Medical students themselves as surrogate patients increased satisfaction, confidence, and performance in practicing injection skill

Abstract

Direct experience by medical students themselves as surrogate patients is an appropriate option for learning injection skill and can enhance the student performance, and therefore should be encouraged.

Same-level peer-assisted learning in medical clinical placements: a narrative systematic review

“…Engaging more deeply in topic material led to students reporting being more confident about their own abilities, or their familiarity with the topic area, usually as a result of having taught it to someone else . Additionally, participating in role‐play with peers increased students’ confidence in the skill they performed . Taking part in an activity to evaluate peers helped students to gain confidence in their ability to accurately assess peers on a skill …”

“…No included studies were designed to detect improved patient outcomes. One study did include patients, however, in examining the impact of PAL on students’ abilities. After a standard education session on administering injections to children (involving both didactic information and the chance to practise with a manikin), the intervention group were supervised in practising their injection skills on a peer.…”

“…participant satisfaction) information in their results, whereas only half the studies (50%) examined the effects on learning or flow-on effects (2b, 3, 4b). Fifteen studies were controlled trials with a comparison control group 19,[24][25][26][27][28] ; nine of these were randomised. [29][30][31][32][33][34][35][36][37] Qualitative analysis of the papers' results revealed that there were four main groups of PAL interventions: facilitated discussion between peers, role-playing a patient for a peer, peer teaching and peer evaluation ( Table 3).…”

Basic practical skills teaching and learning in undergraduate medical education – a review on methodological evidence

“…Simulator skills lab training for cannulation, venipuncture, and injection resulted in better performance of these skills compared to not having received simulator training [59]. Practicing injection skills on a manikin compared to another group who received additional training using a fellow student as surrogate patient did not lead to any differences with respect to the technical performance of an injection [4]. …”

Acting as standardized patients enhances family medicine residents’ self-reported skills in palliative care

“…(Wang et al 2004) Two studies done at our university suggested that faculty, or medical students, acting as SPs, enhanced observed performance among trainees in injection skills, and in the approach to difficult patients in primary care. (Chunharas et al 2013;Poonpetcharat 2010) Reflection has been touted as another means of improving performance. (Schön 1983) In a systematic review of reflection in the health professions by Mann and colleagues, there was incomplete evidence of impact on patient care, but improved learning.…”