@article{ref1,
title="Low-fidelity hybrid sexual assault simulation training's effect on the comfort and competency of resident physicians",
journal="Journal of emergency medicine",
year="2014",
author="Auten, Jonathan D. and Ross, Elliot M. and French, Michelle A. and Li, Ivy Z. and Robinson, Lovette and Brown, Nanette and King, Kerry J. and Tanen, David A.",
volume="48",
number="3",
pages="344-350",
abstract="BACKGROUND: Alternative training methods are needed for resident physicians to ensure that care is not compromised should they practice in settings without well-established Sexual Assault Nurse Examiner (SANE) programs. <br><br>OBJECTIVE: The purpose of this study is to determine the effectiveness of a simulation-based sexual assault response course for resident physicians at an institution without an on-site SANE program. <br><br>METHODS: Educational intervention study of 12 emergency medicine residents using a low-fidelity hybrid simulation model. The study was comprised of eight male and four female physicians at a military medical center in San Diego, CA. Assessment occurred using three separate metrics. The first was a written knowledge test. The second was a simulated interview and evidentiary examination. These metrics were given 1 month before and 3 months after an 8-h training course. The final metric was Likert-scale questionnaires surveying pre- and post-course feelings of competency and comfort. <br><br>RESULTS: The emergency medicine residents showed a 13% improvement (95% confidence interval [CI] 7-20%) in written examination scores pre and post intervention. Post-course interview and examinations reflected a 44% improvement (95% CI 24-64%) in critical action completion. Pre-course comfort and competency questionnaires were a median of 2 (interquartile range [IQR] 1-3) on a Likert Scale. Post-course survey responses were a median of 4 (IQR 2-5). <br><br>CONCLUSIONS: Low-fidelity hybrid simulation is a useful tool to train inexperienced physicians to perform evidentiary examinations and interviews without sacrificing the privacy and direct care of sexual assault victims.<p /> <p>Language: en</p>",
language="en",
issn="0736-4679",
doi="10.1016/j.jemermed.2014.09.032",
url="http://dx.doi.org/10.1016/j.jemermed.2014.09.032"
}