1. Osce Results After Voluntary
Self-Training in a Simulation
Laboratory at Granada Medical
School
Dr. C. Chung, J Florido, D Gonzalez, A Vilchez y JM
Peinado
Dpto. Obstetrics and Gynecologist
Granada University
http://www.ugr.es/~obsgin/
chung@ugr.es
AMEE 2009
XIXth SEDEM Meeting
Málaga, Spain
29 August to 2 September 2009

2. OSCE
33
44 6655
77
99
11
22
88
9 Station/
9 Students
6 Min/

3. Self-Training Simulation
Laboratory 2008
• 1.- Medicine
• 2.- Gynecology
• 3.- Obstetrics
• 4.- Surgery
• 5.- Specialities
• 6.- Emergency

4. 1.- Medical Skills
• A.- Heart Exploration
• B.- Respiratory
Exploration
• C.- Perform a
Electrocardiogram
• D.- Perform
Parenteral
Administration
• E.- Perform
Intravenous
Administration

5. 2.- Gynecologic Skills
• A.- Genital Female Exploration
• B.- Take a Papanicolau Smears
• C.- Bimanual Exploration
• D.- Breast Exploration
• E.- Insert a IUD

6. 3.- Obstetrics Skills
• A.- Abdominal Pregnant Exploration
• B.- Foetal Heart Rate
• C.- Cervix Exploration and Fetal Station
• D.- Attendance at Simulator Birth
• E.- Perform an Episiotomy and suturing

7. 4.- Surgery Skills
• A.- Asepsis Rules and Basic surgical
instruments
• B.- Infiltration anesthesia
• C.- Simple Suture and Types
• D.- Male and Female Urinary Catheter
• E.- Anus, Rectum and Prostate
Exploration
• F.- Bandages and Plasters

8. 5.- Advanced and Emergency
Medicine
• A.- Abdomen Exploration
• B.- Place a Nasogastric Tube
• C.- Perform a Lumbar Puncture
• D.- Perform CPR by a Basic Life Support
• E.- Perform CPR using an Advanced Life
Support
• F.- Perform Endotracheal Intubation

9. 6.- Other Skills
• A.- Exploration of the Fundus Oculi by
Direct Ophthalmoscopy
• C.- Perform Skin Biopsies
• D.- Removing Cysts and Lipomas
• E.- Perform Otoscopy
• F.- Thyroid Gland, Pharynx and Larynx
Exploration

10. Educational Material at Each
Stage
• 1.-Manikins and
Simulators
• 2.-Poster with
Pictures and Key
• 3.-Computer with
Video

11. Manikins and Simulators

12. Poster with Pictures and Key
describing step by step how to perform the skill

15. Computer with Video
of each of the skills

16. Objectives of the Self-Training
Simulation Laboratory
• Improve their Learning Curve

17. Objectives of this study
• The present study was conducted to
analyze if self-training after programmed
teaching, in a Simulation Laboratory
specifically conditioned for that goal, has
any effect on student OSCE performance
and Score.

18. • This Study was conducted to see
whether the group of Students who
visited the Laboratory Training (180)
had a different Outcome to those who did
not (43 )

19. 180 Students Who Visited
Simulator Laboratoy
• 138 visited it only Once (76,66%)
• 42 visited Twice (23,33%)
• 1 visited (three times )

20. Result
• The ANOVA showed a statistically
significant effect of having Visited the
laboratory once or more (180 students) or
not (43 students),
• 0.8929 F p value < 0.000

21. OSCE Mark
• Students who did not
visit the lab have lower
average mark (50,75)
• than those who visited:
• Once (58,89)
• Twice or More (58.80)
•
46
48
50
52
54
56
58
60
Not Visited Once > Once
Columnas 1

22. Medical Skill
0 20 40 60 80
Anamnesis
Comunica
Exploration
Practical
Management
Treatment
OSCE
>=1
No Visited

23. Average in Practical Skills
• Was significantly lower in the
group that not visited the laboratory
(51,26)
• Than in those who visited it
• Once (66,67)
• Two or more times (67,58)

24. Conclusions
• Students who undertook this training
• 1.-Obtained a better rating in the overall
OSCE mark than those who did not .
• 2.- Obtained a better mark in practical
Skills than those who did not.