Medical Simulations

Learning with Medical Simulations Deirdre Bonnycastle Clinical Teaching College of Medicine University of Saskatchewan

Objectives
Upon completion of this module,
participants will be able to:
Describe four types of simulations
Identify how simulations can improve learning

Task of Medical Students
Learning to think like a physician
Learning to act like a physician

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

Unconscious
Incompetence
Theoretical Underpinning Conscious Incompetence Unconscious Competence Conscious Competence Awareness Teaching Practice New Challenges Feedback Feedback

Four Types of Simulations 1. Simple 3. Standardized Patient 2. Mechanical 4. Virtual Scenario

Simple Simulation Examples

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

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

Simple Mechanical Multi-task Simulated Person

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

Mechanical Simulation
using mechanical
simulation?
allows practice of more complex skills and teamwork
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

Process of Using Simulator Labs CLINICAL/HOSPITAL ENVIRONMENT SIMULATOR LAB Identify learning objective Simulator-based practice Patient Feedback Further practice as needed Competent Feedback

Problem: What is Medical Competence? Learned through Simple and Mechanical Simulation ? MEDICAL KNOWLEDGE CLINICAL REASONING PATIENT COMMUNICATION DEXTERITY/SKILL

Answer: Hybrid Standardized Patient ©Thanks to Dr. Roger Kneebone Attach a manufactured body part to an actor

Hybrid Standardized Patient
using a hybrid standardized patient?
program patient reaction
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

Answer: Virtual Scenarios Second Life

Virtual Scenario (Information) Health Information Island

Virtual Scenario (Disaster) Play 2 Train

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/

Virtual Scenario Learn more about Second Life at http://medicaleducation.wetpaint.com Click on The Networked Student and scroll down.

T h a n k y o u
Read more about simulations here
http:// www.medicine.usask.ca/faculty/cbf/medical -simulations

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Medical Simulations

by Deirdre Bonnycastle on Feb 05, 2009

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Medical Simulations — Presentation Transcript