transforming physical therapy education: a look into ......this powerpoint template produces a...

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RESEARCH POSTER PRESENTATION DESIGN © 2019 www.PosterPresentations.com INTRODUCTION SIMUCASE SIMULATIONS PT LEARNING GOALS & OBJECTIVES (Ondo, 2018) Learners earn points for good, reflective decisions and lose points for poor or rejected decisions. No points are awarded or subtracted for decisions judged as acceptable. Repeated practice with decision-making leads to clinical competency. RESULTS: PT PILOT PROGRAM 100% REFERENCES METHODOLOGY: PT PILOT PROGRAM Emily Gherghel, PT, DPT, Lynn Bedalov, PT, and Katie Ondo, MA, CCC-SLP, CHSE Transforming Physical Therapy Education: A Look Into Computer-Based Simulation DESIGNING A COMPUTER-BASED SIMULATION Authentic scenarios that feature real clients and help users develop skills and practice decision-making Structure follows APTA Guide to Physical Therapist Practice framework & content is paired with CAPTE Standards and Required Elements Vetted by internal & external boards of clinical content experts COMPONENTS OF HIGH-QUALITY COMPUTER-BASED SIMULATIONS BENEFITS OF COMPUTER-BASED SIMULATIONS Teach complete processes or specific skills Promote independent learning because supervision is asynchronous Improve self-efficacy through reflective practice Address clinical placement challenges Facilitate IPE Guarantee a high degree of exposure to particular experiences Increase practice with low-incidence and high-risk populations Provide a bridge to competency in clinical experiences through technical and non-technical skills training 36.4% 54.5% 4.5% 4.5% 54.5% 40.9% of faculty reviewers agreed or strongly agreed that the simulations provide an appropriate challenge. METHODOLOGY: STUDY EVALUATING SIMUCASE EDUCATION Primary Research Questions: How satisfied are students with the computer-based simulation experience? How do Simucase simulations fulfill the needs of learners? Participants: Third-year DPT students (n= 6) and PTA students (n=17) Design & Procedures: Descriptive research design looking at a basic causal relationship Instruments: Satisfaction with Simulation Experience Scale 5 (SSES), an 18-item self-rating Likert scale of satisfaction looking at clinical learning, clinical reasoning, and debrief RESULTS: STUDY EVALUATING SIMUCASE EDUCATION User perceptions of Simucase simulations overall are positive for faculty and student learners. Three required components of successful clinical simulations include pre-brief, feedback, and debrief. The majority of faculty users report that Simucase meets their curriculum needs. On average, users agree that Simucase simulations can aid in clinical learning and clinical reasoning. Debrief facilitators need to be properly trained to support student learning. Student learners need feedback and opportunities to reflect upon performance in debrief. Clinical Learning Clinical Reasoning More than 80% Standardized scenarios Authentic experiences that display real clients Embedded content questions Multimodal delivery of information Deliberate practice in a safe environment Interprofessional education SUMMARY & CONCLUSIONS Clinical Competency Repeated Practice Feedback Clinical Decisions >95% >90% 1. Macauley, K. (2018). Evaluating changes in clinical decision-making in physical therapy students after participating in simulation. Health Professions Education, 4(4), 278–286. https://doi.org/10.1016/j.hpe.2018.06.001 2. Huhn, K., & Deutsch, J.E. (2011). Development and assessment of a web-based patient simulation program. Journal of Physical Therapy Education, 25(1), 5–10. https://doi.org/10.1097/00001416-201110000-00002 3. Blackstock, F.C., Watson, K.M., Morris, N.R., Jones, A., Wright, A., McMeeken, J.M., Rivett, D.A., O’Connor, V., Peterson, R.F., Haines, T., Watson, G., & Jull, G.A. (2013). Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: Two randomized trials. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 8(1), 32–42. https://doi.org/10.1097/SIH.0b013e318273101a 4. Sabus, C., & Macauley, K. (2016). Simulation in physical therapy education and practice: Opportunities and evidence-based instruction to achieve meaningful learning outcomes, 30(1), 3–13. https://doi.org/10.1097/00001416-201630010-00002 5. Levett-Jones, T., McCoy, M., Lapkin, S., Noble, D., Hoffman, K., Dempsey, J., Arthur, C., & Roche, J. (2011). The development and psychometric testing of the Satisfaction with Simulation Experience Scale. Nurse Education Today, 31(7),705–10. https://doi.org/10.1016/j.nedt.2011.01.004 Primary Research Questions: What learning objectives and content standards are addressed through Simucase computer-based simulations? What are user perceptions of Simucase content and technology? Participants: Faculty reviewers (n=6) and third-year DPT student reviewers (n=8) Design & Procedures: Exploratory research design in which participants completed as many as six adult simulations and provided reviews in the form of qualitative survey data. Primary aims were to evaluate user perceptions and alignment with curricular learning objectives. Instruments: Simucase standardized surveys >90% More than 80% Expert instructors available to the learner Interactive & repeatable experiences Pre-brief prior to the simulation Immediate feedback to guide decisions Debrief following the simulation Methods of assessment & evaluation Physical therapy education is in need of an innovative teaching method that is cost- and time-effective, improves critical thinking skills, and provides exposure to a wide variety of clinical situations. Evidence supports simulation-based learning as a successful method to improve student clinical decision-making in physical therapy educational programs. 1,2, 3 Simulation allows for a controlled environment for students to engage in clinical scenarios without putting actual patients at risk. 4 Specifically, computer-based simulations allow for interactive experiences with repeated practice of clinical skills under asynchronous supervision. A pilot study that investigated user perceptions and efficacy of a computer-based simulation platform adapted for training in the PT profession was implemented, and best-practice simulation methodologies were analyzed. Debrief 82.6% Debrief 78% Disclosure: Presenter is employee of Simucase, LLC of faculty reviewers said that these simulations can enhance clinical reasoning skills and teach/assess clinical skills. of faculty said that these simulations were realistic and provided the opportunity for clinical practice. of faculty reviewers agreed or strongly agreed that the simulations aligned with their curriculum needs. More than 80%

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Page 1: Transforming Physical Therapy Education: A Look Into ......This PowerPoint template produces a 42”x90" presentation poster. You can use it to create your research poster by placing

RESEARCH POSTER PRESENTATION DESIGN © 2019

www.PosterPresentations.com

QUICK START GUIDE(THIS SIDEBAR WILL NOT PRINT)

This PowerPoint template produces a 42”x90" presentation poster. You can use it to create your research poster by placing your title, subtitle, text, tables, charts and photos.

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INTRODUCTION

SIMUCASE SIMULATIONS

PT LEARNING GOALS & OBJECTIVES

(Ondo, 2018)Learners earn points for good, reflective decisions and lose points for poor or rejected decisions. No points are awarded or subtracted for decisions judged as acceptable. Repeated practice with decision-making leads to clinical competency.

RESULTS: PT PILOT PROGRAM

100%

REFERENCES

METHODOLOGY: PT PILOT PROGRAM

Emily Gherghel, PT, DPT, Lynn Bedalov, PT, and Katie Ondo, MA, CCC-SLP, CHSETransforming Physical Therapy Education: A Look Into Computer-Based Simulation

DESIGNING A COMPUTER-BASED SIMULATION

• Authentic scenarios that feature real clients and help users develop skills and practice decision-making

• Structure follows APTA Guide to Physical Therapist Practice framework & content is paired with CAPTE Standards and Required Elements

• Vetted by internal & external boards of clinical content experts

COMPONENTS OF HIGH-QUALITY COMPUTER-BASED SIMULATIONS

BENEFITS OF COMPUTER-BASED SIMULATIONS• Teach complete processes or specific skills• Promote independent learning because supervision is asynchronous• Improve self-efficacy through reflective practice• Address clinical placement challenges• Facilitate IPE• Guarantee a high degree of exposure to particular experiences• Increase practice with low-incidence and high-risk populations• Provide a bridge to competency in clinical experiences through

technical and non-technical skills training

36.4% 54.5%

4.5% 4.5%

54.5%40.9%

of faculty reviewers agreed or strongly agreed that the simulations provide an appropriate challenge.

METHODOLOGY: STUDY EVALUATING SIMUCASE EDUCATIONPrimary Research Questions: • How satisfied are students with the computer-based simulation experience?• How do Simucase simulations fulfill the needs of learners?

Participants: Third-year DPT students (n= 6) and PTA students (n=17) Design & Procedures: Descriptive research design looking at a basic causal relationship

Instruments: Satisfaction with Simulation Experience Scale5 (SSES), an 18-item self-rating Likert scale of satisfaction looking at clinical learning, clinical reasoning, and debrief

RESULTS: STUDY EVALUATING SIMUCASE EDUCATION

• User perceptions of Simucase simulations overall are positive for faculty and student learners.• Three required components of successful clinical simulations include pre-brief, feedback, and

debrief.• The majority of faculty users report that Simucase meets their curriculum needs.• On average, users agree that Simucase simulations can aid in clinical learning and clinical

reasoning.• Debrief facilitators need to be properly trained to support student learning.• Student learners need feedback and opportunities to reflect upon performance in debrief.

Clinical Learning Clinical Reasoning

More than

80%

● Standardized scenarios● Authentic experiences that display real

clients● Embedded content questions● Multimodal delivery of information● Deliberate practice in a safe environment● Interprofessional education

SUMMARY & CONCLUSIONS

Clinical Competency

Repeated Practice

Feedback

Clinical Decisions

>95% >90%

1. Macauley, K. (2018). Evaluating changes in clinical decision-making in physical therapy students after participating in simulation. Health Professions Education, 4(4), 278–286. https://doi.org/10.1016/j.hpe.2018.06.001

2. Huhn, K., & Deutsch, J.E. (2011). Development and assessment of a web-based patient simulation program. Journal of Physical Therapy Education, 25(1), 5–10. https://doi.org/10.1097/00001416-201110000-00002

3. Blackstock, F.C., Watson, K.M., Morris, N.R., Jones, A., Wright, A., McMeeken, J.M., Rivett, D.A., O’Connor, V., Peterson, R.F., Haines, T., Watson, G., & Jull, G.A. (2013). Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: Two randomized trials. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 8(1), 32–42. https://doi.org/10.1097/SIH.0b013e318273101a

4. Sabus, C., & Macauley, K. (2016). Simulation in physical therapy education and practice: Opportunities and evidence-based instruction to achieve meaningful learning outcomes, 30(1), 3–13. https://doi.org/10.1097/00001416-201630010-00002

5. Levett-Jones, T., McCoy, M., Lapkin, S., Noble, D., Hoffman, K., Dempsey, J., Arthur, C., & Roche, J. (2011). The development and psychometric testing of the Satisfaction with Simulation Experience Scale. Nurse Education Today, 31(7),705–10. https://doi.org/10.1016/j.nedt.2011.01.004

Primary Research Questions: • What learning objectives and content standards are addressed through Simucase

computer-based simulations?• What are user perceptions of Simucase content and technology?

Participants: Faculty reviewers (n=6) and third-year DPT student reviewers (n=8)

Design & Procedures: Exploratory research design in which participants completed as many as six adult simulations and provided reviews in the form of qualitative survey data. Primary aims were to evaluate user perceptions and alignment with curricular learning objectives.

Instruments: Simucase standardized surveys

>90%

More than

80%

● Expert instructors available to the learner

● Interactive & repeatable experiences● Pre-brief prior to the simulation● Immediate feedback to guide

decisions● Debrief following the simulation● Methods of assessment & evaluation

Physical therapy education is in need of an innovative teaching method that is cost- and time-effective, improves critical thinking skills, and provides exposure to a wide variety of clinical situations. Evidence supports simulation-based learning as a successful method to improve student clinical decision-making in physical therapy educational programs.1,2, 3

Simulation allows for a controlled environment for students to engage in clinical scenarios without putting actual patients at risk.4 Specifically, computer-based simulations allow for interactive experiences with repeated practice of clinical skills under asynchronous supervision. A pilot study that investigated user perceptions and efficacy of a computer-based simulation platform adapted for training in the PT profession was implemented, and best-practice simulation methodologies were analyzed.

Debrief

82.6%

Debrief

78%

Disclosure: Presenter is employee of Simucase, LLC

of faculty reviewers said that these simulations can enhance clinical reasoning skills and teach/assess clinical skills.

of faculty said that these simulations were realistic and provided the opportunity for clinical practice.

of faculty reviewers agreed or strongly agreed that the simulations aligned with their curriculum needs.

More than

80%