Hybrid simulation training: An effective teaching and learning modality for intrauterine contraceptive device insertion

Amerjee, Azra; Akhtar, Munazza; Ahmed, Iffat; Irfan, Sheikh

doi:10.4103/efh.efh_357_17

Cited by 5 publications

(4 citation statements)

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“…Hybrid simulation allows both procedural and communication skills training, bringing a sense of realism to the training that may not be attained by using human actors or simulators alone. The use of hybrid simulation can be a cost-effective training option compared to high fidelity simulators exclusively, as these simulators can cost upwards to tens of thousands of dollars (Amerjee, Akhtar, Ahmed, & Irfan, 2018).…”

Section: Introductionmentioning

confidence: 99%

Hybrid medical simulation – a systematic literature review

Brown

Tortorella

2020

Smart Learn. Environ.

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Health-care education based upon technology enabled mannequins (high-fidelity simulators) is a costly investment for colleges and universities. However, a hybrid model using wearable technology integrated with human actors (standardized patients) may present a cost-effective alternative to high fidelity simulation training scenarios. A systematic literature review of papers published from 1960 to 2019 illustrates that hybrid simulation can be as effective as high fidelity simulators in certain training scenarios while at the same time providing a superior training context to enhance learners patient to care-giver interactions and to better immerse the trainee in the feelings and emotion of the scenario.

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Section: Introductionmentioning

confidence: 99%

Hybrid medical simulation – a systematic literature review

Brown

Tortorella

2020

Smart Learn. Environ.

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“…7 Learning IUCD insertion and removal through lectures and observation is not as effective as doing. [8][9][10][11] Performing in supervised environment is not possible for all the students. Only few students get the opportunity to learn in a patient under supervision.…”

Section: Introductionmentioning

confidence: 99%

Using Papaya as a simulation based training tool to develop competency in IUCD insertion & removal in interns - Perspective of teachers and students

Jesi,

Dhanalakshmi,

Padmavathi

et al. 2023

PJMS

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As per MCI’s new curriculum, insertion & removal of Intrauterine contraceptive device (IUCD) is a competency to be acquired by an Indian Medical Graduate. Only few students get the opportunity to learn this skill in a real patient. Simulation based teaching could improve the opportunity to learn. Hence we have done this study to use papaya as a cost effective simulation model for teaching IUCD insertion & removal.Institutional ethical committee approval was obtained and a workshop was conducted to all the 158 interns of Government Thoothukudi Medical College in groups of ten. Briefing and demonstration was done with an IUCD simulator. Then the students were given an opportunity to practice the procedure in papaya individually. Feedback was obtained from interns and teachers by a structured questionnaire and analyzed. The feedback was analyzed to assess the reaction, knowledge, fidelity and transfer of the knowledge by students and teachers. Skill developmentby the students before and after the training showed a significant rise (p < 0.05)This hands-on training on IUCD insertion & removal using papaya is found to have high fidelity and is very useful for the students to acquire knowledge and skill and is also approved and appreciated by the teaching faculty. Hence this can be included regularly in the teaching schedule for final year students and in Intern orientation programs.

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“…Furthermore, to our knowledge, there are no other high-fidelity, comprehensive simulation experiences that also incorporate obtaining informed consent from standardized patients and entering orders. Hybrid simulation has, however, demonstrated to be both feasible and effective for medical student training of gynecologic procedures such as intrauterine device insertion and Papanicolaou tests as well as breast examinations (Amerjee et al, 2018;Seo et al, 2018;Nassif et al, 2019). We therefore developed a hybrid simulation experience encompassing all three of these crucial skills and centered around LP.…”

Section: Introductionmentioning

confidence: 99%

The Use of Hybrid Lumbar Puncture Simulation to Teach Entrustable Professional Activities During a Medical Student Neurology Clerkship

Yanta¹,

Knepper²,

Deusen³

et al. 2020

MedEdPublish

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Background: In 2014, the Association of American Medical Colleges (AAMC) published a list of Entrustable Professional Activities (EPAs) that students should be able to perform upon starting residency. The University of Pittsburgh School of Medicine (UPSOM) has surveyed our neurology clerkship students in regard to EPAs since 2017; according to this data, we have been deficient in addressing EPAs 4 (enter and discuss orders/prescriptions), 11 (obtain informed consent for tests and/or procedures), and 12 (perform general procedures of a physician). We therefore developed a hybrid simulation experience encompassing these three skills, centered around lumbar puncture (LP). Methods: We created a hybrid LP simulation for students on the neurology clerkship encompassing EPAs 4, 11, and 12. Students first obtained informed consent for LP from a Standardized Patient, then performed LP on a specialized manikin. They then entered orders on CSF into a simulated patient chart. Real-time feedback was provided for all three components. Students filled out surveys to assess their perceived confidence and skill with these activities both pre-and post-simulation. Results: The percentage of students who increased their confidence with LP from minimal or less to average or more was 58.24%, 38.47%, and 26.38% for LP, informed consent, and order entry, respectively. The percentage of students who improved from not being able to perform/needing significant supervision to being able to perform with minimal supervision/ independently was 25.27%, 47.25% and 28.58%, for LP, informed consent, and order entry, respectively. These differences were all statistically significant (p <0.0001). Conclusions/Significance: Hybrid LP simulation was effective in increasing medical student confidence and perceived skill with EPAs 4, 11, and 12.

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Hybrid simulation training: An effective teaching and learning modality for intrauterine contraceptive device insertion

Cited by 5 publications

References 0 publications

Hybrid medical simulation – a systematic literature review

Hybrid medical simulation – a systematic literature review

Using Papaya as a simulation based training tool to develop competency in IUCD insertion & removal in interns - Perspective of teachers and students

The Use of Hybrid Lumbar Puncture Simulation to Teach Entrustable Professional Activities During a Medical Student Neurology Clerkship

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