DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF THE TRAINING COURSE FOR UNDERGRADUATE MEDICAL STUDENTS ‘FIRST ON THE SCENE’ AT UKRAINIAN MEDICAL UNIVERSITIES

Authors

DOI:

https://doi.org/10.32782/eddiscourses/2025-3-13

Keywords:

scenario-based learning, emergency care training, simulation medicine, psychological first aid, medical students, Erasmus+ project SimS

Abstract

The EU co-funded Erasmus+ project SimS (Simulation Medicine and Scenario-Based Learning for Emergency Care) aims to improve first aid and emergency care training in Ukraine. As part of this initiative, a certified training course entitled ‘First on the Scene: Emergency Care Simulation Training Course’ was developed and implemented for undergraduate medical students at three Ukrainian medical universities. This paper details the course’s pedagogical approach and presents the results of its assessment and evaluation. The course was collaboratively designed by educators from Bukovinian State Medical University, Kharkiv National Medical University, and Odesa National Medical University, following a train-the-trainer programme led by European experts. The pedagogical approach centred on scenario-based learning (SBL), integrating virtual patient cases with handson simulation exercises. This methodology promoted experiential learning, clinical reasoning, and the acquisition of both technical and non-technical emergency care skills, including psychological first aid (PFA). A total of 170 fourth- to sixth-year medical students successfully completed the course. Assessment results showed a significant improvement in emergency care competencies after the training. Evaluation surveys revealed increased student confidence in providing psychological first aid and managing medical emergencies. Participants also expressed high levels of satisfaction with the course’s relevance and instructional quality, as well as the overall learning environment. The findings affirm the effectiveness of scenario-based simulation training in preparing medical students to address realworld clinical challenges. Aligned with national and European emergency care standards and emphasising psychological safety and reflective practice, the ‘First on the Scene’ training course can serve as a scalable training model for emergency preparedness, fostering resilience among healthcare future healthcare professionals.

References

Peng M., Su N., Hou R., Geng H., Cai F., Zhong W., Zhang W., Zhong J., Yang Z., Cao W. Evaluation of teaching effect of first-aid comprehensive simulation-based education in clinical medical students. Frontiers in Public Health. 2022. Vol. 10. Article 909889. https://doi.org/10.3389/fpubh.2022.909889.

See P. J., Ong C., Poon N., Soh K. H., Tan S. G., Dhaliwal S. S. Scenario-based simulation training for incident management: For whom and how. Policing: A Journal of Policy and Practice. 2024. Vol. 18. P. 132. https://doi.org/10.1093/police/paae132.

Shrivastava S., Shrivastava P. Inclusion of scenario-based teaching in undergraduate medical education. MRIMS Journal of Health Sciences. 2021. Vol. 9. P. 147–150. https://doi.org/10.4103/mjhs.mjhs_26_21.

Breen N., Egan M., Headon M., Bury G., Steele M. Scenario-based emergency care training and improvement in confidence levels of pre-graduation senior medical students. Resuscitation. 2012. Vol. 83. P. e105. https://doi.org/10.1016/j.resuscitation.2012.08.272.

Thilakasiri K., Sigera C., Peiris A., Weeratunge P., Katulanda P. A cross-sectional study on the effectiveness of simulationbased learning in emergency medicine for medical undergraduates in a low-middle income country during the COVID-19 pandemic. International Journal of Healthcare Simulation. 2021. Vol. 1. P. A80. https://doi.org/10.54531/pbnr8697.

Elendu C., Amaechi D. C., Okatta A. U., Amaechi E. C., Elendu T. C., Ezeh C. P., Elendu I. D. The impact of simulationbased training in medical education: A review. Medicine. 2024. Vol. 103, № 27. Article e38813. https://doi.org/10.1097/MD.0000000000038813.

Jakobsen R., Gran S., Grimsmo B., Arntzen K., Fosse E., Frich J., Hjortdahl P. Examining participant perceptions of an interprofessional simulation-based trauma team training for medical and nursing students. Journal of Interprofessional Care. 2018. Vol. 32. P. 80–88. https://doi.org/10.1080/13561820.2017.1376625.

Lavanya K., Somu L., Mishra S. Effectiveness of scenario-based roleplay as a method of teaching soft skills for undergraduate medical students. International Journal of Applied and Basic Medical Research. 2024. Vol. 14. P. 78–84. https://doi.org/10.4103/ijabmr.ijabmr_431_23.

Moll-Khosrawi P., Küllmei J., Zöllner C., Schulte-Uentrop L. Efficacy of an integrated simulation-based education approach to train non-technical skills in medical undergraduate students. Education Sciences. 2023. Vol. 13, № 9. P. 853. https://doi.org/10.3390/educsci13090853.

Everly G. S. Jr., Lating J. M. Psychological first aid (PFA) and disasters. International Review of Psychiatry. 2021. Vol. 33, № 8. P. 718–727. https://doi.org/10.1080/09540261.2021.2016661.

Fennig M. The importance and implementation of psychological first aid in emergency mental health response. International Journal of Emergency Mental Health and Human Resilience. 2025. Vol. 27, № 1. P. 01–02. 10.4172/1522-4821.1000674.

Kouvatsou Z., Degermedgoglou G., Karamagioli E., Pikoulis E. Psychological first aid training of police officers. Journal of Police and Criminal Psychology. 2022. Vol. 37. P. 856–862. https://doi.org/10.1007/s11896-022-09523-9.

Wang L., Norman I., Xiao T., Li Y., Leamy M. Psychological first aid training: A scoping review of its application, outcomes and implementation. International Journal of Environmental Research and Public Health. 2021. Vol. 18, № 9. Article 4594. https://doi.org/10.3390/ijerph18094594.

Chivers D. J. Psychological first aid training could help manage acute stress in junior doctors. BMJ. 2023. Vol. 380. Article 591. https://doi.org/10.1136/bmj.p591.

Kılıç N., Şimşek N. The effects of psychological first aid training on disaster preparedness perception and self-efficacy. Nurse Education Today. 2019. Vol. 83. Article 104203. https://doi.org/10.1016/j.nedt.2019.104203.

Ting C. H., Chen Y. Y., Voon S. P., Rahman M. M. The effects of psychological first aid training on knowledge, perceived ability using the skill, and quality of life among medical students. IIUM Medical Journal Malaysia. 2024. Vol. 23, № 4. https://doi.org/10.31436/imjm.v23i04.2486.

Kononowicz A. A., Woodham L. A., Edelbring S., Stathakarou N., Davies D., Saxena N., Tudor Car L., Carlstedt-Duke J., Car J., Zary N. Virtual patient simulations in health professions education: Systematic review and meta-analysis by the Digital Health Education Collaboration. Journal of Medical Internet Research. 2019. Vol. 21, № 7. Article e14676. https://doi.org/10.2196/14676.

Plackett R., Kassianos A. P., Mylan S., Kambouri M., Raine R., Sheringham J. The effectiveness of using virtual patient educational tools to improve medical students’ clinical reasoning skills: A systematic review. BMC Medical Education. 2022. Vol. 22, № 1. Article 365. https://doi.org/10.1186/s12909-022-03410-x.

Stathakarou N., Kononowicz A. A., Mattsson E., Karlgren K. Gamification in the design of virtual patients for Swedish military medics to support trauma training: Interaction analysis and semistructured interview study. JMIR Serious Games. 2024. Vol. 12. Article e63390. https://doi.org/10.2196/63390.

Jay R., Sandars J., Patel R., Leonardi-Bee J., Ackbarally Y., Bandyopadhyay S., Faraj D., O’Hanlon M., Brown J., Wilson E. The use of virtual patients to provide feedback on clinical reasoning: A systematic review. Academic Medicine. 2025. Vol. 100, № 2. P. 229–238. https://doi.org/10.1097/ACM.0000000000005908.

Downloads

Published

2025-10-14

How to Cite

Shchudrova, T., Sazhyn, S., Smandych, V., Godovanets, O., Bogutska, N., Trofymovych, Y., & Marichereda, V. (2025). DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF THE TRAINING COURSE FOR UNDERGRADUATE MEDICAL STUDENTS ‘FIRST ON THE SCENE’ AT UKRAINIAN MEDICAL UNIVERSITIES. Медицина та фармація: освітні дискурси, (3), 91–100. https://doi.org/10.32782/eddiscourses/2025-3-13