Medical Simulations

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

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Medical Simulations

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

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