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2 . 2022

THE EFFECTIVENESS AND IMPACT OF ADDITIONAL SIMULATION CLASSES FOR THE PURPOSE OF MAINTAINING THE PROPER SKILL LEVEL OF MEASURING BLOOD PRESSURE

Abstract

Aim – ​to assess the impact of additional simulation classes on the correct re-performance of measuring blood pressure skill among 3-year «General medicine» students.

Material and methods. The analysis included n=64 «General medicine» students of the 3d year, who had an examination question of measuring blood pressure during the «propaedeutics of internal diseases» exam (the question was «Speak out the sequence of actions when measuring blood pressure at the primary outpatient appointment»). During the exam, students orally answered the theoretical foundations of the manipulation with further reproduction of the algorithm to measure blood pressure in accordance with the approved checklist, containing 50 points (specific actions). The voiced items of the checklist were evaluated with 1 point with the unvoiced items scored 0. The result was calculated as a percentage of the completed points. During the summer productive practice, after an additional short training incorporated the simulation equipment for mastering the skill of non-invasive method of blood pressure measurement, the study-recruited students were asked to reproduce the skill of measuring blood pressure in simulated conditions using a simulator for measuring blood pressure with wireless control and a tablet-controller BT-CEAB 2 (South Korea). In parallel with the execution of the skill, a checklist was filled in for each student and the results were calculated in the same way as described above. During the student’s answer, the examiner noted the voiced (1 point) and unvoiced (0 points) items in pre-printed checklist. Then the completed scores were summed up and for each subject, the percentage of competed checklist items from the maximum (from 50 points) was calculated.

Results. According to the exam results, the mean score for measuring blood pressure was 72.9%. The number of students who correctly completed 70% or more of the checklist items was 33% (n=21). None has completed all the items of the checklist, i. e., scored 100%. After additional training at the simulation center, the mean score for measuring blood pressure was 72%. Threshold of 70% (skill passing criterion) was reached by 61% of students (n=39). It should be noted that every fourth student completed all the items of the checklist (25%, n=16). All items of the checklist were divided by the authors into critical affecting the prognosis and non-critical. The number of students who completed all the critical points (100%) was 30% (n=19). Finally, 70% of the checklist items were correctly completed by the majority of 63% (n=40).

Conclusion. Based on our results, the impact of conducting additional classes for mastering blood pressure measurement among medical students is crucial, due to the majority of medical students were able to comprehensively master that skill within the academic year. The results of differential analysis in blood pressure measurement with identifying critical and non-critical skills, dictates the need to amend the current accreditation scheme with highlighting some checklist items significantly affecting the prognosis and outcome of the patient’s treatment i. e., non-completion of those items should result in performance failure of the accreditation station. Alternatively, the introduction of a less categorical assessment system with the coefficient determination of each checklist item(s), which will be a more objective approach for examining the manual skills of students as well as create a more structured assessment of knowledge.

Keywords:blood pressure; measurement method; knowledge survival; simulation training

Funding. This paper has been supported by the RUDN University Strategic Academic Leadership Program.

Conflict of interest. The authors declare no conflict of interest.

For citation: Badretdinova A.I., Klimenko A.S., Tigai Zh.G., Morozova S.A., Khankhodzhaev T.A., Pylaev D.E., Taniya R.V. The effectiveness and impact of additional simulation classes for the purpose of maintaining the proper skill level of measuring blood pressure. Meditsinskoe obrazovanie i professional’noe razvitie [Medical Education and Professional Development]. 2022; 13 (2): 8–17. DOI: https://doi.org/10.33029/2220-8453-2022-13-2-8-17 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Balkizov Zalim Zamirovich
Secretary General of the Russian Society of Medical Education Specialists, Director of the Institute of Training of Medical Education Specialists of the Russian Medical Academy of Continuing Professional Education, 125993, Moscow, Russian Federation, Professor of the Department of Vocational Education and Educational Technologies of the N.I. Pirogov RNIMU of the MOH of Russia, CEO of GEOTAR-Med, Advisor President of the National Medical Chamber, Moscow, Russian Federation

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