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 The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality.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
More filters
Journal ArticleDOI
Simulation-based otolaryngology – head and neck surgery boot camp: ‘how I do it’
TL;DR: An otolaryngology boot camp gives residents the chance to learn and practice emergency skills before encountering the emergencies in everyday practice, and confidence in multiple skillsets was significantly improved after the boot camp.
Journal ArticleDOI
Approaches to Teaching the Physical Exam to Preclerkship Medical Students: Results of a National Survey.
Toshiko Uchida,Yoon Soo Park,Robin K. Ovitsh,Joanne Hojsak,Deepthiman Gowda,Jeanne M. Farnan,Mary Boyle,Angela D. Blood,Francis I. Achike,Ronald C. Silvestri +9 more
TL;DR: There was wide variation in how medical schools taught the physical exam to preclerkship students, and common pedagogical approaches included early initiation of physical exam instruction, use of technology, and methods that support clinical reasoning and competency-based medical education.
Journal ArticleDOI
Simulation in Occupational Therapy Curricula: A literature review.
TL;DR: Simulation-based education has been used for a wide range of purposes in occupational therapy curricula and appears to be well received; Randomised controlled trials are needed to more accurately understand the effects of simulation not just for occupational therapy students but for longer term outcomes in clinical practice.
Journal ArticleDOI
Best Evidence Medical and Health Professional Education (BEME) collaboration: A moving spotlight
Morris Gordon,Madalena Patricio +1 more
TL;DR: This ‘spotlight’ piece on BEME (www.bemecollaboration.org) focuses on the “moving spotlight” theory of time, which asserts that the experiences had a year ago or 10 years ago are still just as real, they are just “inaccessible” because they are now in a different part of spacetime.
Journal ArticleDOI
Rationale, scope, and 20-year experience of vascular surgical training with lifelike pulsatile flow models.
Hans-Henning Eckstein,Jürg Schmidli,Hardy Schumacher,Lorenz Gürke,K. Klemm,Nikolaus Duschek,Toni Meile,Afshin Assadian +7 more
TL;DR: An overview of the experiences of >20 years of practical training of beginners and advanced vascular surgeons using lifelike pulsatile vascular surgical training models is given.
References
More filters
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.