Effectiveness of medical simulation in teaching medical students critical care medicine

Beal, Matthew David; Kinnear, John; Anderson, Caroline; Martin, Thomas N.; Wamboldt, Rachel; Hooper, Lee Anna

doi:10.1102/2051-7726.2017.a005

Cited by 29 publications

(36 citation statements)

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“…The use of simulation-based training has become a valuable tool in the preparation of medical and surgical teams, enhancing team functionality, safety, surgical technique, and knowledge. [48][49][50] ECMO programs have incorporated simulation-based training into their curricula and as a mechanism for skills enhancement, team development, improving clinical outcomes, and maintaining competency. [51][52][53] The success of simulation-based training is influenced by the technology used to create clinical and physiologic realism for routine and emergency ECMO scenarios.…”

Section: Simulation-based Trainingmentioning

confidence: 99%

Technical Advances in the Field of ECMO

Betit¹

2018

Respir Care

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Although the fundamentals of extracorporeal membrane oxygenation (ECMO) have not changed in 3 decades, the technical elements continue to improve and have evolved from an assemblage of individual components to more integrated systems with added features, enhanced safety, and improved maneuverability. The introduction of polymethylpentene (PMP) fiber technology has expanded the development of artificial membranes that have low resistance, are more biocompatible, and can be used for extended durations. Extracorporeal carbon dioxide removal techniques continue to be enhanced as stand alone technology and modified renal dialysis systems are introduced. Research continues in the development of compact and wearable artificial lungs that are intended to support patients for prolonged periods (eg, patients awaiting lung transplantation). The use of high-fidelity simulation training has become a standard and important method for reinforcing technical skills, refining troubleshooting sequences, and enhancing team interactions. Modifications to mannequins and ECMO systems coupled with clinical and physiologic scenarios will help achieve greater realism and enhance learning. ECMO technology continues to improve, with adaptability and versatility being essential attributes.

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Section: Simulation-based Trainingmentioning

confidence: 99%

Technical Advances in the Field of ECMO

Betit¹

2018

Respir Care

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“…One cornerstone of being a good doctor is competent clinical examinations, a standard followed by medical educators globally [1,2]. Learning through examining real patients is a critical part of medical school training, and although there has been a rise in simulation learning, most would concur that learning through live patients is still required [3,4]. Physical examination is part of the diagnostic process and can save considerable costs through decreased testing [5,6] and its absence may adversely affect the doctor-patient relationship [7].…”

Section: Introductionmentioning

confidence: 99%

The influence of gender on clinical examination skills of medical students in Jordan: a cross-sectional study

et al. 2020

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Background: A graduating medical doctor is expected to be competent in physical examinations across all systems. The exploration of how gender affects the development of clinical skills has not been explored in an Arab context, despite cultural restrictions that make it more difficult for students and doctors to examine the opposite sex. Methods: A cross sectional survey was undertaken of graduating final year medical students in Northern Jordan. We asked about students' perceptions regarding factors that may impact the development of clinical skills potentially related to gender, and asked about the frequency of examinations performed during their training for intimate and general physical examinations on all patients, as well as patients of the opposite sex. We also asked about the students' confidence in performing the examinations (3-point Likert-scale). Comparison of male and female proportions was done using Chi square tests analysis. Results: One hundred eighty-eight final year students from 481 students (41%) completed the survey, 99 males and 89 females. The greatest factor given for impacting a student's clinical examination of a patient of the opposite sex was cultural or religious traditions. Overall male students perform more clinical examinations than female students, with the odds of a male conducting more than 10 cardiovascular examinations on any patient compared to female students being 2.07 (1.13-3.79) and as high as 3.06 (1.53-6.18) for thyroid examinations. However, females were significantly more likely to examine male patients than vice versa (0.49 (0.27-0.88) for cardiovascular and 0.39 (0.21-0.71) for respiratory examinations). The gender division was more prominent for intimate examinations, with a lower odds of males conducting breast 0.11 (0.04-0.28) and vaginal examinations 0.22 (0.02-1.98) and more male students conducting prostate examinations OR 11.00 (1.39-87.03) and male genitalia examinations OR 16.31 (3.75-70.94). Overall a large proportion of students had never performed common intimate clinical examinations at all. Conclusions: In our context, clinical exposure to both intimate and general clinical examinations differs significantly between male and female students. A greater awareness and more research on the influence of gender on clinical skill attainment in conservative cultures is needed with appropriate adaption of clinical teaching. Trial registration: Non interventional thus not required.

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“…In simulation, the trainer tactfully recreates characteristics of the real world in a carefully controlled learning environment while optimizing the conditions for the skill being taught to be best assimilated by the learner [8]. Consistently, the outcome of properly implemented simulated learning experiences have been found to be effective and rewarding for both the trainer and the trainee [9]. It therefore comes as no surprise that this opportunity simulated learning creates for the trainer to afford students to learn in a safe and well controlled environment without harming patients in the process of learning critical skills has led the General Medical Council of United Kingdom to recommend that medical schools should use simulation technology in the education of undergraduate medical students [10].…”

Section: Introductionmentioning

confidence: 88%

Overcoming Cultural Barriers in Undergraduate Nursing Education Using Voice Enhanced High Fidelity Simulation: The Sultan Qaboos University Experience

Matua¹,

Raghavan²,

Seshan³

et al. 2019

IJI

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Cultural barriers can significantly diminish educator's chances of teaching clinical skills and competencies to students [1]. We report about Voice Enhanced High Fidelity Simulation (VES) using Gaumard's NOELLE® Advanced Maternal Care simulator to teach undergraduate male nursing students maternity nursing skills. This innovation was essential because as a minimum entry-topractice competency, baccalaureate nursing graduates are required to competently care for mothers and their families during labor and childbirth, and to provide safe and supportive environment, while being able to identify complications and respond to psychological needs [2][3]. In our study, we found that simulation helped students to fill the gap between theoretical knowledge and practical skills. Secondly, simulation helped the students to experience heightened awareness and deeper appreciation of the process of labour and childbirth. Thirdly, simulation enhanced student's communication ability with the mother. Furthermore, simulated experiences taught the students when to call for help. Finally, simulation enabled the students to better understand the role and tenets of interprofessional collaboration in the management of labour. We conclude that VES can be used to overcome barriers that hinder the teaching of male nursing student's attitudes, skills and competencies to provide safe care to childbearing mothers and their families, including the tenets of how to effectively collaborate with others during their care.

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Effectiveness of medical simulation in teaching medical students critical care medicine

Cited by 29 publications

References 0 publications

Technical Advances in the Field of ECMO

Technical Advances in the Field of ECMO

The influence of gender on clinical examination skills of medical students in Jordan: a cross-sectional study

Overcoming Cultural Barriers in Undergraduate Nursing Education Using Voice Enhanced High Fidelity Simulation: The Sultan Qaboos University Experience

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