Comparative Evaluation of Ultrasound-Guided Femoral Nerve Block Training With Low-Fidelity Low-Cost Simulation Model Among Junior Doctors in Department of Emergency Medicine USM.

Comparative Evaluation of Ultrasound-Guided Femoral Nerve Block Training With Low-Fidelity Low-Cost Simulation Model Among Junior Doctors in Department of Emergency Medicine USM

To study the effectiveness of low-fidelity ultrasound-guided femoral nerve block training interventions score in knowledge and skills performance among junior doctors in the Department of Emergency Medicine Universiti Sains Malaysia, with the aim of assessing its mean.

Study Overview

• Status: Enrolling by invitation
• Conditions: Emergency Medicine; Regional Anaesthesia
• Intervention / Treatment: Behavioral: Low-fidelity ultrasound-guided femoral nerve block simulation training

Detailed Description

1. To compare the mean score of knowledge of junior doctors in performing ultrasound-guided femoral nerve block in the emergency department pre and post training simulation.

2. To compare the mean score of skills of junior doctors in performing ultrasound-guided femoral nerve block in the emergency department pre and post training simulation.

3. To determine the impact of the low-fidelity, low-cost bovine meat-based simulation model for ultrasound-guided femoral nerve block training on confidence among junior doctors working in the emergency department

• Study Type: Interventional
• Enrollment (Estimated): 36
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Malaysia
  • Kelantan
    • Kubang Kerian, Kelantan, Malaysia, 16150
      • Hospital Universiti Sains Malaysia

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• House Officers currently or previously trained in Department of Emergency Medicine Hospital USM
• Medical Officers who received Housemanship Training in Department of Emergency Medicine Hospital USM within 1 year prior to study

Exclusion Criteria:

• Participants who have previously underwent training in ultrasound-guided regional nerve block.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Ultrasound-Guided Femoral Nerve Block Training Intervention; Junior doctors in the Emergency Department at Hospital Universiti Sains Malaysia will undergo a low-fidelity simulation-based training on ultrasound-guided femoral nerve block using a bovine meat model. The intervention includes a brief lecture, demonstration, and hands-on practice session, followed by assessment of knowledge (MCQ) and skills (OSCE) pre- and post-intervention.

Behavioral: Low-fidelity ultrasound-guided femoral nerve block simulation training; This intervention involves a low-fidelity simulation-based training on ultrasound-guided femoral nerve block (UGFNB) using a bovine meat model. Participants receive a brief lecture followed by a hands-on skills session. The training focuses on anatomical identification, ultrasound imaging, and nerve block technique using the simulated model. Knowledge and skill performance are assessed through multiple-choice questions and an OSCE before and after the intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in knowledge score before and after training	Knowledge will be assessed using a validated 10-item multiple choice questionnaire. Total score ranges from 0 to 10.	Immediately before and after the intervention (within same day)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in procedural skill score (OSCE) before and after training	Skill will be assessed using a structured 7-domain OSCE checklist. Total score ranges from 0 to 20.	Immediately before and after the intervention

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-reported confidence level in performing ultrasound-guided femoral nerve block post training	Participants will self-report their confidence using a survey immediately following the simulation training. Data will describe participants' post-training confidence and prior exposure to regional anesthesia.	Immediately after intervention

Collaborators and Investigators

• Sponsor: Universiti Sains Malaysia
• Investigators: Principal Investigator: Dr Mohamad Zikri Bin Ahmad, Department of Emergency Medicine, Universiti Sains Malaysia; Principal Investigator: Dr Ahmad Afiq Bin Abdullah Zan, MBBCh, Department of Emergency Medicine, Universiti Sains Malaysia

Study record dates

Study Major Dates

• Study Start (Actual): August 1, 2025
• Primary Completion (Actual): May 12, 2026
• Study Completion (Estimated): May 12, 2026

Study Registration Dates

• First Submitted: May 16, 2026
• First Submitted That Met QC Criteria: May 16, 2026
• First Posted (Actual): May 22, 2026

Study Record Updates

• Last Update Posted (Actual): May 22, 2026
• Last Update Submitted That Met QC Criteria: May 16, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Keywords: regional anaesthesia; femoral nerve block; Malaysia; low cost; simulation model; junior doctors; USM; Low fidelity
• Other Study ID Numbers: USM/JEPeM/KK/24100908

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