Theme: Clinical
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Comparison Cardiopulmonary Resuscitation Training program for medical student between integration to anesthesia curriculum and independent separation course
Authors: Surisa Siriwong
Narin Chindavech
Surasak Aumkaew
Yupin Prawai
Thanatpong Thienwuttiwong
Institutions: Medical Education Centre, Buriram Hospital, Thailand
 
Background

 

 

 

 

  • For developing CPR training course and integrated scenario for learners, we determine effectiveness of incorporate to anesthetic course (IC) compared to independent seperation course (IS).

 

 

 

 

 

 

 

OBJECTIVE

 

 

 

 

 

  •  To determine if whether incorporation of CPR training in anesthetic course syllabus (IC) is a more effective teaching method than the independent seperation training (IS) for 5th year medical students.

 

 

  

Summary of Work

 

 

  • Retrospective cohort study.
  • Two groups of 24 medical students    were enrolled and divided into IC group and IS group
  • IS group applied 2-adult resuscitation simulation scenario (Megacode) in which each participant acting as a code leader to evaluate knowledge and skills was assessed and reviewed by two instructors independently.
  • Outcomes measurement included basic life support (BLS), advanced cardiac life support (ACLS) in aspect of ECG analysis, pharmacology, practical application, number of critical actions during Megacode after the training program.

 

 

 

 
 

 

 

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Acknowledgement

Special thanks for all participants , Buriram CPR trainer team,  Buriram medical education center secretariat and Collaborrative Project to Increase Production of Rural Doctor (CPIRD), Thailand.

   

References

 

 1. Ko PY, Scott JM, Mihai A, Grant WD. Comparison of a modified longitudinal simulation-based advanced cardiovascular life support to a traditional advanced cardiovascular life support curriculum in third-year medical students. Teaching Learning Medicine ; 2011 Oct; 23(4) : 324-30. 

  2. Lo BM, Devine AS, Evans DP, Byar DV, Lamm OY, Lee RJ, et.al.   Comparison of traditional versus high-fidelity simulation in the retention of ACLS knowledge. Resuscitation; 2011 Nov; 82(11):1440-3.the retention n the 

3. Lee CC, Im M. Kim TM, Stapleton ER, Kim K, Suh GJ, et.al.  Comparison of traditional advanced cardiac life support (ACLS) course instruction vs. scenario based, performance oriented team instruction (SPOTI) method for Korean paramedic students.The Journal of Emergency Medicine; 2010 Jan;38(1):89-92.

4. Christenson J, Parrish K, Barabe' S, Noseworthy R, William T, Geddes R, et. al . A comparison of multimedia and standard advanced cardiac life support learning. Academic Emergency Medicine; 1998 Jul;5(7):702-8.

 

 

 

Summary of Results

 

 

  •  5th year medical students in integrated group (IS) had higher total BLS/ACLS knowledge score. 
  • After CPR training  both groups had significant knowledge  score in BLS and ACLS .
  • During megacode simulation-based scenario both groups had borderline to satisfactory scale of performance.(83.3%)
  • Most common errors during CPR were medication identification.
  • Common misinterpretation of ECG was ventricular fibrillation.

   

 

 

Conclusion

 Our 

  • Our incorparation CPR in anesthetic course students enable to get higher examination scores than seperation course.
  • Confidence in performing CPR program is no significantly different.
  • Satisfaction for both training programs is no significantly different but it may be affected by score of IC group is the part of evaluation & grade to pass anesthetic course that the student must  concentrate.

  

Take-home Messages

 

Incorporate CPR training program into anesthesia curriculum is more effective teaching method in the aspect of knowledge score.

 

Background
Summary of Work
Acknowledgement
References
Summary of Results
Conclusion
Take-home Messages
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