Abstract
Introduction We produced a group work training system using clinical map (CM) puzzles with contents of an initial treatment for stroke and used them as a case discussion under module D of the Immediate Stroke Life Support (ISLS) course and bed side learning (BSL). Methods one hundred and eighty seven medical workers and 69 medical students joined in this group work (GW). We divided a CM which represented a scenario of a 28 year-old female patient with a hemorrhagic stroke into a frame and elements. Each group of participants performed a CM puzzle game to place elements back into the partially or fully blank frame. We evaluated usefulness degree that participants felt for the CM puzzles and their GW with a questionnaire by visual analogue scale (VAS) and compared the values between doctors, nurses and students statistically. Results Both mean VAS values of satisfaction for CM puzzles and the GW were more than 70 % in students and all job categories. The both values were significantly higher in students than in other job categories, followed by nurses and then doctors and the emergency personnel. Conclusions The GW with CM puzzles can be useful to summarize a lot of medical knowledge concerning the initial management for a patient with severe hemorrhagic stroke.
