medical simulations
DESCRIPTION
My presentation about 4 types of simulations used in medical education. I took out the interactive slides.TRANSCRIPT
Learning with Medical Simulations
Deirdre BonnycastleClinical Teaching
College of MedicineUniversity of Saskatchewan
Objectives
Upon completion of this module,
participants will be able to:
Describe four types of simulations
Identify how simulations can improve learning
Task of Medical Students
1. Learning to think like a physician
2. Learning to act like a physician
Theoretical Underpinning
Experts deliberately practice the art and science of medicine by having opportunities to :
Reflect on their practice
Create new patterns of information by connecting old and new material
Correct mistakes in thinking and action
Practice to the point of automaticity
UnconsciousIncompetence
ConsciousIncompetence
UnconsciousCompetence
ConsciousCompetence
Theoretical Underpinning
Awareness
TeachingPractice
New Challenges
FeedbackFeedback
Four Types of Simulations
1. Simple
3. Standardized Patient
2. Mechanical
4. Virtual Scenario
Simple Simulation Examples
Simple
What is the advantage of
using simple simulation?
allows practice of basic skills
patient safety/comfort allows practice with
minimal supervision available 24 hrs relatively inexpensive
What disadvantage
is there?
lack of direct feedback lacks patient interactivity only useful for simple skill
building
Simple
Key teaching points
1. Provide students with step by step written or image instructions initially
2. Encourage peer learning/practice
3. Use with 5 step method of teaching skills/procedures http://medicaleducation.wetpaint.com/page/5+Step+Approach+to+Teaching+Skills%2FProcedures
4. Practice to point of automaticity for simple skill
Simple Mechanical
Multi-task Simulated Person
Complex Mechanical
Scenario Control Room 3D Internal Image + Simulated Person
BMJ Simulation Module http://learning.bmj.com/learning/search-result.html?moduleId=6080077&searchTerm=“Simulation”&page=0
Mechanical Simulation
What is the advantage of
using mechanical
simulation?
allows practice of more complex skills and teamwork
patient safety/comfort allows for varied levels of
risk student has basic skills
when they enter OR/clinic
What disadvantage is
there?
high cost lacks patient interactivity requires supervision time consuming requires dedicated space
and personnel
CLINICAL/HOSPITAL ENVIRONMENT
SIMULATOR LAB
Identify learning objective
Simulator-based practice
Patient Feedback
Further practice as needed
Competent
Process of Using Simulator Labs
Feedback
Problem:What is Medical Competence?
MEDICAL KNOWLEDGE
CLINICAL REASONING
PATIENT COMMUNICATION
DEXTERITY/SKILL
Learned through Simpleand Mechanical Simulation
?
Answer:Hybrid Standardized Patient
©Thanks to Dr. Roger Kneebone
Attach a manufactured body part to an actor
Hybrid Standardized Patient
What is the advantage of
using a hybrid standardized patient?
program patient reaction patient safety/comfort learn to explain
procedure to patient/parents
practice draping and other physical patient preparation
What disadvantage is
there?
moderate cost time consuming requires dedicated space
and personnel not appropriate for OR
Answer:Virtual Scenarios
Second Life
Virtual Scenario (Information)
Health Information Island
Virtual Scenario (Disaster)
Play 2 Train
Virtual Scenario (Clinical Reasoning)
Imperial College Londonhttp://www.elearningimperial.com/index.php?option=com_content&task=view&id=37&Itemid=58
©Pictures thanks to Dr. Bertalan Meskó http://scienceroll.com/2008/08/17/unique-medical-simulation-in-
second-life/
Virtual Scenario
Learn more about Second Life at
http://medicaleducation.wetpaint.com
Click on The Networked Student and scroll down.
Thank youRead more about simulations here
http://www.medicine.usask.ca/faculty/cbf/medical-simulations