University of Hertfordshire

From the same journal


  • Abdullah Alsalemi
  • Len Tanaka
  • Mark Ogino
  • Yahya Alhomsi
  • Mohammed Al Disi
  • Faycal Bensaali
  • Abbes Amira
  • Guillaume Alinier
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Original languageEnglish
Pages (from-to)1-7
Number of pages7
Early online date13 Jul 2019
Publication statusE-pub ahead of print - 13 Jul 2019


Background: Extracorporeal membrane oxygenation (ECMO) relies heavily on didactic teaching, emphasizing on essential cognitive skills, but overlooking core behavioral skills such as leadership and communication. Therefore, simulation-based training (SBT) has been adopted to instill clinical knowledge through immersive experiences. Despite SBT's effectiveness, training opportunities are lessened due to high costs. This is where screen-based simulators come into the scene as affordable and realistic alternatives.
Aim: This article evaluates the educational efficacy of ECMOjo, an open-source screen-based ECMO simulator that aims to replace ECMO didactic instruction in an interactive and cost-effective manner.
Method: A prospective cohort skills acquisition study was carried out. Forty-four participants were pre-assessed, divided into two groups, where the first group received traditional didactic teaching, and the second used ECMOjo. Participants were then evaluated through a wet lab assessment and two questionnaires.
Results: The obtained results indicate that the two assessed groups show no statistically significant differences in knowledge and and efficacy. Hence, ECMOjo is considered an alternative to didactic teaching as per the learning outcomes.
Conclusion: The present findings show no significant dissimilarities between ECMOjo and didactic classroom-based teaching. Both methods are very comparable in terms of the learner’s reported self-efficacy and complementary to mannequin-based simulations.


© The Author(s) 2019. The final, definitive version of this paper has been published in Perfusion by Sage Publications Ltd. All rights reserved. It is available at:

ID: 16963942