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					         High fidelity medical simulation enhances housestaff satisfaction
                 with ACLS certification and recertification training.
Leo Kobayashi MD
Department of Medicine, Brown Medical School
Rhode Island Hospital Medical Simulation Center


Purpose: To integrate high fidelity simulation techniques into a standard ACLS course,
and to survey housestaff response with respect to quality of learning experience,
contribution to training, and ease of use.


Method: All incoming housestaff at Rhode Island Hospital undergoing ACLS training in
2003 participated in standard didactic and skills-based modules. For the case-based
portion of the course, high fidelity medical simulation scenarios were substituted for four
of the eight cases, the remainder of which were taught with traditional techniques. At
the completion of the course, participants completed a standard ACLS course
evaluation survey with supplemental questions addressing their high fidelity simulation
experience.


Results: Of 64 participating housestaff, 97% of respondents rated overall impression of
course as “excellent” or “good.” On a 5-point Likert scale, participants scored simulation
enhancement of the course very positively for improving ACLS learning experience
(4.9±0.4), as a realistic representation of actual practice (4.5±0.6), and as a teaching
modality that should be incorporated into future ACLS courses (4.9±0.4). The majority
of housestaff felt learning to use high-fidelity simulation was not an impediment to their
learning (4.5±1.1), whereas simulated physical exam findings were thought to be
accurate by most (3.9±0.8). In comparison with prior ACLS courses, seventeen
recertifying housestaff felt strongly that high fidelity manikins improved the learning
experience (4.6±0.8), and should be an essential part of the ACLS experience
(4.6±0.8).


Conclusion: Physician participants appreciated a significant benefit conferred by high
fidelity medical simulation techniques on the educational experience during an ACLS



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certification course. Those who had previously taken standard ACLS courses noted
improvements in realism and practical utility deriving from high fidelity simulation.




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