PURPOSE It aimed to investigate physical therapy students’ perception of their ability of clinical and clinical decision-making skills after a simulation-based learning course in the United States. METHODS Survey questionnaires were administered to voluntary participants, including 44 second and third-year physical therapy students of the University of St. Augustine for Health Sciences during 2021–2022. Thirty-six questionnaire items consisted of 4 demographic items, 1 general evaluation, 21 test items for clinical decision-making skills, and 4 clinical skill items. Descriptive and inferential statistics evaluated differences in students’ perception of their ability in clinical decision-making and clinical skills, pre- and post-simulation, and post-first clinical experience during 2021–2022. RESULTS Friedman test revealed a significant increase from pre- to post-simulation in perception of the ability of clinical and clinical decision-making skills total tool score (P<0.001), clinical decision-making 21-item score (P<0.001), and clinical skills score (P<0.001). No significant differences were found between post-simulation and post-first clinical experience. Post-hoc tests indicated a significant difference between pre-simulation and post-simulation (P<0.001) and between pre-simulation and post-first clinical experience (P<0.001). Forty-three students (97.6%) either strongly agreed (59.1%) or agreed (38.5%) that simulation was a valuable learning experience. CONCLUSION The above findings suggest that simulation-based learning helped students begin their first clinical experience with enhanced clinical and clinical decision-making skills.

中文翻译：

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美国物理治疗学生对临床能力和临床决策技能的感知在美国模拟学习课程后得到增强：重复测量设计

目的 它旨在调查物理治疗学生在美国参加基于模拟的学习课程后对其临床能力和临床决策技能的看法。方法 对自愿参与者进行了调查问卷，其中包括 2021-2022 年期间圣奥古斯丁大学健康科学专业的 44 名二年级和三年级物理治疗学生。36个问卷项目包括4个人口统计学项目、1个一般评价项目、21个临床决策技能测试项目和4个临床技能项目。描述性和推论性统计评估了学生对其在 2021-2022 年期间在临床决策和临床技能、模拟前后以及首次临床经验后的能力的看法的差异。结果 Friedman 检验显示，从模拟前到模拟后，对临床能力和临床决策技能总工具得分（P<0.001）、临床决策 21 项得分（P<0.001）的感知显着增加，和临床技能评分（P<0.001）。模拟后和首次临床经验后未发现显着差异。事后测试表明，模拟前和模拟后 (P<0.001) 之间以及模拟前和首次临床经验后 (P<0.001) 之间存在显着差异。43 名学生 (97.6%) 强烈同意 (59.1%) 或同意 (38.5%) 模拟是一种宝贵的学习经历。