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Simulation Technology for Health Care Professional Skills Training and Assessment

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TLDR
Some benefits of simulation technology include improvements in certain surgical technical skills, in cardiovascular examination skills, and in acquisition and retention of knowledge compared with traditional lectures.
Abstract
Changes in medical practice that limit instruction time and patient availability, the expanding options for diagnosis and management, and advances in technology are contributing to greater use of simulation technology in medical education. Four areas of high-technology simulations currently being used are laparoscopic techniques, which provide surgeons with an opportunity to enhance their motor skills without risk to patients; a cardiovascular disease simulator, which can be used to simulate cardiac conditions; multimedia computer systems, which includes patient-centered, casebased programs that constitute a generalist curriculum in cardiology; and anesthesia simulators, which have controlled responses that vary according to numerous possible scenarios. Some benefits of simulation technology include improvements in certain surgical technical skills, in cardiovascular examination skills, and in acquisition and retention of knowledge compared with traditional lectures. These systems help to address the problem of poor skills training and proficiency and may provide a method for physicians to become self-directed lifelong learners.

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Journal ArticleDOI

Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review

TL;DR: 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.
Journal ArticleDOI

A critical review of simulation-based medical education research: 2003-2009

TL;DR: This article reviews and critically evaluates historical and contemporary research on simulation‐based medical education (SBME) and presents and discusses 12 features and best practices that teachers should know in order to use medical simulation technology to maximum educational benefit.
Journal ArticleDOI

Does Simulation-Based Medical Education With Deliberate Practice Yield Better Results Than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence

TL;DR: Although the number of reports analyzed in this meta-analysis is small, these results show that SBME with DP is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals.
Journal ArticleDOI

Simulation-Based Medical Education: An Ethical Imperative

TL;DR: Four themes provide a framework for an ethical analysis of simulation-based medical education: best standards of care and training, error management and patient safety, patient autonomy, and social justice and resource allocation.
Journal ArticleDOI

Low‐ to high‐fidelity simulation – a continuum of medical education?

TL;DR: Simulation is an educational technique that allows interactive, and at times immersive, activity by recreating all or part of a clinical experience without exposing patients to the associated risks.
References
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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.
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Development of a Model for Training and Evaluation of Laparoscopic Skills

TL;DR: In this paper, the authors developed a series of structured tasks to objectively measure laparoscopic skills and used a linear regression model to test for the effects of level of training and practice on performance.
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Cardiac Auscultatory Skills of Internal Medicine and Family Practice Trainees: A Comparison of Diagnostic Proficiency

TL;DR: A need to improve the teaching and assessment of cardiac auscultation during generalists' training, particularly with the advent of managed care and its search for more cost-effective uses of technology is suggested.
Journal ArticleDOI

Assessment of Clinical Performance during Simulated Crises Using Both Technical and Behavioral Ratings

TL;DR: The rating system needs more refinement before it can be used to assess clinical competence for residency graduation or board certification, and behavioral performance can be assessed from videotapes of simulations.
Journal ArticleDOI

A comprehensive anesthesia simulation environment: re-creating the operating room for research and training.

TL;DR: An anesthesia simulation environment that provides a re-creation of the anesthesiologist's task environment in a real operating room is described and it is suggested that anesthesia simulation can be accomplished at nominal expense and has major potential for training, continuing education, certification, and research.
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