Standardization of Patient and Simulation Room Improve Medical Students' Satisfaction in Cardiovascular Clinical Skills Training Program
Introduction: Cardiovascular diseases have high morbidity and mortality rates. Skills in administering diagnosis and treatment of the diseases is part of general physician competencies according to the Indonesian Doctors Competency Standards. The teaching of cardiovascular lab skills at the Medical Faculty of the University of Mataram has not optimally prepared standardized simulation rooms and patients. As a result, this complicates studentsâ€™ clinical understanding in handling cardiovasdcular events at the hospitals and clinics with different facilities. The effectiveness of the standardization is measured from results of skill lab exams and studentsâ€™ satisfaction scores. Objectives: To identify the difference in the satisfaction and skills lab scores of cardiovascular physical exam and electrocardiography (ECG) installation among students of simulation room and patient standardization groups as compared to non-standardization groups. Method: This cross sectional study involved 20 students of 5th semester of the Faculty of Medicine, Mataram University. Samples were taken randomly based on prior stratified lab skills scores. They comprised 2 treatment groups and 2 control groups as follows: group 1, simulation room and patient standardization for cardiovascular physical exam; group 2, simulation room and patient standardization for ECG examination; group 3, simulation room and patient non-standardization for cardiovascular physical exam; group 4, simulation room and patient non-standardization for ECG examination. The students then attended a Master Course, lab skills demonstration, and independent practices for 2 weeks. Satisfaction scores are measured by means of a questionnaire whose contents were validly tested, while lab skills exam scores are measured using a standard checklist issued by the Medical Faculty. Unpaired t-test is used to identify the differences in the studentsâ€™ satisfaction scores and skill lab scores among the 2 groups. Study Findings: There are significant differences in the mean of studentsâ€™ satisfaction scores in terms of simulation patients, lab skills room, and instructors for cardiovascular physical exam and ECG exam between the standardization and non-standardization groups. There was no significant difference in the mean of scores on communicative and eticomedicolegal competence, clinical skills competence and clinical reasoning competence on cardiovascular physical exam and ECG exam between standardization and nonstandardization groups. Conclusion: Standardization of simulation patients and rooms for cardiovascular physical exam and ECG exam significantly increases studentsâ€™ satisfaction scores but does not significantly increases studentsâ€™ lab skills scores. Keywords: standardization, simulation patients, simulation room, satisfaction scores, lab skills scores.
2. Buku Panduan Akademik Fakultas Kedokteran Universitas Mataram, 2011
3. Buku Panduan Tutor Blok Kardiovaskular Edisi III. Fakultas Kedokteran Universitas Mataram, 2011.73
4. Workshop on Simulated Patient. Bagian Pendidikan Kedokteran Fakultas
Kedokteran Universitas Gajah Mada, 2008.
5. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia tentang Klasifikasi Rumah Sakit. Kementrian Kesehatan, 2010.
6. Kumar, R. The RetrospectiveProspective Study Design. Research Methodology : A Step-by-step Guide for Beginners. SAGE Publications : London, 1999, p.87.
7. Kumar, R. Cohort Studies. Research Methodology : A Step-by-step Guide for Beginners. SAGE Publications : London, 1999, p.98.
8. Lilly LS. Pathophysiology of Heart Disease Fifth International Edition.
Lippincott Williams and Wilkins, 2011