Does Teaching Before or After Simulation Improve Learning?

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

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.

Study Overview

• Status: Recruiting
• Conditions: Medical Education; Simulation
• Intervention / Treatment: Other: Simulation on Pediatric Status Epilepticus; Other: Didactic Lecture on Pediatric Status Epilepticus

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: John Ramsay, MD; Phone Number: (604) 875-2345; Email: john.ramsay1@phsa.ca

Study Locations

• Canada
  • British Columbia
    • Vancouver, British Columbia, Canada, V6H 3N1
      • Recruiting
      • BC Children's Hospital
      • Contact: John Ramsay, MD; Phone Number: (604) 875-2345; Email: john.ramsay1@phsa.ca

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

- Second year medical student at the University of British Columbia

Exclusion Criteria:

- None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Simulation - Didactic Lecture Group; 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; The participants will complete a simulation session and debrief lead by a pediatric emergency medicine physician on status epilepticus.; Other: Didactic Lecture on Pediatric Status Epilepticus; The participants will complete a lecture on pediatric status epilepticus
Experimental: Didactic Lecture - Simulation Group; 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; The participants will complete a simulation session and debrief lead by a pediatric emergency medicine physician on status epilepticus.; Other: Didactic Lecture on Pediatric Status Epilepticus; The participants will complete a lecture on pediatric status epilepticus

What is the study measuring?

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.

Collaborators and Investigators

• Sponsor: University of British Columbia
• Investigators: Principal Investigator: Melissa Chan, MD, Provincial Health Services Authority

Study record dates

Study Major Dates

• Study Start (Actual): September 20, 2023
• Primary Completion (Estimated): June 1, 2025
• Study Completion (Estimated): June 1, 2025

Study Registration Dates

• First Submitted: October 3, 2023
• First Submitted That Met QC Criteria: October 17, 2023
• First Posted (Actual): October 23, 2023

Study Record Updates

• Last Update Posted (Actual): July 5, 2024
• Last Update Submitted That Met QC Criteria: July 3, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: Pediatrics; Medical Education; Simulation
• Other Study ID Numbers: H22-03760

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No