(1036) Stepping up to the Plate: Foley Catheter Simulation With High-Fidelity Knowledge Donor Model

Introduction: Lack of proficiency with procedural skills is often a barrier to medical students participating in the care of patients in the trauma bay. Enhanced training can lead to improved and effective student participation and engagement. We aimed to train medical students (MS) using high fidelity, deceased whole body donors (WBD) preserved with a non-formaldehyde preservation solution. Combining repetitive, intentional training with high fidelity WBDs, this pilot study aims to accelerate the time to competency for early trainees engaging in and Foley catheter placement.

Methods: Students received visual guides and in-person demonstrations of foley catheter placement on both manikins and Knowledge Donors prior to performing the procedures themselves. Each student completed three foley catheter placements on two female and one male donors. Students were measured on critical procedural steps and time to completion by an experienced proctor. Student confidence was self- reported.

Results: 10 students completed foley catheter placements with 16/30 judged as proficient. Failure to verbalize steps and sterility contributed to most failures across both procedures. Mistakes were not repeated in 6/8 foley catheter placements. Median times in minutes to completion decreased significantly over 3 repetitions of foley catheter placement (8.2, 6.8, 6.0: P< 0.001).

Conclusions: This pilot study demonstrated that utilizing the high-fidelity Knowledge Donor platform in medical student skills training contributed to reaching competency in foley catheter placements after few repetitions. Notably, completion time significantly improved for each of the time-sensitive repetitions.