A Vilchez y JM
Peinado
Dpto. Obstetrics and Gynecologist
Granada University
http://www.ugr.es/~obsgin/
chung@ugr.es
AMEE 2009
XIXth SEDEM Meeting
Málaga, Spain
29 August to 2 September 2009
5. 2.- Gynecologic Skills
• A.- Genital Female Exploration
• B.- Take a Papanicolau Smears
• C.- Bimanual Exploration
• D.- Breast Exploration
• E.- Insert a IUD
6. 3.- Obstetrics Skills
• A.- Abdominal Pregnant Exploration
• B.- Foetal Heart Rate
• C.- Cervix Exploration and Fetal Station
• D.- Attendance at Simulator Birth
• E.- Perform an Episiotomy and suturing
7. 4.- Surgery Skills
• A.- Asepsis Rules and Basic surgical
instruments
• B.- Infiltration anesthesia
• C.- Simple Suture and Types
• D.- Male and Female Urinary Catheter
• E.- Anus, Rectum and Prostate
Exploration
• F.- Bandages and Plasters
8. 5.- Advanced and Emergency
Medicine
• A.- Abdomen Exploration
• B.- Place a Nasogastric Tube
• C.- Perform a Lumbar Puncture
• D.- Perform CPR by a Basic Life Support
• E.- Perform CPR using an Advanced Life
Support
• F.- Perform Endotracheal Intubation
9. 6.- Other Skills
• A.- Exploration of the Fundus Oculi by
Direct Ophthalmoscopy
• C.- Perform Skin Biopsies
• D.- Removing Cysts and Lipomas
• E.- Perform Otoscopy
• F.- Thyroid Gland, Pharynx and Larynx
Exploration
10. Educational Material at Each
Stage
• 1.-Manikins and
Simulators
• 2.-Poster with
Pictures and Key
• 3.-Computer with
Video
16. Objectives of the Self-Training
Simulation Laboratory
• Improve their Learning Curve
17. Objectives of this study
• The present study was conducted to
analyze if self-training after programmed
teaching, in a Simulation Laboratory
specifically conditioned for that goal, has
any effect on student OSCE performance
and Score.
18. • This Study was conducted to see
whether the group of Students who
visited the Laboratory Training (180)
had a different Outcome to those who did
not (43 )
19. 180 Students Who Visited
Simulator Laboratoy
• 138 visited it only Once (76,66%)
• 42 visited Twice (23,33%)
• 1 visited (three times )
20. Result
• The ANOVA showed a statistically
significant effect of having Visited the
laboratory once or more (180 students) or
not (43 students),
• 0.8929 F p value < 0.000
21. OSCE Mark
• Students who did not
visit the lab have lower
average mark (50,75)
• than those who visited:
• Once (58,89)
• Twice or More (58.80)
•
46
48
50
52
54
56
58
60
Not Visited Once > Once
Columnas 1
22. Medical Skill
0 20 40 60 80
Anamnesis
Comunica
Exploration
Practical
Management
Treatment
OSCE
>=1
No Visited
23. Average in Practical Skills
• Was significantly lower in the
group that not visited the laboratory
(51,26)
• Than in those who visited it
• Once (66,67)
• Two or more times (67,58)
24. Conclusions
• Students who undertook this training
• 1.-Obtained a better rating in the overall
OSCE mark than those who did not .
• 2.- Obtained a better mark in practical
Skills than those who did not.