Pre-simulation orientation for medical trainees: An approach to decrease anxiety and improve confidence and performance.

Journal Article (Journal Article)

BACKGROUND: We assessed the effect of basic orientation to the simulation environment on anxiety, confidence, and clinical decision making. METHODS: Twenty-four graduating medical students participated in a two-week surgery preparatory curriculum, including three simulations. Baseline anxiety was assessed pre-course. Scenarios were completed on day 2 and day 9. Prior to the first simulation, participants were randomly divided into two groups. Only one group received a pre-simulation orientation. Before the second simulation, all students received the same orientation. Learner anxiety was reported immediately preceding and following each simulation. Confidence was assessed post-simulation. Performance was evaluated by surgical faculty. RESULTS: The oriented group experienced decreased anxiety following the first simulation (p = 0.003); the control group did not. Compared to the control group, the oriented group reported less anxiety and greater confidence and received higher performance scores following all three simulations (all p < 0.05). CONCLUSIONS: Pre-simulation orientation reduces anxiety while increasing confidence and improving performance.

Full Text

Duke Authors

Cited Authors

  • Bommer, C; Sullivan, S; Campbell, K; Ahola, Z; Agarwal, S; O'Rourke, A; Jung, HS; Gibson, A; Leverson, G; Liepert, AE

Published Date

  • February 2018

Published In

Volume / Issue

  • 215 / 2

Start / End Page

  • 266 - 271

PubMed ID

  • 29174166

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2017.09.038


  • eng

Conference Location

  • United States