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

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

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"

Study Overview

• Status: Completed
• Conditions: Asthma
• Intervention / Treatment: Other: High Fidelity Simulation; Other: Video case

• Study Type: Interventional
• Enrollment (Actual): 33
• Phase: Phase 1

Contacts and Locations

Study Locations

• Tunisia
  • Monastir, Tunisia, 5000
    • University of Monastir

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: High Fidelity Simulation; Students will receive a 1 hour High fidelity simulation session	Other: High Fidelity Simulation; 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.
Experimental: Video Case; Students will receive a 1 hour assisted Video Case learning session	Other: Video case; 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.

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: University of Monastir
• Investigators: Principal Investigator: Mohamed habib Grissa, MD, Emergency Department , university hospital of Monastir, TUNISIA; Principal Investigator: Nouira Semir, Professor, Emergency Department , university hospital of Monastir, TUNISIA

Study record dates

Study Major Dates

• Study Start: September 1, 2014
• Primary Completion (Actual): May 1, 2015
• Study Completion (Actual): May 1, 2015

Study Registration Dates

• First Submitted: May 4, 2016
• First Submitted That Met QC Criteria: May 15, 2016
• First Posted (Estimate): May 18, 2016

Study Record Updates

• Last Update Posted (Estimate): May 18, 2016
• Last Update Submitted That Met QC Criteria: May 15, 2016
• Last Verified: May 1, 2016

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Immune System Diseases; Lung Diseases; Hypersensitivity, Immediate; Bronchial Diseases; Lung Diseases, Obstructive; Respiratory Hypersensitivity; Hypersensitivity; Asthma
• Other Study ID Numbers: SimAG

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED