Evaluation of student engagement and agreement between student self-assessments and facilitator evaluations in Pediatric Advanced Life Support workshop among clinical year medical students

ผู้แต่ง

  • ฉัตตินี เก้าเอี้ยน Hatyai medical education center
  • ทิพาพร ทองมาก Hatyai Medical Education Center, Hatyai Hospital

คำสำคัญ:

student engagement, Pediatric Advanced Life Support, medical students, self-assessment, facilitator evaluation

บทคัดย่อ

Background: Student engagement is crucial for effective medical education, particularly in simulation-based settings like Pediatric Advanced Life Support (PALS) workshops. However, the dynamics of engagement during PALS training and the alignment between student self-assessment and facilitator evaluation are not well understood. This study aimed to evaluate engagement levels among medical students in PALS workshops and to determine the agreement between student self-assessments and facilitator evaluations.

Methods: The cross-sectional study was conducted with Year 5 and Year 6 medical students participating in PALS workshops at Hatyai Medical Education Center, Thailand, during the 2025 academic year. Student engagement was measured using a validated instrument adapted from the National Survey of Student Engagement, covering collaborative learning, cognitive development, and personal skills. Facilitator also evaluated students on the personal skills domain. Group differences were analyzed using independent t-tests, and the agreement between student self-assessment and facilitator evaluation was determined with Cohen’s weighted kappa.

Results
All 92 students completed the survey. Prior PALS training was significantly more common among Year 6 students (p < 0.05). Year 6 students reported higher overall engagement scores compared with Year 5, with no statistically significant (p = 0.07). Subdomain analysis revealed significantly higher personal skills scores among Year 6 students (p < 0.01). A moderate level of agreement was found between student self-assessments and facilitator evaluations for personal skills (weighted kappa = 0.563).

Conclusions
Simulation-based PALS training is an effective platform for engaging medical students. Higher engagement among final-year students reflect the impact of clinical experience and maturity on learning. Moderate agreement between student self-assessments and facilitator ratings highlights the importance of integrating self-reflection with external feedback to promote professional development. These findings reinforce the role of simulation as a critical platform for enhancing engagement and cultivating essential skills in medical training.

เอกสารอ้างอิง

Peters H, Zdravkovic M, João Costa M, et al. Twelve tips for enhancing student engagement. Med Teach. 2019;41(6):632-637. doi:10.1080/0142159X.2018.1459530

Kassab SE, El-Sayed W, Hamdy H. Student engagement in undergraduate medical education: A scoping review. Med Educ. 2022;56(7):703-715. doi:10.1111/medu.14799

Kassab SE, Taylor D, Hamdy H. Student engagement in health professions education: AMEE Guide No. 152. Med Teach. 2023;45(9):949-965. doi:10.1080/0142159X.2022.2137018

Kahu ER. Framing student engagement in higher education. Studies in Higher Education. 2013;38(5):758-773. doi:10.1080/03075079.2011.598505

Bond M, Bedenlier S. Facilitating Student Engagement Through Educational Technology: Towards a Conceptual Framework. Journal of Interactive Media in Education. 2019;2019(1). doi:10.5334/jime.528

Fredricks JA, Blumenfeld PC, Paris AH. School Engagement: Potential of the Concept, State of the Evidence. Review of Educational Research. 2004;74(1):59-109. doi:10.3102/00346543074001059

hopper-2016-assessment-and-comparison-of-student-engagement-in-a-variety-of-physiology-courses.

Shrivastava SR, Shrivastava PS. Promoting active learning and student engagement in undergraduate medical education. Journal of Medical Society. 2022;36(2):39. doi:10.4103/jms.jms_140_21

Tan E, Brainard A, Larkin GL. Acceptability of the flipped classroom approach for in‐house teaching in emergency medicine. Emerg Medicine Australasia. 2015;27(5):453-459. doi:10.1111/1742-6723.12454

2024_PALS_Handbook.pdf. Accessed December 12, 2024. https://advancedmedicalcertification.com/wp-content/uploads/2024/06/2024_PALS_Handbook.pdf

Siebert JN, Lacroix L, Cantais A, Manzano S, Ehrler F. The Impact of a Tablet App on Adherence to American Heart Association Guidelines During Simulated Pediatric Cardiopulmonary Resuscitation: Randomized Controlled Trial. J Med Internet Res. 2020;22(5):e17792. doi:10.2196/17792

Colthart I, Bagnall G, Evans A, et al. The effectiveness of self-assessment on the identification of learner needs, learner activity, and impact on clinical practice: BEME Guide no. 10. Medical Teacher. 2008;30(2):124-145. doi:10.1080/01421590701881699

Appleton JJ, Christenson SL, Kim D, Reschly AL. Measuring cognitive and psychological engagement: Validation of the Student Engagement Instrument. Journal of School Psychology. 2006;44(5):427-445. doi:10.1016/j.jsp.2006.04.002

Fredricks JA, McColskey W. The Measurement of Student Engagement: A Comparative Analysis of Various Methods and Student Self-report Instruments. In: Christenson SL, Reschly AL, Wylie C, eds. Handbook of Research on Student Engagement. Springer US; 2012:763-782. doi:10.1007/978-1-4614-2018-7_37

Papinczak T, Young L, Groves M, Haynes M. An analysis of peer, self, and tutor assessment in problem-based learning tutorials. Medical Teacher. 2007;29(5):e122-e132. doi:10.1080/01421590701294323

Ahlfeldt * S, Mehta S, Sellnow T. Measurement and analysis of student engagement in university classes where varying levels of PBL methods of instruction are in use. Higher Education Research & Development. 2005;24(1):5-20. doi:10.1080/0729436052000318541

Finn JD, Zimmer KS. Student Engagement: What Is It? Why Does It Matter? In: Christenson SL, Reschly AL, Wylie C, eds. Handbook of Research on Student Engagement. Springer US; 2012:97-131. doi:10.1007/978-1-4614-2018-7_5

Raponi JM, Black EW, Rush CC, Childs GS, Blue AV. Dental student perceptions of teamwork during a community-engaged interprofessional learning experience. Eur J Dent Educ. 2023;27(1):56-62. doi:10.1111/eje.12776

Padgett J, Cristancho S, Lingard L, Cherry R, Haji F. Engagement: what is it good for? The role of learner engagement in healthcare simulation contexts. Adv in Health Sci Educ. 2019;24(4):811-825. doi:10.1007/s10459-018-9865-7

Loubbairi S, Lahlou L, Amechghal A, Nassik H. The impact of simulation on the development of critical thinking and reflection among nursing and medical students: a systematic review. Korean J Med Educ. 2025;37(2):187-202. doi:10.3946/kjme.2025.334

Moliterno NV, Paravidino VB, Robaina JR, et al. High-fidelity simulation versus case-based discussion for training undergraduate medical students in pediatric emergencies: a quasi-experimental study. Jornal de Pediatria. 2024;100(4):422-429. doi:10.1016/j.jped.2024.03.007

Shuid AN, Yaman MN, Abd Kadir RA, et al. Effect of early clinical skills teaching on 3rd year medical students’ learning: The student perspective. Journal of Taibah University Medical Sciences. 2015;10(1):26-32. doi:10.1016/j.jtumed.2014.12.004

Tapasak B, McCall M, Cheung E, Peppler R. Developing Medical Student Competencies, Clinical Skills, and Self-Efficacy With an Emergency Medical Responder Certification Course. Cureus. Published online July 9, 2022. doi:10.7759/cureus.26678

Eva KW, Regehr G. Self-Assessment in the Health Professions: A Reformulation and Research Agenda: Academic Medicine. 2005;80(Supplement):S46-S54. doi:10.1097/00001888-200510001-00015

Savvidou E, Evangelidis N, Evangelidis P, Avramidou E. Final-year medical students’ self-assessment of their competence to perform 123 clinical skills: A cross-sectional study in Greece – hippokratia.gr. February 14, 2025. Accessed September 13, 2025. https://www.hippokratia.gr/final-year-medical-students-self-assessment-of-their-competence-to-perform-123-clinical-skills-a-cross-sectional-study-in-greece/

Pillow M, Stader D, Nguyen M, Cao D, Mcarthur R, Hoxhaj S. Perceptions of basic, advanced, and pediatric life support training in a United States medical school. The Journal of emergency medicine. 2014;46 5:695-700. doi:10.1016/j.jemermed.2013.08.055

Sargeant JM, Mann KV, Van Der Vleuten CP, Metsemakers JF. Reflection: a link between receiving and using assessment feedback. Adv in Health Sci Educ. 2009;14(3):399-410. doi:10.1007/s10459-008-9124-4

Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296(9):1094-1102. doi:10.1001/jama.296.9.1094

Chen W, Liao S chieh, Tsai C haw, Huang C ching, Lin C chieh, Tsai C hai. Clinical skills in final-year medical students: the relationship between self-reported confidence and direct observation by faculty or residents. Ann Acad Med Singap. 2008;37(1):3-8.

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30-12-2025

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