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1. Positive effects of lumbar puncture simulation training for medical students in clinical practice

Author

Sinead Gaubert, Alice Blet, Fadia Dib, Pierre-François Ceccaldi, Thomas Brock, Maude Calixte, Léa De Macédo, Tiphaine Dujardin, Ludivine Jean-Louis, Dhihia Leghima, Samuel Mouyal, Dan David Tordjman, Patrick Plaisance, Caroline Roos, Sid-Ahmed Remini, Damien Roux, and Claire Paquet

Subjects
Lumbar puncture, Simulation training, Clinical skills, Medical education, Medical student, Special aspects of education, LC8-6691, Medicine
Abstract

Abstract Background Lumbar puncture (LP) is an invasive medical procedure that can be done by any doctor. Several simulation-based trainings have been built however the evaluations of the theoretical knowledge and the impact of the simulation-based training have never been performed in real life. The objective was to evaluate the impact of a LP training on the theoretical knowledge improvement and the performance of a LP in clinical practice. Methods Before and after medical students’ training, theoretical knowledge and confidence level were assessed. Over a 6 months period, the impact of simulation training was evaluated by the success rate of students’ first LP carried out in hospitalized patients and compared to the results of a no-training control. Results Students’ theoretical knowledge and confidence level showed significant improvement after simulation training on 115 students (p

Published
2021
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2. Additional file 1 of Positive effects of lumbar puncture simulation training for medical students in clinical practice

Author

Sinead Gaubert, Blet, Alice, Dib, Fadia, Pierre-François Ceccaldi, Brock, Thomas, Calixte, Maude, Macédo, Léa De, Dujardin, Tiphaine, Jean-Louis, Ludivine, Dhihia Leghima, Mouyal, Samuel, Tordjman, Dan David, Plaisance, Patrick, Roos, Caroline, Sid-Ahmed Remini, Roux, Damien, and Paquet, Claire

Subjects
Data_FILES
Abstract

Additional file 1.

Published
2021
Full Text
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3. Positive effects of lumbar puncture simulation training for medical students in clinical practice

Author

Claire Paquet, Maude Calixte, Sid-Ahmed Remini, Dhihia Leghima, Fadia Dib, Caroline Roos, Tiphaine Dujardin, Thomas Brock, Ludivine Jean-Louis, Pierre-François Ceccaldi, Patrick Plaisance, Dan David Tordjman, Damien Roux, Léa De Macédo, Samuel Mouyal, Alice Blet, Sinead Gaubert, Université de Paris - UFR Médecine Paris Centre [Santé] (UP Médecine Paris Centre), Université de Paris (UP), Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), CIC Cochin Pasteur (CIC 1417), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université de Paris (UP)-Groupe hospitalier Broca-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôtel-Dieu-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Hôpital Beaujon [AP-HP], Hôpital Louis Mourier - AP-HP [Colombes], HAL-SU, Gestionnaire, Université Paris Cité - UFR Médecine [Santé] (UPCité UFR Médecine), Université Paris Cité (UPCité), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôtel-Dieu-Groupe hospitalier Broca-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)

Subjects
Medical education, medicine.medical_specialty, Students, Medical, Medical procedure, [SHS.EDU]Humanities and Social Sciences/Education, [SHS.EDU] Humanities and Social Sciences/Education, education, lcsh:Medicine, Educational study, Spinal Puncture, Education, Simulation training, 03 medical and health sciences, 0302 clinical medicine, Physicians, Lumbar puncture, Medicine, Humans, Routine clinical practice, In patient, 030212 general & internal medicine, Clinical skills, Medical student, lcsh:LC8-6691, [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology, medicine.diagnostic_test, lcsh:Special aspects of education, business.industry, lcsh:R, General Medicine, Confidence interval, 3. Good health, Clinical Practice, Physical therapy, Clinical Competence, business, 030217 neurology & neurosurgery, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, Research Article
Abstract

Background Lumbar puncture (LP) is an invasive medical procedure that can be done by any doctor. Several simulation-based trainings have been built however the evaluations of the theoretical knowledge and the impact of the simulation-based training have never been performed in real life. The objective was to evaluate the impact of a LP training on the theoretical knowledge improvement and the performance of a LP in clinical practice. Methods Before and after medical students’ training, theoretical knowledge and confidence level were assessed. Over a 6 months period, the impact of simulation training was evaluated by the success rate of students’ first LP carried out in hospitalized patients and compared to the results of a no-training control. Results Students’ theoretical knowledge and confidence level showed significant improvement after simulation training on 115 students (p p = 0.0025). The technical assistance was also less frequently needed in the LP simulation group (19% vs 57%, respectively, p = 0.017). The rate of students who participated in this educational study was low. Discussion Simulation-based teaching was an effective way to improve students’ theoretical and practical knowledge. Whether this approach translates to other procedural skills in real clinical settings merits further study. The low participation rate in the study is due to the fact that students are not used to be included in educational studies and to the complexity of evaluation in routine clinical practice.

Published
2021

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