Journal ArticleDOI
Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
TLDR
While research in this field needs improvement in terms of rigor and quality, high-fidelity medical simulations are educationally effective and simulation-based education complements medical education in patient care settings.Abstract:
SUMMARY Review date: 1969 to 2003, 34 years. Background and context: Simulations are now in widespread use in medical education and medical personnel evaluation. Outcomes research on the use and effectiveness of simulation technology in medical education is scattered, inconsistent and varies widely in methodological rigor and substantive focus. Objectives: Review and synthesize existing evidence in educational science that addresses the question, ‘What are the features and uses of high-fidelity medical simulations that lead to most effective learning?’. Search strategy: The search covered five literature databases (ERIC, MEDLINE, PsycINFO, Web of Science and Timelit) and employed 91 single search terms and concepts and their Boolean combinations. Hand searching, Internet searches and attention to the ‘grey literature’ were also used. The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality. Inclusion and exclusion criteria: Four screening criteria were used to reduce the initial pool of 670 journal articles to a focused set of 109 studies: (a) elimination of review articles in favor of empirical studies; (b) use of a simulator as an educational assessment or intervention with learner outcomes measured quantitatively; (c) comparative research, either experimental or quasi-experimental; and (d) research that involves simulation as an educational intervention. Data extraction: Data were extracted systematically from the 109 eligible journal articles by independent coders. Each coder used a standardized data extraction protocol. Data synthesis: Qualitative data synthesis and tabular presentation of research methods and outcomes were used. Heterogeneity of research designs, educational interventions, outcome measures and timeframe precluded data synthesis using meta-analysis. Headline results: Coding accuracy for features of the journal articles is high. The extant quality of the published research is generally weak. The weight of the best available evidence suggests that high-fidelity medical simulations facilitate learning under the right conditions. These include the following:read more
Citations
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PATIENT SIMULATION Teaching Clinical Reasoning and Problem-solving Skills Using Human Patient Simulation
TL;DR: In this paper, human patient simulation (HPS) is used to expose students to complex dynamic patient cases that require clinical judgment, problem-solving skills, and teamwork skills for success.
Journal ArticleDOI
Virtual reality job interview training for veterans with posttraumatic stress disorder
Matthew J. Smith,Laura Boteler Humm,Michael F. Fleming,Neil Jordan,Michael A. Wright,Emily J. Ginger,Katherine Wright,Dale Olsen,Morris D. Bell +8 more
TL;DR: Preliminary support is provided that VR-JIT is acceptable to trainees and may be efficacious for improving job interview skills and self-confidence in veterans with PTSD.
BookDOI
Guide to Simulation-Based Disciplines
TL;DR: This chapter provides a comprehensive view of the stages of the evolution of simulation to emphasize the phenomenal developments in many aspects of simulation which made it an important and even a vital infrastructure for many disciplines.
Journal ArticleDOI
Utilização de pacientes simulados no ensino e na avaliação de habilidades clínicas
TL;DR: In this article, the authors present a brief discussion of the educational concepts underlying clinical skills teaching and assessment and the utilization of simulated patients, comparing the advantages and disadvantages of using real or simulated patients.
References
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BookDOI
To Err Is Human Building a Safer Health System
TL;DR: Boken presenterer en helhetlig strategi for hvordan myndigheter, helsepersonell, industri og forbrukere kan redusere medisinske feil.
Journal ArticleDOI
The role of deliberate practice in the acquisition of expert performance.
TL;DR: A theoretical framework is proposed that explains expert performance in terms of acquired characteristics resulting from extended deliberate practice and that limits the role of innate (inherited) characteristics to general levels of activity and emotionality.
Journal ArticleDOI
Book ReviewTo Err is Human: building a safer health system Kohn L T Corrigan J M Donaldson M S Washington DC USA: Institute of Medicine/National Academy Press ISBN 0 309 06837 1 $34.95
Journal ArticleDOI
Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.
Troyen A. Brennan,Lucian L. Leape,Nan M. Laird,Liesi E. Hebert,A R Localio,Ann G. Lawthers,Joseph P. Newhouse,Paul C. Weiler,Howard H. Hiatt +8 more
TL;DR: There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care.
Journal ArticleDOI
The Assessment of Clinical skills/competence/performance
TL;DR: In this article, the authors propose a method to solve the problem of homonymity of homophily in the context of homomorphic data, and no abstracts are available.