The Effect of Simulation based Training on Medical Students’ Perceptions, Knowledge, and Skill at Baseline and 6 month Follow up

The principal goal of most simulation-based learning is enhanced clinical skill, with the desired outcome being skill retention and improved performance over time. While evide nce supports simulation based training at the clerkship, graduate, and post graduate level, the evidence supporting its long term benefit at the pre clerkship level is less well established. Using quantitative methods, this research assessed the effect of skill based clinical simulation training on all second year medical students’ enrolled in two simulation courses at the University of Michigan during the 2013 2014 academic year (n=39). Pre course, post course, and 6 month follow up questionnaires were adm inistered, and analysis of variance was used to assess change in students\u27 knowledge, self reported confidence, and competency. Students in Course 1 (n=12) completed a post course and 6 month follow up skills test, and results were compared to faculty cont rols. Differences between groups were assessed using t tests. Odds ratios were calculated.Knowledge improved from pre course to post course; the gain was retained at follow up only for students in Course 1. Students perceived the courses as improving know ledge, confidence, and skill, though scores were significantly lower at follow up. For the subset of students participating in the skills test, the time to complete central line and thoracentesis at follow up did not significantly differ from post course; however, an increase was observed for lumbar puncture. Compared to faculty, students took significantly more time to complete the central line procedure. Outcomes for needle redirects and correct sequencing were mixed, with most procedures showing no signi ficant difference between measurement periods. Assessing students’ skill and the maintenance of that skill over time using objective and empirically derived measures can be challenging. The evaluation strategy described herein could be adapted to many proc edures commonly practiced within primary care and other medical specialties. Brief exposure to clinical simulation early in medical training and prior to clerkships can have a positive and lasting effecton medical students’ knowledge, confidence, and skil l for selected procedures

Insights From Caregivers on the Impact of Pediatric Atopic Dermatitis on Families: "I'm Tired, Overwhelmed, and Feel Like I'm Failing as a Mother"

Background The impact of pediatric atopic dermatitis (AD) on families is largely hidden from view, and AD is commonly misunderstood as a minor skin condition. Few studies have examined the full burden of AD from the family perspective. Objective The aim of the study was to assess the burden of AD on children and families using a caregiver-centered survey. Methods A 72-item anonymous online survey was posted on social media sites targeted to or composed of parents of children with AD. It explored the following 9 domains of impact: sleep, social isolation, time requirements, life decisions, family relationship dynamics, energy/fatigue, mental health impacts, and unmet treatment needs. Atopic dermatitis severity was reported by respondents using the Patient-Oriented Eczema Measure. Statistical analyses were conducted using R 3.6.0. Results Two hundred thirty-five individuals completed the survey during the 1-month period that it was promoted via social media. Caregivers reported frequent sleep disturbance, exhaustion, worry, and social isolation related to their child's AD. Conclusions Results highlight the need for psychosocial support and respite care for caregivers of children with AD.Open access articleThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Mental Health Interventions for Atopic Dermatitis: Knowledge Gaps, Pilot Programs, and Future Directions

Atopic dermatitis (AD) is associated with high levels of psychosocial burden, often resulting in poor mental health outcomes. Despite this association, few studies have evaluated the efficacy of mental health interventions within this population. Utilization of multidisciplinary and peer-led support in addition to equipping patients with psychological tools may be beneficial in improving mental health outcomes. Future research is needed to determine which interventions and formats are desired, effective, and accessible among patients and caregivers with AD

Supplemental Material - Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener

Supplemental Material for Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener by Yagmur Seven, Robert F. Dedrick, Keri M. Madsen, Trina D. Spencer, Elizabeth Kelley, and Howard Goldstein in Journal of Psychoeducational Assessment</p

Supplemental Material - Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener

Supplemental Material for Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener by Yagmur Seven, Robert F. Dedrick, Keri M. Madsen, Trina D. Spencer, Elizabeth Kelley, and Howard Goldstein in Journal of Psychoeducational Assessment</p

Supplemental Material - Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener

Supplemental Material for Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener by Yagmur Seven, Robert F. Dedrick, Keri M. Madsen, Trina D. Spencer, Elizabeth Kelley, and Howard Goldstein in Journal of Psychoeducational Assessment</p

Supplemental Material - Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener

Supplemental Material for Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener by Yagmur Seven, Robert F. Dedrick, Keri M. Madsen, Trina D. Spencer, Elizabeth Kelley, and Howard Goldstein in Journal of Psychoeducational Assessment</p

Supplemental Material - Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener

Supplemental Material for Psychometric Properties of a Preschool Language, Literacy, and Behavior Screener by Yagmur Seven, Robert F. Dedrick, Keri M. Madsen, Trina D. Spencer, Elizabeth Kelley, and Howard Goldstein in Journal of Psychoeducational Assessment</p