الفهرس 
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Abstract
Simulation is arguably the most prominent innovation in medical education over the past 15 years. A significant amount of research evidence supports the benefits of simulation based medical education.
Although medical simulation is increasingly being used in healthcare education, there is still insufficient experience about its use especially in low-middle income countries as Egypt. The main objective of this study is to implement a simulation-based team training program and to investigate its effectiveness as an educational tool for teaching ICU acute respiratory failure management to postgraduate students in pulmonary medicine.
Thirty postgraduate students of pulmonary medicine master degree at Ain Hams faculty of Medicine with no experience of simulation-based training were randomly assigned (1:1) to simulation-based training (SBT) or lecture-based training (LBT) between January 2019 to January 2020. Both participated in lectures about the management of Acute Respiratory Failure in ICU patients, but SBT group received an additional simulation-based training.
We assessed clinical knowledge after lectures with written multiple-choice exams. The SBT received the same exams after the simulation to assess its impact in addition to a satisfaction survey. The ventilator skills of the SBT team were evaluated after a video presentation of the ventilator chart recorded in a real case using a 12-item checklist before and after simulation training.
There were no statistically significant differences in the total knowledge scores of all scenarios between the two groups at baseline (SBT: 56.6 vs 55.2, p = 0.581). Simulation training significantly improved the total knowledge score of the SBT group, compared to the pre-simulation score (56.6 vs 69.4, p = <0.001) and the LBT group (69.4 vs 55.2, p = <0.001). Compared to baseline, the SBT group’s skill score increased significantly after simulation (46.9 vs 65.6, p = <0.001). Improvement in knowledge and skills scores was independent of baseline knowledge score, age, years of experience except for acute severe asthma scenario.
All SBT participants were either very satisfied (86.7%) or satisfied (13.3%). Satisfaction with this type of training has nothing to do with the sociodemographic characteristics of the participants. 80.7% of the candidates believe that such training has successfully improved their communication skills.