Journal ArticleDOI
Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review
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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 The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality.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
Comparative effectiveness of instructional design features in simulation-based education: Systematic review and meta-analysis
David A. Cook,Stanley J. Hamstra,Ryan Brydges,Benjamin Zendejas,Jason H. Szostek,Amy T. Wang,Patricia J. Erwin,Rose Hatala +7 more
TL;DR: A systematic review of studies comparing different simulation-based interventions confirmed quantitatively the effectiveness of several instructional design features in simulation- based education.
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Experience‐based learning: a model linking the processes and outcomes of medical students' workplace learning
TL;DR: This work aims to develop a model linking the processes and outcomes of workplace learning and to demonstrate how this model can be applied to education in the rapidly changing environment.
Journal ArticleDOI
Virtual patients: a critical literature review and proposed next steps.
David A. Cook,Marc M. Triola +1 more
TL;DR: Virtual patients (VPs), which take the form of interactive computer‐based clinical scenarios, may help to reconcile the paradox of increased training expectations and reduced training resources.
Journal ArticleDOI
The history of medical simulation
TL;DR: The historical roots of simulation might be described with the broadest definition of medical simulation: "an imitation of some real thing, state of affairs, or process" for the practice of skills, problem solving, and judgment.
Journal ArticleDOI
Effect of virtual reality training on laparoscopic surgery: randomised controlled trial
Christian Rifbjerg Larsen,Jette Led Soerensen,Teodor P. Grantcharov,Torur Dalsgaard,Lars Schouenborg,Christian Ottosen,Torben V. Schroeder,Bent Ottesen +7 more
TL;DR: Skills in laparoscopic surgery can be increased in a clinically relevant manner using proficiency based virtual reality simulator training using a previously validated general and task specific rating scale.
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.