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 The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality.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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Journal ArticleDOI
Leveraging the Critical Decision Method to Develop Simulation-Based Training for Early Recognition of Sepsis:
Mary D. Patterson,Laura G. Militello,Amy Bunger,Regina G. Taylor,Derek S. Wheeler,Gary Klein,Gary L. Geis +6 more
TL;DR: To understand differences in how novices and experts notice and interpret clinical cues using sepsis as an exemplar and to develop simulations that replicate clinical cues to facilitate acquisition of expertise, 14 interviews were conducted.
Journal ArticleDOI
Learner-centred feedback using remote assessment of clinical procedures.
Roger Kneebone,Fernando Bello,Debra Nestel,Neville Mooney,Andrew Codling,Faranank Yadollahi,Tanya Tierney,David Wilcockson,Ara Darzi +8 more
TL;DR: The Imperial College Feedback and Assessment System (ICFAS) is an innovative combination of existing technologies which brings together video recording, networked mobile computers, and content management software, providing a technology-based ‘feedback space’ for maximizing educational value.
Journal ArticleDOI
Simulation training for primary caregivers in the neonatal intensive care unit
TL;DR: Debriefing with specific and supportive feedback may increase families' and caregivers' confidence in handling their child's medical issues and may lead to improved patient safety and quality of care delivered in the home environment.
Journal ArticleDOI
Long-term educational impact of a simulator curriculum on medical student education in an internal medicine clerkship.
TL;DR: Mannequin simulation is a valuable and sustainable addition to a third-year internal medicine clerkship for some students and provides otherwise unavailable exposure to core content material for the majority of students.
Journal ArticleDOI
A cross-institutional examination of readiness for interprofessional learning.
Sharla King,Elaine Greidanus,Rochelle J. Major,Tatiana LoVerso,Alan Knowles,Mike Carbonaro,Louise M. Bahry +6 more
TL;DR: This study reveals nonmeaningful significant differences, indicating different institutional educational mandates are unlikely to be an obstacle in the development of cross-institutional IP curricula.
References
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