In-Situ Simulation: Effective and Efficient? [Response to Letter]

Abstract

Roshana Shrestha,1 Dinesh Badyal,2 Anmol Purna Shrestha,1 Abha Shrestha3 1Department of General Practice and Emergency Medicine, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, Nepal; 2Department of Pharmacology/Medical Education, CMCL-FAIMER Regional Institute, Ludhiana, India; 3Department of Community Medicine, Kathmandu University School of Medical Sciences, Dhulikhel, Kavrepalanchok, NepalCorrespondence: Roshana ShresthaKathmandu University School of Medical Sciences, P.O. Box No: 11008, Dhulikhel, Kavrepalanchok 45200, NepalTel [phone]Fax [phone]Email [email protected] you for the opportunity to respond to the issues raised in the letter byAbbass et al.1 We appreciate Dr Rami Abbass and his colleagues for their keen interest in our paper2 and for taking their time to express some concerns.The disparity among the cohort of interns who had various previous experiences in resuscitation may be a confounding factor to analyze the impact of the simulation alone; however, it is not feasible to form a homogenous cohort of interns posted to the ED. Five to six interns are posted in the ED at different phases of their internship for one month duration. Clinical exposure and learning by the interns are variable and dependent on various factors like the quality and attitude of supervisors/coworkers,opportunities to learn, the availability of the case, equipment, academic sessions, workload, personal fear of harm to patient and medico-legal issues. To address this factor, we did separate analysis for those who had previous resuscitation experience and found a significant improvement in the knowledge score among this cohort as well.  View the original paper by Shrestha and colleagues This is in response to the Letter to the Editor