Abstract The Association of American Medical Colleges has encouraged educators to investigate proper linkage of simulation experiences with medical curricula. The authors aimed to determine if student knowledge and satisfaction differ between participation in web-based and manikin simulations for learning shock physiology and treatment and to determine if a specific training sequencing had a differential effect on learning. All 40 second-year medical students participated in a randomized, counterbalanced study with two interventions: group 1 ( n = 20) participated in a web-based simulation followed by a manikin simulation and group 2 ( n = 20) participated in reverse order. Knowledge and attitudes were documented. Mixed-model ANOVA indicated a significant main effect of time ( F 1,38 = 18.6, P < 0.001, η p 2 = 0.33). Group 1 scored significantly higher on quiz 2 (81.5%) than on quiz 1 (74.3%, t 19 = 3.9, P = 0.001), for an observed difference of 7.2% (95% confidence interval: 3.3, 11.0). Mean quiz scores of group 2 did not differ significantly ( quiz 1 : 77.0% and quiz 2 : 79.7%). There was no significant main effect of group or a group by time interaction effect. Students rated the simulations as equally effective in teaching shock physiology ( P = 0.88); however, the manikin simulation was regarded as more effective in teaching shock treatment ( P < 0.001). Most students (73.7%) preferred the manikin simulation. The two simulations may be of similar efficacy for educating students on the physiology of shock; however, the data suggest improved learning when web-based simulation precedes manikin use. This finding warrants further study. simulation in medical education computer-aided instruction curriculum planning Copyright © 2011 The American Physiological Society « Previous | Next Article » Table of Contents This Article doi: 10.​1152/​advan.​00061.​2011 Adv Physiol Educ December 2011 vol. 35 no. 4 402-407 » Abstract Free Full Text Free Full Text (PDF) Free Classifications How We Teach Services Email this article to a friend Alert me when this article is cited Alert me if a correction is posted Alert me when eletters are published Similar articles in this journal Similar articles in Web of Science Download to citation manager Responses Submit a response No responses published Citing Articles Load citing article information Citing articles via Web of Science Google Scholar Articles by Cendan, J. C. Articles by Johnson, T. R. PubMed Articles by Cendan, J. C. Articles by Johnson, T. R. Related Content Load related web page information Current Issue December 2011, 35 (4) Alert me to new issues of Adv Physiol Educ About the Journal Information for Authors Submit a Manuscript Ethical Policies AuthorChoice PubMed Central Policy Reprints and Permissions Advertising Press Copyright © 2011 the American Physiological Society Print ISSN: 1043-4046 Online ISSN: 1522-1229 var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); var pageTracker = _gat._getTracker("UA-2924550-1"); pageTracker._trackPageview();

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