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Dubrowski final 1
- 1. Research in simulation based health professions education: Building houses or making bricks? Adam Dubrowski, PhD Learning and Research Institutes Wilson Centre Department of Paediatrics, UofT
- 2. Chaos in the Brickyard
- 3. Applying the Scientific Method and underpinning research methodology to generate evidence that will be used to build simulation based education programs. General Aim
- 4. • Models of Medical Education • Introduction to Simulation • Working Model • Components of Simulation – Simulators – Educators – Organization • Future Directions Outline
- 5. Apprenticeship Model Trainer Trainee PatientCare Shift in responsibility Ashley, 2000
- 7. Apprenticeship Model Trainer Trainee PatientCare More people die in a given year as a result of medical errors ( 44,000) than from motor vehicle accidents (43,458), breast cancer (42,297), or AIDS (16,516). "To Err is Human, Building a Safety Health System" (2000).
- 9. Simulation Based Education Learn faster Remember longer Be safer
- 10. The replication of a task or an event for the purpose of education and/or assessment. Simulation Based Education
- 12. Dubrowski, A., Brydges, R., Satterthwaite, L., Xeroulis, G., Classe, R. American Journal of Surgery. in press. Busy Environment: Multitasking Simulation Based Education
- 14. Simulation Based Education Technical Performance Communication Environment Clinical Knowledge Additional Learning Attentional capacity threshold
- 15. Simulation Based Education Technical Performance Communication Environment Clinical Knowledge Additional Learning Attentional capacity threshold
- 16. Simulation Based Education Technical Performance Communication Environment Clinical Knowledge Additional Learning Attentional capacity threshold
- 17. Simulation Based Education Technical Performance Communication Environment Clinical Knowledge Additional Learning Attentional capacity threshold
- 19. Kurahashi et al. Surgery. 2010 Study 1: Does it work? Can simulation based training help in pre-training?
- 20. Practice Skills Test Written Test 1 week rest Study 1: Does it work?
- 21. Skills Test: Expert Opinion 0 5 10 15 20 25 Written Test: Score 0 5 10 15 20 25 Trained Novice Novice Trained Novice Novice Study 1: Does it work?
- 22. simulation performanceimproves Study 1: Does it work?
- 23. learningenables Study 1: Does it work? simulation
- 24. Simulation Based Education How to use it?
- 25. Simulation Based Education Components Simulators Educators Organization
- 26. Simulators Information Flow Framework Brydges et al., Am J Surg. 2007, Sidhu et al., J Vasc Surg. 2007
- 27. Study 2: Realism Brydges et al., Am J Surg. 2007, Sidhu et al., J Vasc Surg. 2007 High fidelity Animal model Low fidelity
- 28. Study 2: Realism Brydges et al., Am J Surg. 2007, Sidhu et al., J Vasc Surg. 2007 ExpertOpinion 0 5 10 15 20 25 Senior 0 5 10 15 20 25 Novice Synthetic Cadaver ExpertOpinion Pre-training baseline Synthetic Cadaver
- 29. Study 2: Realism simulation appropriate modelsrequires
- 30. Study 3: Educators Errors in learning Xeroulis et al., Surgery. 2007
- 31. Study 3: Educators Xeroulis et al., Surgery. 2007 ExpertOpinion 0 5 10 15 20 25 Post-training Retention 1 month Pre-training baseline Errors allowed Errors not allowed Independent learning
- 32. Study 3: Educators simulation educated educatorsrequires
- 33. Organization Moulton et al., Ann Surg. 2007 Optimal schedules
- 34. Study 4: Organization Moulton et al., Ann Surg. 2007 1 2 3 4 1 hour block 1 month 1 2 3 4 1 hour block 1 week rest 1 month distributed practice massed practice 1 2 3 41 2 3 41 2 3 41 2 3 41 2 3 4 R R Transfer
- 35. Study 4: Organization Moulton et al., Ann Surg. 2007 distributed massed ExpertOpinion 30 20 10 0 Pre-test Microsurgical drill Post-test Rat Transfer
- 36. Study 4: Organization simulation effective curricularequires
- 37. Summary of Results simulation appropriate modelsrequires simulation educated educatorsrequires simulation effective curricularequires
- 38. Implications Trainer Trainee PatientCare Medical Education = Evidence Based Education
- 39. Future