High-Fidelity Simulation Training With Multisource Media Integration for Emergency Medicine: A Comprehensive Assessment of Learning Motivation and Self-Reported Confidence in Perceived Clinical Competencies

Authors

• Yung-Chi Hsu, Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan AND School of Medicine, National Defense Medical University, Taipei, TaiwanFollow
• Cheng-Yi Chao, Department of Pharmacy Practice, Tri-Service General Hospital, Taipei, Taiwan Graduate Institute of Digital Learning and Education, National Taiwan University of Science and Technology, Taipei, Taiwan, Empower Vocational Education Research Center, National Taiwan University of Science and Technology, Taipei, Taiwan; AND School of Pharmacy, National Defense Medical University, Taipei, Taiwan
• Wei-Hung Chan, Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan AND School of Medicine, National Defense Medical University, Taipei, Taiwan
• Yao-Chia Liu, Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan AND School of Medicine, National Defense Medical University, Taipei, Taiwan
• Wei-Cheng Tseng, Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical University, Taipei, Taiwan AND School of Medicine, National Defense Medical University, Taipei, Taiwan
• Chun Lun Hsu, Center for General Education, National Defense Medical University, Taipei, Taiwan AND Graduate Institute of Medical Sciences, National Defense Medical University, Taipei, TaiwanFollow
• Jen-Jiuan Liaw, School of Nursing, National Defense Medical University, Taipei, TaiwanFollow

Author ORCID Identifier

Chun Lun Hsu: https://orcid.org/0009-0005-4564-9422

Document Type

Original Article

Abstract

Background: High-fidelity simulation has become essential in medical education, yet integration with advanced multimedia technologies remains underexplored. This study evaluated the effectiveness of combining high-fidelity simulation with multisource media systems (HFS-MMS) on emergency medicine residents' learning motivation and clinical competencies.
Methods: This quasi-experimental pre-post study included 72 postgraduate year-1 residents (74.2% completion rate) participating in technology-enhanced emergency medicine training. The intervention integrated high-fidelity simulation with comprehensive multimedia capabilities including multi-angle video recording, instant replay, mobile accessibility, and social learning platforms. Participants engaged in intensive 2-hour group training sessions featuring standardized emergency scenarios with progressive complexity. Outcome measures included validated assessments of learning motivation (attitudes toward learning, self-efficacy, learning satisfaction, flow experience) and clinical competencies (emergency condition management, airway management, team resource management). Data analysis employed Generalized Estimating Equations to account for within-subject correlation, with effect sizes calculated using Cohen's d.
Results The HFS-MMS intervention produced significant improvements across all measured domains with large effect sizes. Learning motivation variables showed substantial enhancements: attitudes toward learning (Cohen's d = 0.91), self-efficacy (d = 1.13), learning satisfaction (Cohen's d = 1.21), and flow experience (Cohen's d = 1.44). Self-reported confidence in perceived clinical competencies showed equally impressive improvements: emergency condition management (Cohen's d = 1.61), airway management (Cohen's d = 1.18), and team resource management (Cohen's d = 1.35). All improvements were statistically significant (p < 0.001). Correlation analysis revealed strong relationships between learning motivation and perceived competency improvements (r = 0.43-0.58). Multivariable predictive models identified self-efficacy as the primary predictor of intervention effects across all perceived clinical competency domains (B = 0.11-0.17, p < 0.05).
Conclusions Integration of high-fidelity simulation with multisource media technology significantly enhances both learning motivation and self-reported confidence in perceived clinical competencies among emergency medicine residents. The substantial effect sizes exceed typical educational intervention outcomes, demonstrating the transformative potential of well-designed technology-enhanced simulation. Self-efficacy emerged as the key associated factor of educational effects, suggesting that interventions should prioritize building learner confidence through structured success experiences. These findings provide evidence-based support for implementing comprehensive technology-enhanced simulation programs in emergency medicine education.

First Page

67

Last Page

82

Recommended Citation

Hsu, Yung-Chi; Chao, Cheng-Yi; Chan, Wei-Hung; Liu, Yao-Chia; Tseng, Wei-Cheng; Hsu, Chun Lun; and Liaw, Jen-Jiuan (2026) "High-Fidelity Simulation Training With Multisource Media Integration for Emergency Medicine: A Comprehensive Assessment of Learning Motivation and Self-Reported Confidence in Perceived Clinical Competencies," Journal of Medical Education: Vol. 30: Iss. 2, Article 3.
DOI: https://doi.org/10.67010/1028-2424.2053
Available at: https://jme.researchcommons.org/journal/vol30/iss2/3