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 The aim was to perform the most thorough literature search possible of peer-reviewed publications and reports in the unpublished literature that have been judged for academic quality.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
Technology-enabled assessment of health professions education: Consensus statement and recommendations from the Ottawa 2010 conference
Zubair Amin,John R. Boulet,David A. Cook,Rachel Ellaway,Ahmad Fahal,Roger Kneebone,Moira Maley,Doris Østergaard,Gominda Ponnamperuma,Andy Wearn,Amitai Ziv +10 more
TL;DR: Recommendations include adhering to principles of good assessment, the need for developing coherent institutional policy, using technologies to broaden the competencies to be assessed, linking patient-outcome data to assessment of practitioner performance, and capitalizing on technologies for the management of the entire life-cycle of assessment.
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Using human patient simulation to prepare student pharmacists to manage medical emergencies in an ambulatory setting.
TL;DR: Simulation of emergencies seen in an ambulatory pharmacy setting allowed students to assert knowledge, practice communication skills, apply assessment techniques, and work as a team in a low-risk environment.
Journal ArticleDOI
Practical Clinical Training in Skills Labs: Theory and Practice.
TL;DR: In this selective literature review, the first section is devoted to the development and dissemination of the skills lab concept, followed by an outlook on future developments and trends in the field of skills lab training.
Journal ArticleDOI
The American College of Surgeons/Association of Program Directors in Surgery National Skills Curriculum: Adoption rate, challenges and strategies for effective implementation into surgical residency programs
James R. Korndorffer,Sonal Arora,Nick Sevdalis,John T. Paige,David A. McClusky,Dimitris Stefanidis +5 more
TL;DR: Despite the availability of a comprehensive curriculum, its diffusion into general surgery residency programs remains low and addressing issues relating to personnel, learner, and administrative issues may improve the adoption rate of the curriculum.
References
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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.
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TL;DR: There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care.
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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.