TeleSimBox: A perceived effective alternative for experiential learning for medical student education with social distancing requirements

Abstract

Introduction: During the COVID-19 pandemic the Association of American Medical Colleges recommended that medical students not be involved with inperson patient care or teaching, necessitating alternative learning opportunities.Subsequently we developed the telesimulation education platform: TeleSimBox.We hypothesized that this remote simulation platform would be feasible and acceptable for faculty use and a perceived effective method for medical student education.Methods: Twenty-one telesimulations were conducted with students and educators at four U.S. medical schools. Sessions were run by cofacilitator dyads with four to 10 clerkship-level students per session. Facilitators were provided training materials.User-perceived effectiveness and acceptability were evaluated via descriptive analysis of survey responses to the Modified Simulation Effectiveness Tool (SET-M), Net Promoter Score (NPS), and Likert-scale questions.Results: Approximately one-quarter of students and all facilitators completed surveys. Users perceived that the sessions were effective in teaching medical knowledge and teamwork, though less effective for family communication and skills. Users

Ensino remoto emergencial na Medicina: aspectos positivos e negativos no ensino e na aprendizagem em tempos de pandemia

“…Isso pode ser inferido a partir da menção, por parte dos artigos, do fato de o ensino remoto ter sido feito de uma maneira brusca e sem possibilidade de adaptação gradual 8,34,[40][41][42] . Contudo, alguns artigos mencionaram que a dinâmica da disciplina foi alterada para melhor se adaptar ao contexto remoto [6][7][8][9]33,34,38,49,59 . Com isso, acredita-se que, em um cenário em que houvesse mais tempo de adaptação e planejamento, o ensino remoto poderia ser mais bem aplicado e aproveitado.…”

“…O principal aspecto negativo observado por parte dos estudantes foi a suspensão das atividades práticas 7,[13][14][15][17][18][19][20]25,28,30,33,34,37,40,44,51,55,66,74 . Isso pode ser relacionado diretamente com o fato de o curso de Medicina ter uma grande carga horária e requisitar um contato frequente dos estudantes com os pacientes, imprescindível para a construção do conhecimento a partir da experimentação das vivências 75 .…”

Pediatric Emergency Medicine Didactics and Simulation (PEMDAS) Telesimulation Series: Hyperleukocytosis

“…This platform is similar to the American College of Emergency Physicians (ACEP) TeleSimBox, which utilizes a sim-on-rails modality with a video monitor embedded within the video. 9 ACEP SimBox is a free open-access web-hosted medical simulation platform designed for novice simulation facilitators. Its peer-reviewed simulation cases were adapted via ACEP TeleSimBox during the COVID-19 pandemic to be completely remote and include telesimulation with all participants physically separated and teledebriefing with a videoconferencing platform.…”

Low-Cost “Telesimulation” Training Improves Real Patient Pediatric Shock Outcomes in India

“…Facilitation and assessment can be performed either synchronously or asynchronously using video conferencing tools (8)(9)(10)(11)(12)(13)(14)(15)(16). The concept of telesimulation using prerecorded video was adapted from the ACEP SimBox, a free and openly accessible web-based simulation platform demonstrated to be easy to use, feasible, and recommended by healthcare team users (17)(18)(19)(20)(21). While the SimBox utilizes a single-track video that can be paused, rewound, or fast-forward, Annenberg hotkeys provides a random-access interface that allows a facilitator to play prerecorded videos in any order at any time, permitting a video narrative to be created on-the-fly based on input from users.…”