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 The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality.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
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Journal ArticleDOI
Impact of a web based interactive simulation game (PULSE) on nursing students'experience and performance in life support training — A pilot study
TL;DR: A statistically significant difference was found between the competence the groups displayed in the three skills sets of checking equipment, airway assessment and the safe/effective use of defibrillator at ILS level, and PULSE was positively evaluated as an educational tool when used alongside traditional life support training.
Journal ArticleDOI
The use of high-fidelity manikins for advanced life support training-A systematic review and meta-analysis
TL;DR: The use of high fidelity manikins for advanced life support training is associated with moderate benefits for improving skills performance at course conclusion and future research should define the optimal means of tailoring fidelity to enhance short and long term educational goals and clinical outcomes.
Journal ArticleDOI
Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial
Frederick W. Kron,Michael D. Fetters,Mark W. Scerbo,Casey B. White,Monica L. Lypson,Miguel A. Padilla,Gayle Gliva-McConvey,Lee A. Belfore,Temple D West,Amelia Wallace,Timothy C. Guetterman,Lauren S. Schleicher,Rebecca A. Kennedy,Rajesh S. Mangrulkar,James F. Cleary,Stacy Marsella,Daniel M. Becker +16 more
TL;DR: Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters.
Journal ArticleDOI
Virtual reality for medical training: the state-of-the-art
TL;DR: The current status and benefits of haptic VR simulation-based medical training for bone and dental surgery, intubation procedures, eye surgery, and minimally invasive and endoscopic surgery are reviewed.
Journal ArticleDOI
Practice on an augmented reality/haptic simulator and library of virtual brains improves residents' ability to perform a ventriculostomy
Rachel Yudkowsky,Cristian Luciano,Pat Banerjee,Alan Schwartz,Ali Alaraj,G. Michael Lemole,Fady T. Charbel,Kelly M. Smith,Silvio Rizzi,Richard W. Byrne,Bernard R. Bendok,David M. Frim +11 more
TL;DR: Simulation practice with a library of virtual brains representing a range of anatomies and difficulty levels may improve performance, potentially decreasing complications due to inexpert technique.
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