High‐fidelity simulation in training dental students for medical life‐threatening emergency

Roy, Elby; Quinsat, V. E.; Bazin, Olivier; Lesclous, Philippe; Lejus-Bourdeau, Corinne

doi:10.1111/eje.12284

Cited by 25 publications

(26 citation statements)

References 26 publications

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“…35 However, it was reported that high-fidelity simulation (HFS) in dentistry can enhance learning with more complex scenarios, and increase learning outcomes. 16 Our study further found that fidelity is of higher importance in particular to third-year as compared to first-year students. Future studies may explore the effectiveness of, and satisfaction with, off-site simulations of various fidelity levels.…”

Section: Discussionsupporting

confidence: 68%

“…Self-assessment and evaluation of practical skills through video-recording have also been proposed and evaluated for dental hygiene training, 14,15 although the studies were not conducted in a home-based setting. Student satisfaction with HBSL, in particular, has not been explored, although affective reaction is the foundation level of Kirkpatrick's model of training evaluation, 16 and is important for quality assurance in education. 17 Simulation-based training in dentistry may vary from low-to moderate-fidelity simulations, such as hands-on practice on typodonts (artificial tooth models) on bench tops or mounted on phantom heads, to high-fidelity simulations, such as haptic-enhanced virtual reality (VR) simulators.…”

Section: Introductionmentioning

confidence: 99%

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Simulation design and students’ satisfaction with home‐based simulation learning in oral health therapy

Tan

Ansari

Ali

et al. 2021

Journal of Dental Education

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Objectives:The COVID-19 pandemic presents a challenging situation for dental education, with school closures worldwide. While practical sessions are important for the acquisition of clinical skills, few studies have examined the role of home-based simulation learning (HBSL). This study aims to identify key aspects of simulation design and factors associated with students' satisfaction with HBSL. Methods: During a "circuit-breaker" period in Singapore, the Nanyang Polytechnic School of Health & Social Sciences (Oral Health Therapy) distributed portable manikins and instruments to students and staff for use at home. Synchronous teaching sessions with real-time feedback were carried out over the Zoom teleconferencing platform. A cross-sectional survey of students was conducted after 3 weeks of the HBSL program. Multiple linear regression analyses were carried out to assess the association between satisfaction with domains of simulation design and overall satisfaction with HBSL. Results: The top three factors of importance to students in HBSL were feedback and guided reflection, support, and objectives and information. Final-year students expressed higher levels of overall satisfaction and self-confidence following HBSL than first-year students. Satisfaction with the objectives (β = 0.42, 95% CI 0.26-0.57), support (β = 0.27, 95% CI 0.11-0.42), and problem-solving (β = 0.28, 95% CI 0.10-0.46) domains in the Simulation Design Scale were positively associated with overall student satisfaction and self-confidence in learning. Conclusion:The findings can aid educators in the design of future HBSL programs, with a focus on areas of simulation design that are of importance to students. K E Y W O R D Sdental hygiene (education), educational methodology (education), flipped classroom (technology), home-based simulation learning, patient simulation (patient affairs), preclinical skills/topics, teaching methods (teaching)

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Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Simulation design and students’ satisfaction with home‐based simulation learning in oral health therapy

Tan

Ansari

Ali

et al. 2021

Journal of Dental Education

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“…Além disso, equipamentos Alguns dados levantados nos EUA mostram que 4.309 CDs, durante um período de 10 anos, relataram 30.602 ocorrências de emergências. Esses dados revelam que, em média, pode e deve ocorrer uma emergência por ano em cada consultório odontológico, podendo variar de uma simples síncope, até um infarto fulminante 5 .…”

Section: Discussionunclassified

“…O aumento da expectativa de vida no Brasil e um anseio da sociedade por qualidade de vida traz aos consultórios odontológicos para tratamentos estéticos e funcionais indivíduos de diversas idades incluindo cada vez mais idosos e sob as mais variadas condições sistêmicas tais como: diabéticos, hipertensos, cardiopatas, asmáticos ou portadores de desordens renais e hepáticas entre outras, obrigando os profissionais a adotarem algumas precauções antes de iniciar o tratamento clínico propriamente dito 4,5 .…”

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Urgências, emergências médicas e terapêutica empregada no consultório odontológico

et al. 2021

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Introdução: Urgência refere-se a uma dada intercorrência médica em que o paciente encontra-se sem risco de vida iminente, em que há tempo para planejamento terapêutico A Emergência, por outro lado, é estado imprevisto que requer uma ação imediata para a preservação da vida e da saúde, sob risco iminente de morte. Objetivo: Revisar as nuances sobre o tema, bem como a terapêutica empregada para cada situação. Material e Método: Realizou-se uma revisão da literatura por dois revisores independentes nas bases de dados do PubMed, Scopus e Web of Science utilizando como estratégia de busca os seguintes descritores: (Emergencies) and (Dentistry) and (Dentists). A pesquisa foi limitada a artigos científicos publicados no idioma inglês, desde 2000 até 2019. Totalizando 93 artigos encontrados, sendo incluídos nesse estudo 21. Conclusão: A prevalência de emergências médicas provavelmente está aumentando na prática odontológica, mediante ao aumento de expectativa de vida, sendo assim torna-se imprescindível à adoção de treinamentos e simulações para SBV e orientações, que informem os profissionais de odontologia sobre as mais prevalentes emergências médicas, seus sintomas, terapêutica a ser empregada.

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“…In general, studies indicate that learners have positive feelings towards simulations used in dentistry 16, 21, 23 . Use of high‐fidelity simulation for medical emergency management training in particular garnered positive dental student ratings in one study 22 . Additionally, dental students have rated patient instructor experiences as both effective for learning and enjoyable, including experiences that are conversation‐focused and relate to cultural competence and interpersonal communication skills 20, 24 …”

mentioning

confidence: 99%

Students' Evaluations of Simulations in Dentistry: A Multiple Cohort Study at a U.S. Dental School

McKenzie

Tilashalski

Abou‐Arraj

et al. 2019

Journal of Dental Education

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Simulation may help translate didactic learning to patient care in areas such as communication skills and medical emergency management. The aims of this study were to investigate how multiple cohorts of dental students evaluated simulations utilizing standardized patients and manikins and to explore evaluations of a simulation that combined social determinants of health with oral health education. All approximately 600 second‐ and fourth‐year dental students at one U.S. dental school participated in simulation activities for five years (2014‐18). The activities involved clinical communication skills with an urgent care patient, medical emergency management, and communication skills with a parent with low income. After the simulations, students were invited to complete an evaluation of the experience. Questionnaire items addressed perceived applicability to patient care, value of the experience, and fulfillment of objectives; and open‐ended questions asked for comments specific to the parent with low income simulation. A total of 497 responses from D2 and D4 students were collected over the five‐year period, as well as from all 12 periodontics residents in 2017, for an overall 91.7% response rate. The vast majority (>90.6%) positively evaluated all items for each simulation. The positive ratings ranged from a mean of 99.3% for the urgent care simulation to 93.8% for the parent with low income simulation. Positive student comments often related to learning from/with others and effective practice of teach back and patient education tactics. Students' most frequent suggestions for improvement called for better preparation. In this study, simulations with both standardized patients and manikins led to positive evaluations as well as anticipated improvement of clinical performance. These results suggest that incorporating simulation into an already‐crowded curriculum is worth it from the student perspective, especially for reinforcement of clinical skills not easily amenable to classroom instruction.

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High‐fidelity simulation in training dental students for medical life‐threatening emergency

Abstract: The results support the systematic introduction of training to critical life-threatening emergency situations on high-fidelity patient simulators the dentistry curriculum. The impact on clinical practice in the dental office remains to be assessed.

Cited by 25 publications

References 26 publications

Simulation design and students’ satisfaction with home‐based simulation learning in oral health therapy

Simulation design and students’ satisfaction with home‐based simulation learning in oral health therapy

Urgências, emergências médicas e terapêutica empregada no consultório odontológico

Students' Evaluations of Simulations in Dentistry: A Multiple Cohort Study at a U.S. Dental School

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