Defining and Exploring Clinical Skills and Simulation-Based Education

Aldridge, Matthew

doi:10.4135/9781446269954.n2

Cited by 6 publications

(5 citation statements)

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“…The debrief is argued to be the most important component of simulation training, as this is where the learner makes sense of what happened during the scenario 38. While the trainee who led the scenario gains the most from this, those observing will give constructive feedback and will also learn from the discussion surrounding appropriate management options and relevant guidelines.…”

Section: Discussionmentioning

confidence: 99%

Does simulation have a role in palliative medicine specialty training?

Walker

Russon

2016

BMJ Support Palliat Care

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Simulation training has been adopted by other industries, particularly aviation, for many years. With patient safety on every agenda, more recently there has been considerable interest and investment in its use for the acute medical specialities. Evidence in palliative medicine, for the use of simulation is mainly limited to advanced communication skills but little is described about its use in developing acute clinical skills. This article describes how in the Yorkshire and Humber Deanery a simulation training day was set up for Palliative Medicine specialty trainees, to assess their knowledge and develop the skills required to deal with acute medical emergencies, as described in the specialty training curriculum for palliative medicine. Scenarios included opioid toxicity, acute left ventricular failure, anaphylaxis, hypoglycaemia and massive haemorrhage. The set up and scenarios are described, along with the mechanisms for delivering feedback. This method of training received positive feedback from trainees and facilitators. The advantages, limitations and potential future role for high-fidelity simulation training for medical trainees and the wider multidisciplinary palliative care team are discussed.

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Section: Discussionmentioning

confidence: 99%

Does simulation have a role in palliative medicine specialty training?

Walker

Russon

2016

BMJ Support Palliat Care

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“…Slight changes, if any, to performance are likely overshadowed by the ballistic gelatin-bulk tissue behavior. Manipulating the fracture while imaging, as shown in Figure 11, allows residents to pair tactile and visual stimuli to create a more holistic understanding of the procedure [1,6,8,9,20,21].…”

Section: Medical Imagingmentioning

confidence: 99%

“…"Practice is a positive constructive process if and only if that practice is an adequate substitute for the true task" [1]: poor practice produces poor performance. Patient care will always present inherent challenges but enabling residents to develop these skills earlier improves their ability to acquire future skills, improving care and limiting potential unintended harm [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

3D Printing of Customizable Phantoms to Replace Cadaveric Models in Upper Extremity Surgical Residency Training

2022

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Medical phantoms are commonly used for training and skill demonstration of surgical procedures without exposing a patient to unnecessary risk. The discrimination of these tissues is critical to the ability of young orthopedic surgical trainees to identify patient injuries and properly manipulate surrounding tissues into healing-compliant positions. Most commercial phantoms lack anatomical specificity and use materials that inadequately attempt to mimic human tissue characteristics. This paper covers the manufacturing methods used to create novel, higher fidelity surgical training phantoms. We utilize medical scans and 3D printing techniques to create upper extremity phantoms that replicate both osseous and synovial geometries. These phantoms are undergoing validation through OSATS training of surgical residents under the guidance of attendings and chief residents. Twenty upper extremity phantoms with distal radius fracture were placed into traction and reduced by first- and second-year surgical residency students as part of their upper extremity triage training. Trainees reported uniform support for the training, enjoying the active learning exercise and expressing willingness for participation in future trials. Trainees successfully completed the reduction procedure utilizing tactile stimuli and prior lecture knowledge, showing the viability of synthetic phantoms to be used in lieu of traditional cadaveric models.

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“…As a means of conducting summative assessments, simulation is increasingly seen as a reliable and robust method of assessing a learner's knowledge and performance (Aldridge, ). The nature of simulation offsets the challenges of assessing clinical skills in the critical care environment (Scalaese and Hatala, 2013).…”

Section: So What?mentioning

confidence: 99%