Proficiency in cardiopulmonary resuscitation of medical students at graduation: a simulator-based comparison with general practitioners

Lüscher, Fabian; Hunziker, Sabina; Gaillard, Vincent E.; Tschan, Franzisks; Semmer, Norbert K.; Hunziker, Patrick; Marsch, Stephan

doi:10.4414/smw.2010.12735

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…This finding was confirmed and expanded in simulatorbased controlled trials: Compared with preformed teams, teams formed ad hoc showed both less leadership and a worse team performance [11]. Compared with general practitioners, medical students at the time of graduation showed shortcomings in leadership and delays in crucial parts of CPR, but not in the quality of technical execution thereof [50]. In a recent randomised controlled simulatorbased trial, a causal relationship between leadership and performance was finally proven: an intervention aimed at improving leadership improved leadership skills and thereby team performance [9].…”

Section: Training and Teaching Of Leadershipmentioning

confidence: 74%

Importance of leadership in cardiac arrest situations: from simulation to real life and back

Hunziker¹,

Tschan²,

Semmer³

et al. 2013

Swiss Med Wkly

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The 2010 American Heart Association guidelines now recommend leadership training in Advanced Cardiac Life Support courses. In this review we provide a comprehensive summary of data derived from clinical studies that investigated the importance of leadership in cardiopulmonary resuscitation (CPR). Only a few, mostly observational, studies have been conducted under real-life conditions because of the high heterogeneity of the situations, difficulties in capturing the initial phase of CPR, and ethical issues. Well-controlled studies in the human simulator can fill existing gaps and provide important insights. High-fidelity video-assisted simulator studies from different research groups have shown that a prolonged process of teambuilding is associated with significant shortcomings in CPR, whereas effective leadership improves team performance. In addition, randomised controlled studies have provided evidence that medical students receiving leadership training subsequently showed improved CPR performance, which was sustained after a follow up of 4 months. In addition, leadership is influenced by gender and other factors such as emotional stress. Future studies are needed to investigate cultural differences and how findings from the simulator can be transferred to real-life situations.

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Section: Training and Teaching Of Leadershipmentioning

confidence: 74%

Importance of leadership in cardiac arrest situations: from simulation to real life and back

Hunziker¹,

Tschan²,

Semmer³

et al. 2013

Swiss Med Wkly

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“…Most medical students and just passed out graduates have been found to lack the knowledge, self-assessed confidence, and skills to perform BLS effectively (6-7, 10,17,[25][26][27][28]. Furthermore, a significant loss of knowledge, confidence and skills was observed one year after training in BLS (12)(13)29), with skill-based components deteriorating more rapidly than the knowledge component (30).…”

Section: Student Competencementioning

confidence: 99%

“…Healthcare professionals' lack of resuscitation skills in basic and advanced life support has contributed to poor outcomes in cardiac arrest victims (9). As potential first responders in various clinical settings, junior doctors might find themselves responsible for handling such events; hence, being competent in BLS is vital for these young doctors (10). Studies have shown that professionally trained undergraduates can better manage medical emergencies during their practice (11).…”

Section: Importance Of Bls Training In Undergraduate Medical Educationmentioning

confidence: 99%

Best Practices of Basic Life Support Training in Undergraduate Medical Education: A Guide to Medical Teachers

Kodikara¹

2022

EIMJ

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Basic life support (BLS) is an essential clinical skill that needs to be mastered by graduating medical officers as potential first responders in clinical settings. Inadequate resuscitation skills of healthcare professionals in BLS have been identified as contributing to poor prognosis in cardiac arrest victims. Thus, BLS training has been incorporated into undergraduate medical curricula using various instructional methods to equip their graduates with BLS skills. Despite such training, medical students and junior doctors were found to be under-competent in delivering BLS primarily due to different methods of instruction utilised in BLS training as opposed to simulation-based training, which is identified as the gold standard in BLS training. It is recommended that simulation-based BLS training be conducted, giving more weight to the skill component, in small groups of 3–10 students, complemented by yearly refresher courses and just-in-time training. This article aims to build awareness and inform medical teachers and programme directors on the current best practices of BLS training in undergraduate medical education.

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Are We Preparing Medical Students for Their Transition to Clinical Leaders? A National Survey

Barnes

Webster

2020

Med.Sci.Educ.

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Proficiency in cardiopulmonary resuscitation of medical students at graduation: a simulator-based comparison with general practitioners

Cited by 5 publications

References 17 publications

Importance of leadership in cardiac arrest situations: from simulation to real life and back

Importance of leadership in cardiac arrest situations: from simulation to real life and back

Best Practices of Basic Life Support Training in Undergraduate Medical Education: A Guide to Medical Teachers

Are We Preparing Medical Students for Their Transition to Clinical Leaders? A National Survey

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