Replacing Physiotherapy Student Clinical Education Time with Simulation - The Clinical Educators’ Experience

Mapping Simulated-Based Learning Experiences Incorporated Into Professional Placements in Allied Health Programs

“…Of the 48 included studies, the year of publication ranged from 1996 to 2020, with 43 (90%) published from 2010 onward. Among the articles included, 27 were conducted in Australia, [8][9][10]14,18,[50][51][52]55,56,[59][60][61][62]64,[66][67][68]71,72,75,82,84,85,[87][88][89] 16 in the United States, 13,22,49,54,57,63,70,73,74,76,77,[79][80][81]83,86 4 conducted in the UK, 58,65,69,78 and 1 in United Arab Emirates. 53 Eight allied health professions were represented throughout the articles.…”

“…13,22,57,71,83 Five studies presented findings from interprofessional simulation activities. 57,71,73,82,88 Using SBLEs to substitute placement hours was reported by 18 studies, [8][9][10]18,50,51,55,56,59,[61][62][63]65,[73][74][75]86,87 whereas 16 studies implemented SBLEs immediately before professional placement 52,57,58,64,[66][67][68]70,[77][78][79][80][81]84,85,88 and 13 studies used simulation as an additional component during a professional placement. 13,14,22,49,53,54,…”

“…Participant numbers ranged from 6 to 394, with mandatory SBLE participation reported in 33 studies 8,9,13,14,18,22,49,50,54,55,57,[59][60][61][63][64][65][66]68,[70][71][72][73][74][75][76][77]81,[83][84][85][86]89 compared with 15 studies reporting voluntary participation. 10,[51][52][53]56,58,62,67,69,[78][79][80]82,87,88 Five different types of simulation modalities were identified including simulated patients (n = 40), 8-10,13,14,18,22,50-52,54-57,59-65,68,70,71,73-82,84-89 high-fidelity simulation (n = 10), 10,54,…”

“…[8][9][10]14,22,50,54,57,58,60,64,65,67,68,72,75,77,80,[85][86][87] Fourteen studies reported level 3 outcomes related to student behavior within the clinical environment, [8][9][10]50,51,59,65,70,74,79,[83][84][85]87 and only 3 studies reported outcomes related to level 4, the organization (university or health care setting). 10,51,77 Most studies explored outcomes from the student perspective (n = 44), 8-10,13,14,18,22,49,50,52-58,60-73,75-83,85-89 21 studies included outcomes from clinical educators, 8-10,50,51,54,57,59,63,65,70,72,74,77,79,83-87,89 5 studies incorporated reflections of simulation facilitators, 8,18,55,57,77 and 1 study included the patient perspective. 10 The use of validated tools to measure outcomes was reported in 19 studies, [8][9][10]18,50,57,59,…”

“…10 The use of validated tools to measure outcomes was reported in 19 studies, [8][9][10]18,50,57,59,62,65,70,71,[73][74][75][76]79,84,85,87 with the physiotherapy specific placement evaluation tool, Assessment of Physiotherapy Practice, 91 the most reported (n = 6). 8,10,50,84,85,87 Purpose developed tools were described in 42 studies, with 11 adapted from profession-specific competency tools to meet the simulation learning objectives 18,22,50,51,54,56,59,70,74,77,79 and 14 adapted from previous studies. 8,14,18,[52][53][54]60,62,66,67,75,…”