Simulation In Medical Education Research Articles

Visualisation Approaches in Technology-Enhanced Medical Simulation Learning: Current Evidence and Future Directions.

Technology-enhanced learning (TEL) has been proposed as an approach to minimise the healthcare workforce shortage preventing universal healthcare coverage. Simulation-based medical education is a well-established teaching method. Little is known about effective strategies to translate in-person medical simulation teaching into a virtual world. This work aimed to review the literature on approaches to visualisation in technology-enhanced medical simulation. A systematic search strategy was optimised using three databases: Embase, MEDLINE, and APA PsycInfo. Additional papers were identified through cross-referencing. The last date of this search was 3 January 2022. The articles were analysed qualitatively. The risk of bias was assessed using ROBINS-I and RoB 2 tools. The search yielded 656 results with 9 additional papers identified through cross-referencing. Following deduplication and exclusions, 23 articles were included in a qualitative synthesis of evidence. Offline and online computer-based modules with virtual patient cases or practical skills simulations were identified as the most prevalent clinical simulation teaching modalities. Visualisation approaches included text, images, animations, videos, and 3D environments. Significant heterogeneity of study designs with a moderate risk of bias was established. Based on the current data, the virtual patient scenarios should use natural language input interfaces enriched with video and voice recordings, 3D animations, and short text descriptions to make the patient management experience more lifelike and increase knowledge retention. However, there is no agreed framework for assessing the pedagogical value of these innovations. High-quality randomised controlled trials of TEL-based clinical simulation are essential to advance the field.

Certification Program "Expert in Medical Simulation Education", EMSE

The thesis describes the certification practice-oriented course "Expert of Simulation Medical Education", developed by experts from ROSOMED, Sintomed and EuroMedSim, intended for managers and leading specialists of simulation centers to master the theoretical foundations and form practical skills in managing a simulation center, planning simulation education, development, implementation and evaluation of the effectiveness of simulation classes.

II International Conference “Medical Simulation-Practical Applications and Technologies”

Medical simulation is a practical field of education. Its indirect goal is to inspire and connect specialists responsible for various roles in simulation centers. Medical simulation is a highly developed professional field which, along with the development of educational paths, has become a permanent part of the didactic process. Therefore, the audience of the conference consisted of everyone who starts or continues a career in the field of medical simulation. “Science has no homeland because human knowledge covers the whole world.” Therefore, we should remember that everything we have learned and taught our students: professionalism, understanding, empathy, humanity, not only in medical areas, will be lost if we are not able to find application for this knowledge. We are aware that the implementation of a medical simulation is a long process, often raising many questions and prompting all of us to make an effort that gives didactic and scientific satisfaction. Taking into account this challenge related to the creation of Medical Simulation Centers in the disciplines of medicine, nursing, obstetrics and paramedics, dentistry, physiotherapy or pharmacy, we meet the needs of the teaching staff of our universities. Sharing good practices and our own very valuable experience is principal goal for today and building a network of medical simulation centers mutually supporting this task for tomorrow and the nearest common future. Therefore, the II International Conference “Medical Simulation-Practical Applications and Technologies” (11th–12th March 2022, http://medsim2022.bok-ump.pl) brings together enthusiasts of modern medical education and simulation, experts and specialists. The event is organized in Poznan at the Poznan University of Medical Sciences in close cooperation with the Pomeranian Academy in Slupsk, the Polish Nursing Society and the Polish Society of Medical Simulation. That meeting was dedicated such important issues as: • New tools in medical simulation education • Organizing the osce exam • “in-situ” medical simulation • Experiences and best practices

Application Analysis of Medical Simulation Education Based on Problem-based Learning in the Teaching of Regular Training Students

Application Analysis of Medical Simulation Education Based on Problem-based Learning in the Teaching of Regular Training Students

The Significance of Evaluation Index System in Medical Education

On the base of analysis of literature, the evaluation of teaching effect is mainly based on students' theoretical knowledge, operational skills and confidence level. The traditional teaching method has been influenced by intelligent simulation teaching method. Questionnaires are often distributed to the participating students after class to obtain students' feelings and recognition of simulation teaching. Due to the large clinical heterogeneity in the assessment content, an objective and comprehensive evaluation index system hasn’t been established in China. With the development of medical simulation education in recent years, some domestic scholars began to study the evaluation index system of clinical comprehensive ability of medical students and nursing students.

Intelligent Simulated Human Model in Modern Medical Education

As a new carrier of medical education, intelligent simulated human model has increasingly prominent advantages in modern medical education. This paper introduces the current situation of the application of intelligent simulators in medical colleges and universities in China, analyzes the problems existing in the application of intelligent simulators in medical simulation teaching, and puts forward suggestions for effectively promoting the teaching of intelligent simulators in the future.

A Simulation-Based Education Program for Permanent Breast Seed Implant Brachytherapy

Medical simulation platforms have been utilized to educate a broad spectrum of healthcare professionals and have been correlated with positive effects on learner proficiency and patient outcomes. In radiation therapy, brachytherapy is a procedural technique that requires considerable manual skill to perform proficiently and may benefit from the application of technology-enhanced medical simulation education programs. The University of Calgary will offer a brachytherapy training program with mandatory simulation component in an Area of Focused Competence (AFC); a diploma program accredited by the Royal College of Physicians and Surgeons of Canada. The Purpose of this study is to demonstrate validity evidence to support the use of a simulation-based education program in teaching permanent breast seed implant (PBSI) brachytherapy to radiation oncology learners.

Practice and thinking of pediatrics TBL teaching plan writing in medical simulation teaching mode

The clinical practice teaching reform of pediatrics based on TBL combined with medical simulation teaching model was carried out. TBL teaching plan writing under the model of medical simulation teaching was researched. The principles, requirements, contents and procedures of compiling teaching plans were formed. Emphasis should be placed on medical simulation teaching, team cooperation, humanistic quality education and humanistic skills training. The purposes of the reform were to achieve standardized operation skills, improve clinical ability, ensure medical safety, and improve the quality of medical purposes, but still the reform need further improvement in the teaching practice. Key words: Team-based learning; Teaching plan; Medical simulation teaching

Incorporating Sex and Gender into Culturally Competent Simulation in Medical Education.

Background and Objectives: Simulation provides a vehicle to introduce sex and gender competent training into the education of medical trainees. Materials and Methods: Using the previously validated Texas Tech University Health Sciences Center Sex and Gender Specific Health PubMed Advanced Search Tool, we reviewed the existing sex- and gender-based medical simulation education literature. A single article specifically addressed the incorporation of sex- and gender-based medicine in the development of simulation-based training. The Society for Academic Emergency Medicine Sex and Gender Interest Group then collaboratively developed recommendations for the incorporation of these concepts into simulation training. Results: Collaboratively developed recommendations were as follows. Knowledge-based competency in sex- and gender-based medicine involves understanding the relevant key terminology. Attitude-based competencies include an understanding of tendencies toward bias in patient assessment and care, which can be addressed in the self-reflection component of a simulation debrief. Skill-based competencies include communication skills, assessing the social context in which a patient is pursuing medical care, and recognition of gender-based cultural models of health and disease. Successful implementation includes specific faculty development, administrative and financial resources, gender-specific simulation equipment and selection of standardized patients, and scenarios that address sex- and gender-based medical care. Conclusion: The adoption of sex and gender competent simulation has the potential to significantly impact medical training and the provision of empathetic and humanistic care while reducing sex- and gender-based health care disparities.

Standards and enlightenment of The Society for Simulation in Healthcare

The Society for Simulation in Healthcare (SSH) as the world's largest and most authori-tative Medical Simulation Education Association, accept the application for certification in 4 fields, includ-ing assessment, research, education and system integration. This paper introduces the core standards that need to be followed in applying for certification, and the respective standards of the above 4 fields. Further-more, in order to promote the development of medical simulation education in China, this paper points out the possible problems that may be faced in the future. Key words: The Society for Simulation in Healthcare; Certification; Standard

An Exploration of the development of medical simulation teaching center

Medical simulation teaching is an emerging and developing teaching method in our country. At present, the simulation teaching centers are developing rapidly in higher education institutions, but how to improve the effectiveness in the operation of the centers is still a subject that needs to be discussed. Based on our own experience, this paper analyzes the related factors in developing medical simulation teaching centers, making summary and demonstrations from aspects of team building, teacher training, docking needs, staffing and so on, so as to provide references and suggestions for the construction of medical simulation center higher education institutions. Key words: Education method; Teaching method; Medical Simulation Teaching Center

First aid training of resident doctors based on case simulation teaching

To increase the rescue competency of residents, also the critical thinking, team dynamics, and the capability to handle with emergencies, Shanghai East Hospital developed a rescue course integrated with 24 standardized simulation cases learning and medical simulation education for residents training program. The instructor candidates should complete the simulation training and pass the instructor certification. Every course was monitored by the course director to ensure the teaching quality. After two and a half years of practice, it is found that the teaching of case teaching and simulation teaching is better than traditional teaching, and it plays an important role in the security of medical security. Key words: Standardized residents training; Rescue; Case learning; Medical simulation education

The application and prospects of 3D technology in medical education

In recent years, there is an increasing focus on three Dimensional (3D) Technology in medical field. The article summarizes the progress of 3D printing technology such as medical models, implantable prosthetics, biological engineering, est., analysis application and effects of 3D technology abiding by the characteristics of clinical medical education. Considering the situation of domestic medical education, therefore, it points out that it is of broad application prospects and great practical significance to develop 3D medical education due to establishing a harmonious teaching environment, providing simulated clinical practice opportunities, activating the brain proportionately and stimulating students learning enthusiasm. Key words: 3D technology; Medical simulation education; Medical education innovation; Medical talents cultivation

Application of medical simulation teaching on the curriculum of clinical nursing practice

Objective To joint medical simulation teaching simulator and PBL teaching method to improve the teaching effects on the curriculum of clinical nursing practice, and cultivate nursing students′ comprehensive ability. Methods A total of 180 nursing college students were randomly divided into experimental group and control group, with each group 90 students. Experimental group students were taught with medical simulation teaching method, while control group students were taught with traditional role play practice method. The student′s critical thinking ability, communication ability and self-learning ability were evaluated before and after the experiment. All the two groups′ students were tested, and the teaching effects were evaluated after the experiment. Results Before the experiment, the differences of the critical thinking ability, communication ability and self-learning ability of the two group students were not statistically significant (P>0.05). After the experiment, the critical thinking ability, communication ability and self-learning ability of the experimental group students were respectively (288.00±16.91), (37.94±0.80), (75.66±6.56) score, which were higher than that of the control group (258.63±20.80), (31.48±0.58), (68.97±3.79) score, and the difference were statistically significant (t=5.99, 35.51, 4.84; P<0.05); The test results and the teaching satisfaction of experimental group were respectively (91.00±1.11) and (4.57±0.50) score, which were higher than that of the control group (80.60±2.46) and (3.97±0.71) score, and the difference were statistically significant (t=21.11, 3.75; P<0.05). Conclusions The medical simulation teaching simulator combined with PBL teaching method can improve student′s critical thinking ability, communication ability, self-learning ability, and so other comprehensive ability, which is a effective attempt for the teaching of the curriculum of clinical nursing practice. Key words: Curriculum of clinical nursing practice; Medical simulation teaching; Critical thinking; Communication ability; Self-learning ability

Application of virtual simulation technology to laboratory medicine

Medical virtual simulation teaching environment is an advanced and complex combination of virtual simulation technology and medical technology training. As an advanced information technology, it has been attracting the attention of medical education researchers. Based on the characteristics of medical laboratory technology education, the virtual simulation experimental teaching center was established and a framework of the virtual simulation training environment was designed in the Department of Laboratory Medicine, Southern Medical University. Virtual simulation softwares and tool softwares were put into use widely in our experimental teaching.As it turns out, this simulated training environment has many merits such as risk–free safety, great efficiency, genuine learning experience and wide application potential, which partly overcomes the restriction of the teaching process brought by the condition of the practical operation and improves the teaching effect significantly. (Chin J Lab Med, 2015, 38: 716–718) Key words: Medical laboratory science; Teaching methods; Computer–assisted instruction; Laboratories, hospital

Implementing Simulation in Air Medical Training: Integration of Adult Learning Theory

This article suggests the construct of medical simulation education in the air medical industry can integrate principles of crew resource management by training in the same environments that flight crews function. The multidisciplinary crew-centered approach to designing simulation education can improve overall crew performance and reinforce safety in daily operations. This concept is far from novel and has a proven track record in the aviation industry, but air medical medicine can benefit from this proven system as well. In an article titled “Teams, Leaders, and Organizations: New Directions for Crew-oriented Flight Training,” 1 Hackman states that “it is the team, not the aircraft or the individual pilot, that is at the root of most accidents and incidents.” Simulation in aviation has a long history, dating back to early decades of the industry. With cockpit or crew resource management (CRM) becoming a staple of the air medical industry, we find ourselves on the precipice of using simulation to teach the foundational concepts of CRM. Consistent with Hackman’s statement, medical errors in the air medical industry may be caused by system errors and a breakdown in team functions. It is important to acknowledge that all air medical team members are adults and, therefore, adult learning theory becomes relevant and potentially influential; it is, in fact, referenced frequently in current “educational simulation” literature. Respected adult education theorists include Jean Piaget, John Dewey, D.A. Kolb, Malcolm Knowles, and many others; although each theorist has their respective tenets, there appears to be a shared commonality to the science behind adult learning and education. It is generally accepted that adults operate on the following common principles:

Application of modern medical simulation teaching method in community nurses ’ skill training

Objective To discuss the effect of modern medical simulation teaching method in community nurses’ skill training.Methods Experimental group consisted of 42 community nurses who were trained by using modern medical simulation teaching method in 2012 , while the control group consisted of 45 community nurses who were trained by traditional teaching method in 2010 and 2011 .Test scores of two groups and nurses ’ satisfaction with different teaching methods were investigated and compared .Results The percentage of eligibility of skill assessment in the experimental group was higher than that in the control group , and the difference was statistically significant （χ2 =4.254,6.845,7.697,9.738,7.832,5.202,5.451,6.771,5.179, 4.304,4.254,5.635,4.254,4.695,6.165,respectively;P＆lt;0.05）.Nurses’ satisfaction with methods to stimulate interest in learning （95.24%）, increased confidence （90.48%）, cultivating learner autonomy （88.10%） and operation standardization （83.33%） in the experimental group were higher than those in the control group which were respectively 33.33%,42.22%,31.11% and 42.22%, and the differences were statistically significant （χ2 =35.803, 35.803, 31.840, 11.408, respectively; P ＆lt;0.01）.Conclusions Clinical skill training with modern medical simulation teaching method cansignificantlyimprove the practice skills of community nurses , and is effective to stimulate nurses ’ interest and learning autonomy , increase self-confidence and improve their satisfaction with the teaching method . Key words: Community; Nurse; Skill training; Medical simulation teaching method

Using medical simulation teaching in anesthetic residents training

At present,the teaching resource for anesthetic residents training is more and more insufficient.The safe and standardized training course based on medical simulation teaching meets the training demand of comprehensive quality and professional skill for anesthetic residents training.Basic and advanced anesthetic training can raise the operational level while comprehensive anesthetic ability training can improve the ability of clinical thinking,organization,coordination and crisis management.The use of medical simulation teaching is insufficient in anesthetic residents training.It is highly recommended to guide anesthetic residents training by the government policy. Key words: Medical simulation teaching; Anesthesiology; Residents training

As Accessible as a Book on a Library Shelf: The Imperative of Routine Simulation in Modern Health Care

As Accessible as a Book on a Library Shelf: The Imperative of Routine Simulation in Modern Health Care

Evaluations on the diagnostics practice teaching effect by application of computer simulated human

Objective To evaluate the resultof applying computer simulated human for the diagnostics teaching.Methods The survey was conducted on medical simulation teaching and traditional teaching applied in 338 medical students through statistical evaluation of operative performance and questionnaire.Results The simulation teaching group performed better than the traditional teaching group on the operative assessment(P<0.05).79.2%students thought it was necessary to have simulation teaching.Conclusions Computer simulated human Can improve students'clinical practice ability. Key words: Diagnostics; Computer Simulated Human; Evaluations