Pilot Program in Clinical Microbiology Laboratory Simulation for MLS Students

Angela Wilson
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Abstract

ABSTRACT

Medical laboratory science educational programs face the challenge of placing students for clinical practica/rotations. In a nonmedical university, this has been particularly true for clinical microbiology pracetica as local health care systems centralize microbiology, serology, and molecular testing services with smaller hospitals, which house “stat labs” only. Encouraged by the success of an immunohematology simulation practicum implemented over 15 years ago, in the summer 2018 faculty piloted a clinical microbiology simulation laboratory to satisfy entry-level practical competency requirements. The pilot program consisted of 3 weeks of on-campus laboratory simulation followed by a 2-week hospital clinical experience, as opposed to 5 weeks in the clinical setting in the traditional practicum. In the laboratory simulation, students completed clinical microbiology evaluations on all clinical specimen types. Identification techniques included bench-top tests, automated identification, and antibiotic susceptibility testing. Students used rapid-kit tests and performed quality control. Upon completion of the students’ practicum final examination and the microbiology section of the comprehensive program exit examination, faculty evaluated student learning using 2-sample t-tests to establish if statistically significant differences existed in the scores achieved by students enrolled in the pilot versus the traditional model. We hypothesized that no such differences would exist. There were no statistically significant differences among the postpracticum examination results achieved by both groups (P < 0.05). We conclude that students had an equally valuable learning experience in both practicum models and plan to expand the on-campus simulation to alleviate clinical site shortage.
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MLS学生临床微生物实验室模拟试点项目
医学检验科学教育项目面临着将学生安排到临床实习/轮转的挑战。在非医科大学中,临床微生物学实践尤其如此,因为当地的卫生保健系统将微生物学、血清学和分子检测服务集中在小型医院,这些医院只有“国家实验室”。受15年前实施的免疫血液学模拟实习成功的鼓舞,在2018年夏季,教师试点了临床微生物学模拟实验室,以满足入门级实践能力要求。该试点项目包括3周的校内实验室模拟,随后是2周的医院临床体验,而传统的实习是5周的临床环境。在实验室模拟中,学生完成了所有临床标本类型的临床微生物学评估。鉴定技术包括台式试验、自动鉴定和抗生素敏感性试验。学生们使用快速试剂盒测试并进行质量控制。在完成学生的实习期末考试和综合项目退出考试的微生物学部分后,教师使用2样本t检验来评估学生的学习情况,以确定参加试点的学生与传统模型的学生取得的分数是否存在统计学上的显著差异。我们假设不存在这样的差异。两组学生实习后考试成绩差异无统计学意义(P <0.05)。我们的结论是,学生在两种实习模式中都有同样宝贵的学习经验,并计划扩大校园模拟以缓解临床场地的短缺。
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