Nighat Shah, Lubna Baig, Nusrat Shah, Riffat Hussain, Syed Moyn Aly.
Simulation based medical education; teaching normal delivery on intermediate fidelity simulator to medical students.
J Pak Med Assoc Jan ;67(10):1476-81.

Objective: To assess the effectiveness of medium fidelity simulator in teaching normal vaginal delivery to medical students. Methods: The quasi-experimental study was conducted at the professional development centre of the Jinnah Sindh Medical University, Karachi, from June to December 2015, and comprised medical students. Third-year medical students were included. They were divided into two groups. Group A was taught normal delivery through traditional PowerPoint and group B through simulator. The instruments used for assessing knowledge were pre-test and post-test, for skills of labour/delivery checklist of performance was used, and perception forms were filled to evaluate workshops/learning environment by students. Results: Of the 76 participants, there were 36(47.4%) in group A and 40(52.6%) in group B. The overall mean age of the participants was 20.86±0.76 years in group B and 20.60±0.95 years in group A (p=0.19). The mean grade point average of the participants was 2.89±0.47 in group A and 2.87±0.48 in group B (p=0.81).Group B performed much better in skill of delivery having a mean score of 8.91±3.20compared to group A which had mean of 5.67±1.84 (p<0.01). Conclusion: Simulation-based skill learning showed significantly better results.

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