Place of Medical Education by Simulation in the Training of Medical Students in the Placement of Central Venous Catheter

Abstract

Introduction: Central venous access is essential in intensive care units, intensive care units and emergency departments. Simulation-based medical education is an active and innovative teaching method, which takes its place in the initial training of medical students in the acquisition of technical, and non-technical knowledge and skills. Objectives of this study: The aims of this study is to evaluate the teaching by simulation in the training of the  the placament of central venous catheter: in terms of impact on the practice, autonomy in the gesture and satisfaction, with the students of 5 th year of medicine at the university MOHAMMED VI of Health Sciences.Design: This is a single-center prospective survey; conducted between September and December 2019; all the promotion of 5 th year medical students from Mohammed VI University of Health Sciences (141 in number); evaluating simulation training in central venous passage placement. Data was collected through a knowledge questionnaire, a self-assessment questionnaire of acquired skills and a satisfaction questionnaire, completed at the start and at the end of the simulation session.Results: The participation rate for the timed questionnaires for the pre-test was 67% and that for the post-test was 100%. A significant increase in self-assessment skills scores was observed between pre-test and post-test (p <0.001). Over 93% of the students who participated in the survey were very satisfied with the simulation session. The majority of students think they have acquired a dexterity that will allow them to perform the procedure in a care structure.Conclusion: Health simulation is an essential and indispensable teaching method in initial and continuing medical training. This tool makes it possible to acquire technical and non-technical skills, in a simulated environment making it possible to mimic the professional environment as much as possible And it  represents a major springboard before practice in the clinical internship.