The efficacy of artificial skin as a simulationbased training model for intradermal injection

Authors

  • Thanya Techapichetvanich Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Rungsima Wanitphakdeedech Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Yanin Nokdhes Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Poramin Patthamalai Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Inneke Jane Hidajat Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Natchaya Junsuwan Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Weeranut Phothong Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Sasima Eimpunth Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity
  • Woraphong Manuskiatti Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol Unviersity

Keywords:

Simulation-based training, Intradermal injection, Experience and skills

Abstract

Background: Simulation-based training is a safe and efficient tool to help residents and medical students gain more experience and skills before operating on real patients. Intradermal injection is frequently performed in dermatology, pediatrics and other departments. Commercial intradermal injection simulator is expensive, therefore we invented an intradermal injection simulator made from affordable local materials. This study assesses the efficiency of this intradermal injection training simulator. Objective: To assess the efficacy of this artificial skin as a simulation-based training model for intradermal injection Materials and Methods: Self-evaluation and satisfaction questionnaires were distributed to participants before and after the intradermal injection simulator workshop. In the questionnaires we addressed statements and asked the participants to check in the box of 0,1,2,3,4,5,6,7,8,9 to 10 referring to completely disagree, strongly disagree, disagree, mildly disagree, minimally disagree, neither agree nor disagree, minimally agree, mildly agree, agree, strongly agree to completely agree, respectively. After the workshop, residents and medical students did an intradermal injection on real patients to assess their skills by a blinded dermatologist. An immediate wheal indicates the correct injection. Results: After the workshop, participants were significantly more prepared and confident administering intradermal drug injection as well as they were more confident that their hands did not shiver while giving injection (p<0.001). Residents and medical students were completely satisfied with the intradermal injection simulator and would recommend intradermal injection simulator to other learners. They completely agreed that the simulator model is a good method to learn drug injection, easy to use and can be applied to patients. All patients (100%) had small wheals after injections which were assessed by a blinded dermatologist. Conclusion: This new simulator model in local intradermal injection training seems to be a simple, effective and affordable tool to aid medical education and help students gain more skills before performing the procedure on real patients. Nevertheless, further studies should be conducted focusing on the clinical usefulness of the simulator with respect to training and patient outcomes.

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Published

2018-12-04

How to Cite

Techapichetvanich, T., Wanitphakdeedech, R., Nokdhes, Y., Patthamalai, P., Hidajat, I. J., Junsuwan, N., Phothong, W., Eimpunth, S., & Manuskiatti, W. (2018). The efficacy of artificial skin as a simulationbased training model for intradermal injection. Thai Journal of Dermatology, 34(2), 99–110. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/158935

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Section

Original articles