Can medical students achieve skills proficiency through simulation training?

Naylor, Rebekah A.; Hollett, Lisa A.; Valentine, R. James; Mitchell, Ian C.; Bowling, Monet W.; Moe, Alden J.; Dineen, Seán; Bruns, Brandon R.; Scott, Daniel J.

doi:10.1016/j.amjsurg.2008.11.036

Cited by 52 publications

(37 citation statements)

References 8 publications

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“…Undergraduate medical students responded very positively to this integrated session and explicitly recognized the benefit of practicing this complex practical procedure, while also focusing on explanation skills and maintaining rapport with the patient. They report high levels of confidence, which echoes earlier findings [4]. Interestingly, students spontaneously generated comments about generic professional skills related to obtaining consent, showing respect and having a patientcentered approach, which they recognized as transferrable to other clinical situations.…”

Section: Discussionsupporting

confidence: 60%

“…Simulation education [3], identifies the importance of learners being able to practice according to their own learning needs. This method has been used successfully in the teaching of clinical skills to undergraduate medical students, however, predominantly in the context of medium sized groups (25-50 learners) [4,5]. Skills may be retained and transferred to the clinical environment [6].…”

Section: Resultsmentioning

confidence: 99%

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Hybrid simulation for integrated skills teaching

Joekes¹,

Brown²,

Boardman³

et al. 2017

Clinical-Skills

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Background: Classroom teaching of communication and clinical skills in the pre-clinical years does not reflect authentic practice in the clinical workplace. This paper describes an innovative hybrid simulation teaching session on male urinary catheterisation to large cohorts of undergraduate medical students, which aims to achieve a holistic approach to integrated skills acquisition. Evaluation of the session is described.

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Section: Discussionsupporting

confidence: 60%

Section: Resultsmentioning

confidence: 99%

Hybrid simulation for integrated skills teaching

Joekes¹,

Brown²,

Boardman³

et al. 2017

Clinical-Skills

View full text Add to dashboard Cite

show abstract

“…Evidence suggests that simulators are valid instruments in the acquisition of MIS skills. 6,[8][9][10] Hamilton et al 11 established that laparoscopic skills developed outside the operating room are transferrable to actual performance of laparoscopic surgery.…”

Section: Methodsmentioning

confidence: 99%

Mapping the Maze of Minimally Invasive Surgery Simulators

Empel

Veer

Rijssen

et al. 2012

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Conforming to, among other considerations, legal and ethical concerns for patient safety, there is an increasing demand to assess a surgeon's skills prior to performance in the operating room in pursuit of higherquality treatment. Training in minimally invasive surgery (MIS) must therefore be intensified, including team training. New methods to train and assess minimally invasive surgical skills are gaining interest. The goal of this review is to provide instructors with an overview of available MIS training tools. In this review, we discuss currently available simulators for MIS training. Applicability, validity, and construction of simulators are reviewed. Also, some of the leading training programs and assessment methods in MIS are reviewed. Methods: A literature search was performed on studies evaluating surgical task performance on a simulator, reviewing satisfaction with laparoscopic training programs, or validating simulators or assessment methods. Results: Simulators may be divided into simple box trainers and computer-based systems, such as virtual and augmented simulators. All have advantages and disadvantages. An overview is provided of currently available training systems, validity, trainee assessment, and the importance of training programs in MIS. Conclusions:No simulator yet provides the ability to train the entire set of required psychomotor skills or procedures for MIS. A multiyear training program combining various simulators for multiple-level training, including team training, should be constructed.

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“…A veia cefálica acompanha a borda cranial do antebraço, onde repousa sobre o músculo extensor radial do carpo, e no braço segue entre os músculos peitoral superficial e cleidobraquial do braquiocefálico unindo-se à veia jugular externa na parte inferior do pescoço (Dyce, 2004). A veia cefálica é a escolha mais frequente para canulação venosa, podendo ser palpada quando é levantada pela pressão sobre o cotovelo (Lopes, 2009 (Greif, 2003;Naylor et al, 2009). A busca por recursos alternativos ao uso de animais leva à valorização da ética no ambiente educacional, além de preservar a integridade ética, moral, psicológica e social dos alunos (Magalhães e Ortêncio Filho, 2006).…”

Section: Introductionunclassified

Confecção De Modelos Artificiais De Baixo Custo Como Auxílio Aprendizagem De Acesso Vascular Em Pequenos Animais

Ribeiro

Bittencourt

Ponczek

et al. 2013

AVS

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RESUMO:A constante discussão acerca do uso prejudicial dos animais para o ensino está relacionada com a criação e validação de novos métodos ao uso dos animais vivos. O objetivo do trabalho é descrever três modelos artificiais de baixo custo para o treinamento de punção venosa em pequenos animais. Para a construção dos modelos, foi utilizado material de baixo custo e de fácil aquisição, como madeira, tubos de látex, bandagem elástica, esparadrapo e equipos para soro. Os modelos foram criados para representar a realidade em relação ao diâmetro dos vasos, consistência das estruturas e sua proporção em relação ao tamanho antebraço e região cervical. As técnicas de coleta incluíram punção por seringa e agulha ou tubos à vácuo para coleta de sangue, administração de fármacos com seringa e agulha e introdução de cateter para administração de fluido. Os três modelos foram desenvolvidos para contribuir no aprendizado das técnicas de punção venosa e não substituem a técnica em animais vivos, mas auxiliam os profissionais, acadêmicos de medicina veterinária e enfermeiros veterinários antes das primeiras coletas. Este treinamento prévio aumenta a confiança do profissional, além de não haver a possibilidade de contato com material infectante. O modelo, sendo barato, de preparo simples e rápido, e com material de fácil aquisição, pode ser confeccionado por qualquer profissional, servindo como alternativa de aprendizagem para o uso de animais no ensino. Palavras-chave: cães; coleta de sangue; ensino; gatos; métodos alternativos INEXPENSIVE HOMEMADE MODELS FOR VASCULAR ACCESS TRAINING IN SMALL ANIMAL PRACTICE ABSTRACT:The constant discussion about the harmful use of animals in education is related to the creation and validation of new alternative methods to the use of live animals. The aim of this work is to describe three inexpensive artificial models for training venipuncture in small animals. Cheap and easily acquired material were used in the building of the models, such as wood, latex tubes, elastic bandaging tape, adhesive tape, and intravenous administration set. The models were created to represent reality in terms of vessel diameter, consistency of structures and proportion to the forearm and neck. The collection techniques included venipuncture using syringe for blood collection and administration of drugs; vacuum tubes for blood collection; and catheter insertion for fluid administration. The three models were developed to help students in learning the techniques of venipuncture and are not substitutes for practice in living animals. However, they help professionals, veterinary medicine students and veterinary technicians in their first contact with venipuncture techniques. This previous training increases professional confidence. Moreover, there is no possible contact with infectious material. These cheap, simple and easy to prepare models may be made by any professional, serving as an alternative to the use of animals in education.

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Can medical students achieve skills proficiency through simulation training?

Cited by 52 publications

References 8 publications

Hybrid simulation for integrated skills teaching

Hybrid simulation for integrated skills teaching

Mapping the Maze of Minimally Invasive Surgery Simulators

Confecção De Modelos Artificiais De Baixo Custo Como Auxílio Aprendizagem De Acesso Vascular Em Pequenos Animais

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