Simulated Placements as Partial Replacement of Clinical Training Time: A Delphi Consensus Study

Bridge, Pete; Adeoye, Joanne; Edge, Christopher N.; Garner, Vicky L.; Humphreys, Anne-Louise; Ketterer, S.; Linforth, Joanne; Manning-Stanley, Anthony; Newsham, David; Prescott, Denise; Pullan, Samuel J.; Sharp, Joanne

doi:10.1016/j.ecns.2022.04.009

Cited by 21 publications

(24 citation statements)

References 17 publications

(43 reference statements)

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“…The MRS literature on clinical replacement activities lacks details about the overall cost of the development, implementation, and sustainability of such interventions. This is in line with findings from SBE activities for MRS in general, 16 as well as other areas in health and medicine. 26 , 27 As such, expected costs for MRS-specific education requirements warrants further exploration, and educational institutions will need to make a cost to benefit analysis on their individual proposed interventions.…”

Section: Benefits and Challenges Of Clinical Replacement Activities I...supporting

confidence: 90%

“…There is limited evidence to support that simulation hours are equivalent to clinical hours or informing the optimum ratio in MRS. The range of 11–30% presented in one study 16 is like that reported in nursing, where it was suggested that no more than 25% of clinical hours be replaced with simulation. 13 The current data on MRS students’ piloted activities reports on blended simulation-based packages being suitable for replacement of one or two weeks of clinical placement.…”

Section: Planning and Development Of Clinical Replacement Learning Ac...supporting

confidence: 66%

“…The first approach supported the concept that educational institutions have an obligation to collaborate with stakeholders to enable MRS students' ongoing education goals to meet professional capabilities necessary for professional registration. A significant contribution to this discussion by Bridge et al., 16 describes a national approach to identify the professional community's perspectives on clinical replacement interventions prior to implementation. The authors report on a Delphi study, which aimed to explore stakeholders' opinions regarding whether simulated placements could reduce overall clinical placement time for health care students.…”

Section: Planning and Development Of Clinical Replacement Learning Ac...mentioning

confidence: 99%

“…Benefits relating to reduced clinical placement training burden were identified in the literature. 14 , 16 , 19 This is especially significant in current times, especially due to the Covid-19 pandemic. 16 , 17 , 19 Similar to studies in nursing, current literature based on MRS student cohorts supports the concept that clinical replacement interventions allow students to develop clinical skills in a safe environment.…”

Section: Benefits and Challenges Of Clinical Replacement Activities I...mentioning

confidence: 99%

“… 14 , 16 , 19 This is especially significant in current times, especially due to the Covid-19 pandemic. 16 , 17 , 19 Similar to studies in nursing, current literature based on MRS student cohorts supports the concept that clinical replacement interventions allow students to develop clinical skills in a safe environment. Specifically, it is reported that students can learn from mistakes without potential consequences for patients, leading to improved preparation for future clinical placements.…”

Section: Benefits and Challenges Of Clinical Replacement Activities I...mentioning

confidence: 99%

See 4 more Smart Citations

Can simulation-based education or other education interventions replace clinical placement in medical radiation sciences? A narrative review

Jimenez¹,

Gray²,

Michele³

et al. 2023

Radiography

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Section: Benefits and Challenges Of Clinical Replacement Activities I...supporting

confidence: 90%

Section: Planning and Development Of Clinical Replacement Learning Ac...supporting

confidence: 66%

Section: Planning and Development Of Clinical Replacement Learning Ac...mentioning

confidence: 99%

Section: Benefits and Challenges Of Clinical Replacement Activities I...mentioning

confidence: 99%

Section: Benefits and Challenges Of Clinical Replacement Activities I...mentioning

confidence: 99%

See 3 more Smart Citations

Can simulation-based education or other education interventions replace clinical placement in medical radiation sciences? A narrative review

Jimenez¹,

Gray²,

Michele³

et al. 2023

Radiography

View full text Add to dashboard Cite

Prevalence and severity of pediatric emergencies in a German helicopter emergency service: implications for training and service configuration

Mockler,

Metelmann,

Metelmann

et al. 2023

Eur J Pediatr

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This study primarily aims to determine the frequency of life-threatening conditions among pediatric patients served by the DRF, a German helicopter emergency service (HEMS) provider. It also seeks to explore the necessity of invasive procedures in this population, discussing the implications for HEMS crew training and service configuration based on current literature. We analyzed the mission registry from 31 DRF helicopter bases in Germany, focusing on 7954 children aged 10 or younger over a 5-year period (2014–2018). Out of 7954 identified children (6.2% of all primary missions), 2081 (26.2%) had critical conditions. Endotracheal intubation was needed in 6.5% of cases, while alternative airway management methods were rare (n = 14). Half of the children required intravenous access, and 3.6% needed intraosseous access. Thoracostomy thoracentesis and sonography were only performed in isolated cases. Conclusions: Critically ill or injured children are infrequent in German HEMS operations. Our findings suggest that the likelihood of HEMS teams encountering such cases is remarkably low. Besides endotracheal intubation, life-saving invasive procedures are seldom necessary. Consequently, we conclude that on-the-job training and mission experience alone are insufficient for acquiring and maintaining the competencies needed to care for critically ill or injured children. What is Known:• Pediatric emergencies are relatively rare in the prehospital setting, but their incidence is higher in helicopter emergency medical services (HEMS) compared to ground-based emergency services. What is New:• On average, HEMS doctors in Germany encounter a critically ill or injured child approximately every 1.5 years in their practice, establish an IV or IO access in infants or toddlers every 2 years, and intubate an infant every 46 years.• This low frequency highlights the insufficiency on-the-job training alone to develop and maintain pediatric skills among HEMS crews. Specific interdisciplinary training for HEMS crews is needed to ensure effective care for critically unwell pediatric patients.

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How Are Alternative Clinical Placements Performed Compared to Traditional Clinical Placements During the COVID-19 Pandemic? Sought Through a Systematic Review and Meta-Analysis

Romli,

Wan Yunus,

Adam

et al. 2024

Med.Sci.Educ.

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Simulated Placements as Partial Replacement of Clinical Training Time: A Delphi Consensus Study

Cited by 21 publications

References 17 publications

Can simulation-based education or other education interventions replace clinical placement in medical radiation sciences? A narrative review

Can simulation-based education or other education interventions replace clinical placement in medical radiation sciences? A narrative review

Prevalence and severity of pediatric emergencies in a German helicopter emergency service: implications for training and service configuration

How Are Alternative Clinical Placements Performed Compared to Traditional Clinical Placements During the COVID-19 Pandemic? Sought Through a Systematic Review and Meta-Analysis

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