Discussion
EMERGENCY, ACUTE ASTHMA
This study showed that teaching the management of acute asthma patients by simulation is superior than teaching by interactive video case. This superiority was illustrated by higher improvement of MCQ scores and higher scores of clinical skills and teamwork among medical students during the execution of HF simulation scenario. In addition, our study demonstrated an improved knowledge retention among simulation-based education compared to IVC teaching with a follow-up of 2 years. The student satisfaction was also better among simulation group.Emergency medicine poses challenges for the education of medical students who often had limited opportunities for bedside teaching during the management of vulnerable and high risk patients with the large numbers of students. Although simulation training is a good alternative, the studies examining its use are limited in the setting of acute care [Some limitations could be discussed regarding our study. First, although the students were randomized to two groups that had equal scores on the written pretest, some unrecognized differences may still exist and could influence our results especially with regard to the relatively low sample size. Second, the choice of the IVC as the reference method in our study could be questioned as it is not a usual reference teaching method. We chose this method because it is often used as a teaching technique in our routine practice. Previous studies have revealed that students tend to prefer video cases since they perceive video modality as motivating [