245351 Long-term impact of a preclinical simulation-based course on the medical student experience

Wednesday, November 2, 2011: 8:50 AM

Emily Lilo, MPH , Division of Vascular Surgery, Stanford University Medical School, Stanford, CA
Ji Son, MS, MD Candidate Year II , Division of Vascular Surgery, Stanford University Medical School, Stanford, CA
Jason Lee, MD , Division of Vascular Surgery, Stanford University Medical School, Stanford, CA
OBJECTIVE: Today's medical students grew up in a technology loaded environment, and are thought to be more receptive to technologically advanced training. We sought to determine the effect of a high fidelity simulation-based preclinical endovascular skills course on medical student performance and long-term career impact. METHODS: 53 preclinical medical students took an 8-week elective course from 2007-2010. Students completed a baseline survey and performed a stent procedure on an endovascular simulator. The course consisted of teaching vascular diseases and weekly simulator sessions, and concluded with a graded procedure and post survey. Follow-up surveys were administered 1-3 years after course completion to determine career paths. RESULTS: Performance on the simulator improved in all students for patient safety metrics, technical skills, and overall competency (p<.001). In follow-up surveys, the key factors impacting residency choices were faculty mentorship (78%), this elective course (60%). Students didn't consider patient population or income potential as important factors; most relevant in cultivating career choice were clinical rotations (64%) and technology (60%). A student explained, “The course helped me apply theoretical knowledge to patients' demographics and treatments. Through simulation, I was exposed to a patient's condition from start to finish, practiced communication, and learned OR flow which I would not have experienced just by shadowing.” CONCLUSIONS: Integrating technology into medical student education maximizes learning experiences. Students chose surgery due to mentorship, technology, clerkship, and electives. This demonstrates a strong need to develop innovative simulation-based curricula for preclinical students to practice procedures in a safe and educational environment.

Learning Areas:
Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
1. Evaluate the long term impact of using innovative, hands-on, simulation based technology to teach preclinical medical students. How does it effect their medical school experience and ultimate career goals?

Keywords: Education, New Technology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was a participant in the course, later was a TA for the course and was part of the team to draft and administer survey, and analyze the data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.