Medical Simulations

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My presentation about 4 types of simulations used in medical education. I took out the interactive slides.

My presentation about 4 types of simulations used in medical education. I took out the interactive slides.

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  • 1. Learning with Medical Simulations Deirdre Bonnycastle Clinical Teaching College of Medicine University of Saskatchewan
  • 2. Objectives
    • Upon completion of this module,
    • participants will be able to:
    • Describe four types of simulations
    • Identify how simulations can improve learning
  • 3. Task of Medical Students
    • Learning to think like a physician
    • Learning to act like a physician
  • 4. Theoretical Underpinning
    • Experts deliberately practice the art and
    • science of medicine by having opportunities to :
    • Reflect on their practice
    • Create new patterns of information by connecting old and new material
    • Correct mistakes in thinking and action
    • Practice to the point of automaticity
  • 5.
    • Unconscious
    • Incompetence
    Theoretical Underpinning Conscious Incompetence Unconscious Competence Conscious Competence Awareness Teaching Practice New Challenges Feedback Feedback
  • 6. Four Types of Simulations 1. Simple 3. Standardized Patient 2. Mechanical 4. Virtual Scenario
  • 7. Simple Simulation Examples
  • 8. Simple
    • What is the advantage of
    • using simple simulation?
    • allows practice of basic skills
    • patient safety/comfort
    • allows practice with minimal supervision
    • available 24 hrs
    • relatively inexpensive
    • What disadvantage
    • is there?
    • lack of direct feedback
    • lacks patient interactivity
    • only useful for simple skill building
  • 9. Simple
    • Key teaching points
    • Provide students with step by step written or image instructions initially
    • Encourage peer learning/practice
    • Use with 5 step method of teaching skills/procedures http://medicaleducation.wetpaint.com/page/5+Step+Approach+to+Teaching+Skills%2FProcedures
    • Practice to point of automaticity for simple skill
  • 10. Simple Mechanical Multi-task Simulated Person
  • 11. Complex Mechanical Scenario Control Room 3D Internal Image + Simulated Person BMJ Simulation Module http://learning.bmj.com/learning/search-result.html?moduleId =6080077&searchTerm=“Simulation”&page=0
  • 12. Mechanical Simulation
    • What is the advantage of
    • using mechanical
    • simulation?
    • allows practice of more complex skills and teamwork
    • patient safety/comfort
    • allows for varied levels of risk
    • student has basic skills when they enter OR/clinic
    • What disadvantage is
    • there?
    • high cost
    • lacks patient interactivity
    • requires supervision
    • time consuming
    • requires dedicated space and personnel
  • 13. Process of Using Simulator Labs CLINICAL/HOSPITAL ENVIRONMENT SIMULATOR LAB Identify learning objective Simulator-based practice Patient Feedback Further practice as needed Competent Feedback
  • 14. Problem: What is Medical Competence? Learned through Simple and Mechanical Simulation ? MEDICAL KNOWLEDGE CLINICAL REASONING PATIENT COMMUNICATION DEXTERITY/SKILL
  • 15. Answer: Hybrid Standardized Patient ©Thanks to Dr. Roger Kneebone Attach a manufactured body part to an actor
  • 16. Hybrid Standardized Patient
    • What is the advantage of
    • using a hybrid standardized patient?
    • program patient reaction
    • patient safety/comfort
    • learn to explain procedure to patient/parents
    • practice draping and other physical patient preparation
    • What disadvantage is
    • there?
    • moderate cost
    • time consuming
    • requires dedicated space and personnel
    • not appropriate for OR
  • 17. Answer: Virtual Scenarios Second Life
  • 18. Virtual Scenario (Information) Health Information Island
  • 19. Virtual Scenario (Disaster) Play 2 Train
  • 20. Virtual Scenario (Clinical Reasoning) Imperial College London http://www.elearningimperial.com/index.php?option=com_content&task=view&id=37&Itemid=58 ©Pictures thanks to Dr. Bertalan Meskó http://scienceroll.com/2008/08/17/unique-medical-simulation-in-second-life/
  • 21. Virtual Scenario Learn more about Second Life at http://medicaleducation.wetpaint.com Click on The Networked Student and scroll down.
  • 22.
    • T h a n k y o u
    • Read more about simulations here
    • http:// www.medicine.usask.ca/faculty/cbf/medical -simulations