Use Of Simulation Technologies Research Articles

SIMULATION TECHNOLOGIES IN OPTIMIZING THE PRACTICAL TRAINING OF SURGERY STUDENTS

The article analyzes the educational prerequisites and measures to improve the practicaltraining of students and interns in surgery. It is shown that the use of simulationtechnologies in undergraduate and postgraduate education allows creating all theconditions for students and interns to acquire basic theoretical knowledge and practicalskills, which are defined in the qualification characteristics of a specialist doctor. Theneed for an organic combination of versatile deep theoretical knowledge, understandingof the essence of pathological processes, their clinical manifestations with the possibilityof mastering practical skills in their diagnosis and treatment is emphasized. It has beenshown that the inclusion of innovative virtual technologies in the educational processallows to form and improve professional knowledge, abilities and skills and to ensure thepreparation of students for competent professional activity.Conclusions. 1. The use of simulation technologies is an important component of theprofessional training of future doctors, contributes to the improvement of the competencetraining of students and intern doctors. 2. Simulation training makes it possible to increasethe assimilation of educational material, deepen theoretical knowledge and master thenecessary practical skills, improve the quality and efficiency of the educational process.

The problem of application of simulation methods and teaching tools in the educational process of higher education institutions

Modern professional training of teachers requires the introduction of innovative technologies, in particular simulation technologies, which emphasize interactivity, creativity and the use of information and communication methods. These technologies are aimed at preparing for practical activities, developing critical thinking and gaining experience through the simulation of pedagogical situations.The purpose of the study was to analyze the features of the application of simulation methods and tools in the educational process of a higher school. The methods of analysis included the analysis of literary sources, the study of the practice of using simulation methods and teaching aids in the educational process, and questionnaires and surveys among students and teachers. Simulation methods and learning tools contribute to the development of critical thinking, interpersonal skills and the ability to adapt to different professional situations.The results of the study indicate the importance and effectiveness of the use of simulation technologies in the educational process of higher education institutions, which makes it possible to make the learning process interesting, visual and practical and to build it on the basis of activity and competence approaches. However, technical limitations and lack of training of teachers to use simulation methods and tools in the educational process are the main factors that complicate the implementation of simulation technologies in the educational process. Taking into account the potential advantages of the studied methods, the effectiveness of the application of simulation methods and training tools as a tool for improving the quality of professional training of future specialists has been proven. The practical significance of the work is that the results of the study can be used during the organization of the educational process of students of pedagogical specialties of higher education institutions, updating the methodological and practical component in the teaching of educational components

Neuropedagogy of Communication-Imitation Opportunities for the Ukrainian English Teacher

The article tells about the problems of motivation, specificity and effectiveness of using chatbots by Ukrainian humanities students when studying English and, based on the analysis of sociological data, provides new recommendations for the English language teacher.
 The purpose of the article is to define the problem of using new communicative-simulation opportunities of today's chatbots "from the inside", i.e. from the point of view of personal motivation of the participants of the educational process. This allowed us to understand the more general and invariant neuro-pedagogical mechanisms of the stimulation anthropomorphic environment and tools in English language learning.
 The authors used sociological, statistical, modeling-predictive pedagogical methods in order to outline the real picture of students' use of chatbots in English studies on the basis of existing neuroscience theories and real student priorities and to provide general methodological recommendations for modeling communicative-simulation technology in linguistic pedagogy.
 The main result of the article is to objectify the real neuropsychological picture of students' motivation in English-language communication in chatbots, as well as to present five-component gradation of scenarios for chatbots use by students with different levels of academic knowledge, personal pretensions and self-organization abilities.
 The theoretical conclusions of the article consist in: a) confirmation and further development of already existing provisions on the use of simulation technologies; b) essays on Ukrainian specifics of using chatbots in English language learning in the context of the neuro-pedagogical approach; c) proving the thesis that English-language chatbots are used outside educational plans and are mostly an optional, spontaneous or personal intension tool in learning a foreign language.

A Comprehensive and Multi-Stage Approach to the Use of Simulation Technologies in the Training of Residents and Doctors in the Specialty of Oncology

The use of simulation technologies in the training of oncologists opens up new possibilities, providing not only realistic training, but also training in a safe and controlled environment. At the same time the complexity and multi-stage approach to preparation is important. The specifics of the profession makes us pay special attention to all aspects of treatment: from a competent and tactful collection of anamnesis to the choice of the optimal therapy option.

THE ROLE OF SIMULATION TRAINING FOR TEACHING (IN TEACHING) ANESTHESIOLOGIST INTERNS: A TWO-WAY SURVEY

Resume. In the modern system of training intern anesthesiologists, simulation training is becoming an increasingly common tool for achieving educational goals. The simulation ensures the acquisition of professional competencies without the risk of harm to the patient and enables teachers to objectively assess the level of professional training of each intern. There is a growing need to review traditional approaches to the interaction between a teacher and an intern with the increasing use of simulation technologies.
 The purpose of the study was to determine the role of simulation training in the teaching of anesthesiologist interns.
 Materials and method. A prospective audit was conducted at the Department of Surgery, Anesthesiology and Intensive Care of the O.O. Bogomolets National Medical University in the period from April to June 2023. Interns of the 2nd year of training in 2023 in the speciality «Anesthesiology and intensive care» were trained in a 1-day simulation training «Critical incidents during anaesthesia". We examine data (lower-level outcomes) assessing the role of simulation training on learning outcomes and willingness to work independently from the perspective of interns and faculty using an anonymous questionnaire at the end of the training.
 Results: the audit included 36 responses from interns and 10 from teachers. Many intern doctors noted an increase in their motivation to study, achievement of educational goals and correction of errors as a result of debriefing thanks to the conducted simulation training. Intern doctors noted that such training was very close to real conditions, it increased confidence in working with patients and readiness for emergencies, helped identify knowledge gaps and was more effective compared to traditional training (lectures, seminars). The results of the teachers' survey confirm the importance of simulation training as an effective means of training interns, which ensures the achievement of educational goals without risks for patients, accelerates the process of acquisition of competencies by learners, increases their motivation to study and objectively reflects the level of skills and knowledge of interns.
 Conclusions. Our research has proven that simulation training should be a mandatory component of the training program of the clinical internship in the speciality «Anesthesiology and intensive care» with an increase in their share in the training program of specialists. Creating conditions of mutual trust between interns and teachers is the key to the social mission of ensuring the quality of postgraduate education. Conducting a debriefing after working out each simulation scenario lays the foundation for the formation of critical thinking in future doctors and helps to avoid mistakes in real clinical practice.
 The role of systematic simulation training at the postgraduate level to improve outcomes in real clinical practice may be the subject of further research.

Evaluation of the effectiveness of the formation and improvement of the competence of carrying out resuscitation measures for pregnant women and women in labor in the system of continuous professional development of medical practitioners using simulation

Annotation. The Ministry of Health of Ukraine has implemented a system of continuous professional development (CPD) for doctors. One of the possible measures of CPD, which ensures a continuous process of training and improvement of professional competences of medical workers, is simulation training. The purpose of our work is to evaluate the effectiveness of the use of simulation technologies as a CPD tool for the formation and improvement of the competence of medical workers in carrying out basic and advanced resuscitation measures for pregnant women and women in labor. During 2019-2021, 28 simulation trainings on the topic “Basic and advanced life support of pregnant women and women in labor” were held for medical workers of the city of Vinnytsia and Vinnytsia region, which were attended by 246 medical workers at an age from 20 to 63 years (the mean age – 43.1±8.6 years) and medical experience from 1 to 43 years (the mean medical experience – 19.04±10.89 years). Among the training participants, 38.9% were obstetrician-gynecologists, 17.6% anesthesiologists, 20.1% midwives, 13.4% nurse anesthetists, and 10% nurses. To evaluate the theoretical knowledge of the training participants, we used test control: the initial assessment of knowledge (pre-test), which was compared with the results of the final test (post- test). In addition, at the end of the training, an anonymous questionnaire was conducted regarding the self-assessment of the acquired skills and the attitude of the trainees to the conducted simulation training. Statistical processing of the obtained data was carried out using the SPSS 21 statistical information processing package (©SPSS Inc.). The results of our research show that training using simulation technologies contributes to a 1.7 increase (on average – from 5.76±2.67 to 9.62±1.63 points; p<0.001) in the level of theoretical knowledge by the formation and improving the competence of carrying out resuscitation measures and algorithms for providing medical assistance in case of circulatory arrest. A comparative analysis of the results of the self-assessment of the basic techniques of cardiopulmonary resuscitation before and after the training shows an improvement in skills with a 2 times increase in the average score for the restoration of airway patency, ventilation with an Ambu bag – by 27.7%, indirect heart massage – by 32,9%, dosing and administration of epinephrine – by 24.7%, dosing and administration of amiodarone – by 37.2%, rhythm assessment and defibrillation – 2 times (p<0.001). The assessment of the attitude of medical workers to simulation training in general demonstrated the satisfaction of the trainees with the training, simulation scenarios, educational presentations, qualifications and attitude of the trainers. According to 95.5% of respondents, the goals and objectives of the training were fully achieved and they will be able to effectively use the acquired skills in their practical activities. Thus, the method of simulation training is an effective tool of CPD.

SOFT SKILLS: МОДНИЙ ТРЕНД ЧИ ВИМОГА ЧАСУ

The modern world requires the introduction of new approaches to quality medical education. This is due to the changing roles of key players, which are a new generation of students, a new image of the teacher, which accordingly contributes to changing their relationships. The implementation of interactive learning with the use of simulation technologies contributes to the formation of competencies through the implementation of the Kolb cycle and reflection. As a result of such interaction, the student not only acquires academic knowledge and basic practical skills (hard skills), but also a number of non-professional competencies (soft skills), which are the key to a successful medical career.

MODERN ASPECTS OF THE PRACTICAL TRAINING OF FUTURE DENTISTS

Abstract. An important and one of the main directions in the field of higher medical education is the necessity of significant strengthening of the practical aspect of training of future doctors and saving the appropriate level of theoretical knowledge.
 The purpose of the study was the studying of the attitude of education seekers when mastering of practical skills at the Department of Children's Therapeutic Dentistry with the use of simulation technologies. A survey was conducted among 137 students of the 4th-5th year of the Stomatological Faculty of the Poltava State Medical University (PDMU). The questionnaire included ten questions, the answers took the subjective feelings of the students into account on this question, that is: effects positively/ yes (%), effects negatively/ no (%), does not affect (%), difficult to answer (%).
 At the department of pediatric therapeutic dentistry, an interactive method of teaching propaedeutics of pediatric therapeutic dentistry, prevention of dental diseases is widely used, and practical skills are improved by students of 4-5 courses in a simulation class with the use of phantoms, mannequins and virtual simulators, which makes it possible to improve the quality of training of students with second to fifth courses. The phantom (simulation) classroom is equipped with 14 workplaces for students.
 According to the results of the conducted anonymous questionnaire, 95.62% of the respondents had a positive attitude to conducting practical classes in the phantom class and 93.43% consider, that it is necessary to organize simulation classes in medical higher education institutions at the departments with the dental profile. 2.92% and 5.11% of respondents find it difficult to answer these questions, but none of the students find a negative impact on the educational process of the presence of simulation classes at the departments.
 Teaches and students consider, that advantages of simulation studying are repeated attempts when mastering a certain practical manipulation. During the questionnaire, 97.08% to 99.3% of students answered positively these questions. From 0.7% to 2,92% of students did not make repeated attempts when mastering dental manipulations. 81,75% of the respondents answered that the practical skills acquired in the simulation class, it has a positive effect on further education at dental departments and when receiving patients. 5,84% answered that it has no effect at all, 1,46% has a negative effect, and 10,95% of students could not answer.
 The application of the modern technologies of simulation training in medical institutions of higher education, especially at dental departments, contributes to the improvement of the quality of the educational process and allows you to master the practical skills necessary for further work. The education seekers positively evaluated the practical skills acquired in the simulation class, which have a positive effect on further education at dental departments and when receiving patients, and considered it necessary to use simulation classes, which allow not only to learn and practice practical manipulations, but also form clinical thinking in future dentists.

Comparative Analysis of the Procedure for Accreditation of Medical Personnel in Russia and Kazakhstan

Since 2016, the procedure for accreditation of medical specialists has been introduced in Russia. Kazakhstan launched an analogue of the accreditation procedure in 2015, thus becoming a pioneer in this matter. The form of certification is different in Russia and Kazakhstan, retaining a practical focus, the desire for objectivity in assessment and the use of simulation technologies. The domestic procedure is free and multidirectional in terms of its methodological content, however, due to the optimization of the number of stages, the universities of Kazakhstan are less loaded during the certification procedures.

Analysis of the Effectiveness of the Use of Simulation Technologies During the Olympiad Among Residents in the Specialty of Anesthesiology-Resuscitation

The methods of competitive training with the use of simulation equipment in the preparation of residents of the 1st and 2nd years of study in the specialty of anesthesiology-resuscitation during the organization of the Olympiad "Anesthesiology, resuscitation and intensive care of emergency conditions" in memory of Professor I.V. Merkulov on the basis of the simulation center of the Federal State Budgetary Educational Institution of Higher Education "AGMU" of the Ministry of Health of the Russian Federation. A survey of residents-participants of the 1 (20 people) and 2 (20 people) years of study was conducted, the effectiveness of the use of simulation technologies was analyzed. Feedback was received from the teachers of the organizers of the Olympiad.

Controlling the Possession of Technical Skills in Practical Classes Using Simulation Technologies as a Basis for Preparing for OSCE

The paper discusses the effectiveness of the use of simulation technologies for the current monitoring of students' technical skills and improving the quality of preparation for the OSCE as a method of objectively assessing the skills of a future doctor.

Performance Based Evaluation of Cricothyroidotomy Simulators for Training

The U.S. military has become increasingly reliant on simulators to train combat medical personnel. Human patient simulators that exist for training medical procedures represent task elements with varying degrees of fidelity. The goal of this research was to evaluate the functional fidelity of two commonly used simulators to train surgical cricothyroidotomy to experienced participants. Following a task analysis informed by experts, we collected performance training and test data from 14 experienced trainees. Each participant performed surgical cricothyroidotomies on porcine tracheas before and after five training sessions using one of two simulators. Comparisons of procedure completion times and errors showed development of task mastery by members of both training groups. Analyses of transfer of training from the final training session to the porcine posttest suggested that experienced participants were sensitive to differences between the training simulators and conditions of the posttest. Implications are presented as they relate to the use of simulation technologies for training cricothyroidotomy and the application of a standard method for fidelity assessment.

Application of Simulation Technologies for Formation of Safety Related Competences

The formation of safety-related competencies is a difficult task. These specific safety competencies, unlike other competencies, are difficult to fully develop by providing safety learners and students. Simulation Technologies could be the solution to make it easier for students to develop competencies related to human safety. In this thesis, the following methods were used: analysis of scientific literature, projective methods, mathematical methods – in particular registration and ranking, theoretical methods including: analysis, synthesis, generalization, comparison, conclusions, modeling, induction, deduction. The study showed that the use of simulation technologies allows creating conditions for the formation of the necessary competencies without increased risk for applicants and others. One of the most promising technologies for the formation of safety-related competencies is the use of virtual reality. The use of simulation technologies in the educational process will intensify it and improve the quality of education. Simulation technologies should take a special place in the training of specialists whose professional activities are associated with increased risk, as well as with significant negative consequences of erroneous decisions, in particular in the training of rescuers, military specialists, police, operators of complex systems (including transport, nuclear, etc.), medical workers, in the aerospace industry, etc.

144 Simulation Without the Bells and Whistles of Technology

Full-scale simulation (FSS) is one of the most effective and commonly used simulation modalities in healthcare education. It enables the rehearsal of skills in a safe and controlled environment without the risk of harming patients, which provides a strong argument for it being a useful educational approach. With technological developments and the widescale use of simulation technologies in many institutions, simulation has become an essential part of healthcare professional training and curricula. However, setting up a simulation laboratory can be very costly for institutions, as can training facilitators and ensuring equipment maintenance. Simulated patients (actors) are also not universally embraced because of the costs. This makes running an FSS challenging. Furthermore, technology fear, shortage of trained staff, scarcity of space and equipment, workload and applicability to the existing curriculum can be acknowledged as further barriers to the adoption of FSS. We assert that Visually-Enhanced Mental Simulation (VEMS), which includes a patient poster instead of a patient simulator or simulated patient This study aimed to explore nursing students’ evaluation of the VEMS sessions.VEMS is a mental form of simulation which includes basic representations of a patient, equipment and interventions. A laminated patient poster is used to represent the patient and laminated equipment cards are used for equipment. A whiteboard or flipchart are used to write interventions and patient parameters in real-time. Also, the simulation session includes ‘thinking aloud’ (participants verbalize their thinking process and actions). Before the scenario, pre-briefing takes place, and a debriefing follows after the scenario, as in FSS.As part of a wider project, we piloted the use of VEMS with 30 final-year adult nursing students who consented to participate in VEMS sessions. The main study relied on a quasi-experimental design to compare two simulation modalities, FSS and VEMS. The study was approved by the University of Hertfordshire Ethics Committee (protocol number: aHSK/PGR/UH/03692(2)). Final-year adult nursing students studying at the university were targeted for this study. Control (FSS) and experimental (VEMS) groups were exposed to the same scenarios which included two deteriorating postoperative patients. Students were asked to evaluate the effectiveness of the simulation session with the Simulation Effectiveness Tool-Modified (SET-M) The students found VEMS to be effective for their learning and confidence as they marked it 43.70 (SD: 9.11) out of 57. The pre-briefing part scored 2.41 (SD: 0.61), the learning scored 2.19 (SD: 0.50), the confidence subscale scored 2.25 (SD: 0.57), and the debriefing part scored 2.51 (SD: 0.53), all out of three points.This may suggest that students found the VEMS session a useful learning activity which also contributed to developing their confidence. Based on the pilot study questionnaire data, it could be argued that VEMS can be a valuable simulation approach in nursing education as it does not rely on technology and is easy to facilitate anywhere.

Improving the medical training and qualification of seafarers with simulation technologies

Introduction: Unlike other occupations, maritime occupations are assessed as risky with a high rate of occupational accidents, morbidity and mortality. To reduce the risk and improve the quality of medical care in case of emergencies at sea, the International Maritime Organization (IMO) develops and proposes model courses with developed programs based on current medical problems and needs of seafarers. The Academic Center for Maritime Healthcare (ACMH) at the Medical University of Varna (MU-Varna) is an innovative structure for the country, which sets in its development strategy improvement of the quality of medical education in courses for special and additional training. Nowadays, based on IMO model courses, the perspectives for development in this direction are related to the use of simulation technologies. The high efficiency in the application of the programs and the perspectives in the development of the simulation technologies in the seafarers’ training are the basis for the recognition of ACMH as a national and regional leader in the improvement of the preparation for providing medical care at sea. Aim: The aim of the study is to evaluate the applicability of simulation technologies to increase the competence of seafarers during IMO model medical qualification courses. Materials and Methods: An anonymous survey was conducted among course attendees in the courses "Medical Care on Board" and "Medical Care on Board—Refresher" in ACMH in September 2021. Results: The results of the study fully satisfy the set goal and give a clear idea of the applicability of simulation technologies in qualifying medical courses. Conclusion: The use of simulation technologies in the medical courses at ACMH of MU–Varna increases the level of competence and provides qualitatively new opportunities for acquiring practical medical skills of seafarers.

SIMULATION TRAINING IN THE FORMATION OF FUTURE DOCTORS AS A WAY OF DEVELOPING THEIR PRACTICAL EXPERIENCE

It is shown that the use of simulation technologies in the learning process allows medical students to gain practical experience and qualitatively increase the level of their professionalism against the background of the appropriate level of theoretical knowledge. The content of simulation training as an art to imitate reality, the sequence of events and actions or the mental process of training in the quality of medical care to patients is considered. Its advantages and disadvantages are revealed. An analysis of the effectiveness of simulation training with the involvement of a standardized “patient” during the internship by students of the Department of Surgical Diseases. The role of teachers of the department is shown, who observed the behavior of the “standardized patient” and evaluated the results of students’ work according to the scoring system, according to the criteria. A detailed analysis of the training results, a joint discussion of measures aimed at improving treatment and diagnostic tactics and errors were conducted. Methodical recommendations for training have been developed. It is concluded that the method of “standardized patients” is an effective way to gain practical experience of clinical competence and its evaluation. The worldwide spread of this method indicates the need for its intensive implementation in Ukraine.

Application of Simulation Learning Technologies in Medical Education: Present and Future

The use of simulation technologies in medicine has proven its advantage over the traditional education system. The growing interactivity of the educational environment and the plasticity of interdisciplinary training with an emphasis on self-education dictate the search for promising directions for the development of simulation learning.

Simulation Technologies in the Training of Physicians, Taking Into Account the Requirements of the Professional Standard

The abstracts describe the results of the study on the development of methods for the use of simulation technologies in the preparation of physicians-therapists in the conditions of the requirements of the professional standard "Physician-therapist"

Analysis of the structure of the main errors of students of the faculty of treatment on the results of the first accreditation in 2021

Systematization of theoretical knowledge in preparation for the delivery of primary accreditation, as well as regular training with the use of simulation technologies, qualitatively increases the level of education of students and has a positive effect on the results of delivery of primary accreditation.

The experience of the department for the development of simulation technologies in the training of healthcare management personnel

Department of Public Health and Healthcare of the Federal State Budgetary Educational Institution of Higher Education A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russia has been training healthcare professionals for more than half a century. In 2008, the department launched a project to modernize the educational environment on a digital platform, including the development of active simulation technologies used in the training of healthcare management personnel. The game simulator «Virtual Medical Organization» has been developed, which has no analogues and is based on domestic legal regulation. The active use of simulation technologies in the pedagogical process of the department is based on the problem-target method and the principle of «learning by doing», when, solving practical problems, listeners come to the right answer on their own relying on the knowledge acquired and competencies formed. Such a teaching strategy promotes the involvement of the maximum number of analyzers and cognitive processes of the learner in the game process, which provides an integrative educational result at the output as a result of interaction. At the moment, there is an increasing need for remote use of simulation technologies in the educational process, which would make it possible to consolidate the acquired knowledge and expand the range of competencies of future leaders of health authorities and organizations. The article presents the experience of using the game simulator in the training and assessment of the competencies of healthcare management personnel and provides assessment for the effectiveness of its use. Based on the analysis of the results of the questionnaire survey of the listeners of the cycles of professional retraining and advanced training, conclusions were drawn about the effectiveness of the application of this educational technology in the system of additional professional education for the training of healthcare management personnel. The results of the study are aimed at replicating the possibility of using the presented simulator in a remote format in the process of training heads of health authorities and organizations.