HybridLab: the new blended learning platform for self-directed medical simulation in the effective development of the technical and non-technical competences

Abstract

Introduction. HybridLab is a fusion of distance learning and medical simulation that allows residents to train 24/7 at their work place without presence of the instructor and/or technician. Aim. To evaluate the effectiveness of the newly developed self-directed learning platform in terms of competence enhancement, skill retention, satisfaction and agreement between the assessors present during the training sessions and reviewing the video recordings. Methods. In 2014 original trauma course developed on the new HybridLab learning platform was evaluated. Twentyseven surgical residents of Lithuanian University of Health Sciences were enrolled. Skills were grouped into 7 categories according to ABCDE principles and were independently evaluated by reviewers. Progress of the student was assessed immediately and 6 months after the course. Results. Analysis of practical skills evaluation showed a 2.5-fold increase in the overall performance score during course (from 35% to 89%). Re-evaluation 6 months after the course showed only slight decrease in the overall performance score (from 89% to 82%). The minimum score before the course was only 15% (maximum score – 64%). After the course the minimum score increased to 72 % (maximum score – 98%). Six months after the course the minimum score decreased to 53 %, but maximum score remained as high as 92%. During the post-course survey 92% of the participants stated that they found the acquired knowledge and skills clinically relevant and applicable. Conclusions. HybridLab is an effective medical simulation based tool for development of the technical and nontechnical competences. In order to achieve better agreement, we must more clearly define the rules of the skills evaluation.