Impact of Levels of Simulation Fidelity on Training of Interns in ACLS

Abstract

Overall, there was no difference among the 3 groups in test scores or perceived instructor or course quality; however, subjects trained on high-fidelity mannequins performed better than those trained on mid-fidelity with respect to megacode performance.

Part 8: Education, Implementation, and Teams

“…100 For the important outcome of skill performance at course conclusion, we identified very-low-quality evidence (downgraded for risk of bias, inconsistency and imprecision) from 12 RCTs, enrolling a total of 726 participants showing a moderate benefit for high-fidelity training compared with lowfidelity training (SMD, 0.60; 95% CI, 0.17-1.03). [99][100][101][102][103][104][105][106][107][108][109][110] This was supported by very-low-quality evidence (downgraded for inconsistency and imprecision) from 1 non-RCT enrolling a total of 34 participants, which trended in the same direction (SMD, 0.50; 95% CI, −0.19 to 1.18).…”

“…[100][101][102][103]108,109,112,113 This was supported by very-low-quality evidence (downgraded for inconsistency and imprecision) from 1 non-RCT enrolling a total of 34 participants showing no benefit for high-fidelity training (SMD, 0.26; 95% CI, −0.42 to 0.93).…”

Part 14: Education

“…47,[109][110][111][112][113][114][115][116][117][118][119] A meta-analysis of 8 randomized controlled trials assessing knowledge at course conclusion demonstrated no significant benefit of training with high-fidelity manikins compared with low-fidelity manikins. 47,110,111,[116][117][118]120,121 This is supported by 1 additional nonrandomized trial demonstrating no substantial benefit of high-fidelity training on knowledge acquisition. 122 With regard to skill retention, 1 study showed no benefit of high-fidelity training on skills performance (in the simulated environment) at 1 year after training, 109 and another demonstrated similar results for skills performance between course conclusion and 1 year.…”

The effect of simulator fidelity on procedure skill training: a literature review

“…In a study of performance in Advanced Cardiac Life Support, investigators concluded that those trained on HF simulators performed better. 34 These results are not consistently reported, with a systematic review of scenario management simulation showing no difference in performance for participants trained on LF and HF simulators. 6 In another scenario-based training simulation, 102 medical students were trained using LF or HF simulators and investigators that the students trained on HF simulators were over-confident and had worse performance than those trained on LF simulators.…”