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| MEDICAL EDUCATION |
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| Year : 2010 | Volume
: 17
| Issue : 1 | Page : 35-40 |
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Simulation-based medical teaching and learning
Abdulmohsen H Al-Elq
Department of Internal Medicine, College of Medicine, University of Dammam, Saudi Arabia
| Date of Web Publication | 7-Sep-2010 |
Correspondence Address:
Abdulmohsen H Al-Elq
Associate Professor, Consultant Internist / Endocrinologist, Department of Internal Medicine, King Fahd Hospital of the University, P.O. Box 40145, Al-Khobar 31952
Saudi Arabia
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1319-1683.68787
 Abstract | | |
One of the most important steps in curriculum development is the introduction of simulation- based medical teaching and learning. Simulation is a generic term that refers to an artificial representation of a real world process to achieve educational goals through experiential learning. Simulation based medical education is defined as any educational activity that utilizes simulation aides to replicate clinical scenarios. Although medical simulation is relatively new, simulation has been used for a long time in other high risk professions such as aviation. Medical simulation allows the acquisition of clinical skills through deliberate practice rather than an apprentice style of learning. Simulation tools serve as an alternative to real patients. A trainee can make mistakes and learn from them without the fear of harming the patient. There are different types and classification of simulators and their cost vary according to the degree of their resemblance to the reality, or 'fidelity'. Simulation- based learning is expensive. However, it is cost-effective if utilized properly. Medical simulation has been found to enhance clinical competence at the undergraduate and postgraduate levels. It has also been found to have many advantages that can improve patient safety and reduce health care costs through the improvement of the medical provider's competencies. The objective of this narrative review article is to highlight the importance of simulation as a new teaching method in undergraduate and postgraduate education. Keywords: Clinical skills, medical education, medical simulation, simulators
How to cite this article:
Al-Elq AH. Simulation-based medical teaching and learning. J Fam Community Med 2010;17:35-40 |
| Introduction | |  |
Medical education has undergone significant changes all over the world. One of the reasons for the changes is concern for the patient's safety. "To Err Is Human", a landmark report released by the Institute of Medicine (IOM) in 1999 [1] estimated that medical errors cause injury to approximately 3% of hospital patients and results in a minimum of 44,000 and perhaps as many as 98,000 deaths per year in the United States. Another important finding came from the Harvard Medical Practice Study 1, in which the authors reviewed over 30,000 randomly selected hospital records at New York State in 1984 as part of an interdisciplinary study of medical injury and malpractice litigation. They found that injuries from adverse events occurred in 3.7% of hospital admissions, 27.6% of which were due to negligence and in which 13.6% led to death. [2] Medical errors also contribute to the cost of medical care throughout the world. The annual cost attributable to all adverse drug events and preventable adverse drug events for a 700-bed American teaching hospital was estimated by one study as $5.6 million and $2.8 million repectively. [3] Though it is expected that such medical errors occur in Saudi Arabia, there are no studies on their extent in Saudi hospitals.
Calls for a change in the instructional methods have resulted in innovative medical curricula. The new curricula stress the importance of proficiency in several clinical skills by medical graduates rather than mere acquisition of knowledge. As evidenced by their endorsement by many of the international bodies and medical schools, [4] it is universally accepted that clinical skills constitute an essential learning outcome. The acquisition of appropriate clinical skills is key to health education; however, students sometimes complete their educational programs armed with theoretical knowledge but lack many of the clinical skills vital for their work. A major challenge for medical undergraduates is the application of theoretical knowledge to the management of patients. Some medical schools in the Middle East have changed their curricula and adopted such educational strategies as problem-based learning. Also many medical schools have started to utilize clinical skills laboratories for training. However, simulation-based learning is not yet well established in this region. The objective of this narrative review article is to highlight the importance of simulation as a new teaching method for undergraduate and postgraduate education.
| Materials and Methods | | |
This is a narrative review of literature on a medical simulator and the use of simulation in medical education. A literature search of MEDLINE/PubMed database for English-language publications and reference lists from relevant articles published between 1990 and August 2009 was conducted. The main search terms were medical simulation, medical simulator, medical education, and clinical skills. All articles thought to be relevant to the title and/or abstracts were retrieved. These articles were reviewed if they were considered relevant to the search.
| Clinical Competence | | |
Medical training programs should ensure that students have the necessary learning opportunities and assessed by the appropriate methods. Clinical skills competencies including communication skills, history-taking, professional attitudes, awareness of ethical basis of healthcare, physical examination, procedural skills, clinical laboratory skills, diagnostic skills, therapeutic skills, resuscitation skills, critical thinking, clinical reasoning, problem solving, team-work, organization skills, management skills, and information technology skills should be part of the core undergraduate curriculum. [5] Traditionally, the acquisition and ongoing improvement of high level psychomotor skills required by future physician take place in an apprentice-style model of 'See One, Do One, Teach One.' This apprentice-style of learning is no longer considered acceptable because of the increasing concern for the quality of patient care and safety and change in health care systems. The pressure of managed care has shaped the forms and frequency of hospitalization and led to a higher percentage of acutely ill patients and shorter inpatient stays. This has resulted in fewer opportunities for the medical learner to access a wide variety of diseases and physical findings. Relying on exposure to real hospital patients during training years may result in an ad-hoc method of learning clinical skills, as this depends on the availability of cases, and consequently to less than optimal development and performance of clinical skills. There are many reports that indicate concerns for the level of skills medical graduates even in western countries possess. [6],[7]
The acquisition of expertise in clinical medicine requires the learner's engagement in deliberate practice of desired learning outcomes. According to Issenberg et al (2002) [8] "Deliberate practice involves (a) repetitive performance of intended cognitive or psychomotor skills in focused domain, coupled with (b) rigorous skills assessment, that provides learners (c) specific, informative feedback, that results in increasingly (d) better skills performance, in a controlled setting." Concerns about patient safety and fewer available patients for learning, and many other factors have led to the introduction of simulation and the development of simulation centers and clinical skills laboratories in medical education. [9],[10]
| Simulation | | |
Aviation and aerospace industries have been using simulation as a teaching tool for many years. Simulators are now widely used in education and training in a variety of high risk professions and disciplines, including the military, commercial airlines, nuclear power plants, business and medicine. [11] Recently, the inclusion of clinical skills training into the curricula of medical students has seen significant growth. There are many examples of curricular reform that include clinical skills training, the use of simulators, and the creation of clinical skills centres. [12] Simulation has been defined as a situation in which a particular set of conditions is created artificially in order to study or experience something that is possible in real life; or a generic term that refers to the artificial representation of a real world process to achieve educational goals via experimental learning. [13] A simulator is defined as a device that enables the operator to reproduce or represent under test conditions phenomena likely to occur in actual performance. On the other hand, simulation based medical education can be defined as any educational activity that utilizes simulative aides to replicate clinical scenarios. Simulation tools serve as an alternative to the real patient. Trainers can make mistakes and learn from them without the fear of distressing the patient. [14] Experiential learning, which is a part of the definition of simulation, is an active process during which the learner constructs knowledge by linking new information and new experience with previous knowledge and understanding. Experiential learning or learning from experience during simulation based training sometimes involves the use of clinical scenarios as the bases of learning. [15],[16] The practice of scenarios can be done individually, but it is mostly carried out by a team from the same or different specialties or professions in a simulated environment made to resemble the intended environment as closely as possible in order to immerse students in an experience closest to real life. [17],[18] The practice of a scenario can be videotaped for immediate feedback to participants during the debriefing sessions.
Debriefing after a scenario is an important component of full-scale simulation. Video recording of the scenario is also used to initiate discussion and to make sure that all learning objectives were covered. Debriefing can focus both around the cognitive process involved in the recognition of the problem and the implementation of the management guidelines and the technical level at which the ability of the learner to apply rules and appropriate responses in a stressful situation is evaluated. [19]
During the full scale scenario-based training, the learner can acquire such important skills as interpersonal communication, teamwork, leadership, decision-making, the ability to prioritize tasks under pressure, and stress management. [13] However, training through simulation should be viewed as an adjuvant and not a replacement for learning with real patients. Simulation is not intended to replace the need for learning in the clinical environment, so it is important to integrate simulation training with the clinical practice during curriculum development.
| Simulator | | |
Simulators are classified into different categories. [20],[21] An example of the classification of simulators is shown in [Table 1]. Simulators can be classified according to their resemblance to reality into low-fidelity, medium- fidelity and high-fidelity simulators. [20] Low-fidelity simulators are often static and lack the realism or situational context. They are usually used to teach novices the basics of technical skills. Example of a low-fidelity simulator is the intravenous insertion arm [Figure 1] and Resusci-Anne [Figure 2]. Moderate fidelity simulators give more resemblance of reality with such features as pulse, heart sounds, and breathing sounds but without the ability to talk and they lack chest or eye movement. They can be used for both the introduction and deeper understanding of specific, increasingly complex competencies. An example of a moderate fidelity simulator is the "Harvey" cardiology simulator [Figure 3]. High fidelity simulators combine part or whole body manikins to carry the intervention with computers that drive the manikins to produce physical signs and feed physiological signs to monitors. They are usually designed to resemble the reality. They can talk, breathe, blink, and respond either automatically or manually to physical and pharmacological interventions. Good examples of high-fidelity simulator is the METI Human Patient Simulator (HPS) which is model driven [Figure 4] and the "Noelle" obstetric simulator which is instructor driven. In general, the higher the fidelity, the more expensive it is.
Virtual reality can also be incorporated into the simulators (mostly part-task simulators) to enhance learning. Virtual reality is best described as a concept of advanced human-computer interaction. Virtual reality varies greatly according to its level of sophistication in its level of realism and of the user's interaction with the virtual environment. [22] A common form of virtual reality involves the use of haptic (touch) feedback to produce a feeling of resistance when using instruments in a simulated environment. This technology is frequently used in endoscopic and laparoscopic dexterity training. High-fidelity and virtual reality simulations can bridge the gap between theory and practice by immersing the learner in a realistic, dynamic, complex setting.
Nonetheless, simulation can only imitate but not replicate reality. The recreation of "reality" or "fidelity" is important for the success of simulation and for the participant. Since some simulators can be used to encourage independent or self-directed learning, they should be integrated into the overall curriculum. However, to make learning effective, important conditions are necessary during simulation practice. The intended outcomes should be predefined and the training carried out in a controlled environment. Effective learning requires repetitive practice and feedback during the learning experience. Issenberg et al[22] performed an excellent systematic review and identified ten features of high-fidelity medical simulation that can lead to effective learning. Those ten features are listed in [Table 2].  | Table 2 : Features of high fidelity simulation that lead to effective learning[22]
Click here to view |
| Simulation Based Training | | |
Simulation can be used to resemble existing curricular material. The simulated scenarios are realistic enough to engage the students emotionally, thus providing a unique learning experience, where the high fidelity simulator "patient" actually talks, breathes, blinks, and moves like a real patient. Simulation can be adapted to accommodate the need of various medical specialties such as anesthesia, emergency medicine and trauma, intensive care medicine, obstetrics, pediatrics, and radiology as well as for the use of other professionals such as nurses, paramedics, and respiratory therapists. [13],[24],[25]
Simulation laboratories are quite costly. A single high-fidelity simulator with its monitoring system and other necessary equipment may cost up to $200 000. In addition, synthetic body fluids, replacement skins, bandages, syringes and other supplies are necessary to simulate the experience of treating real patients in a real hospital. The ability to practise without risk must be weighed against the cost of this new technology. Simulation has many advantages, for it results in highly trained medical graduates who are less likely to make life-threatening or costly medical errors. [21],[23] Some of the advantages of simulation are listed in [Table 3]. Employing medical simulation techniques can help move medical training from the old "See One, Do One, Teach One" method into a "See One, Practice Many, Do One" model of success. [26] Simulation-based teaching has proved to reduce risks to both patients and learners. [27],[28] It has also proved to be effective in both undergraduate and post graduate education as well as faculty development. [29],[30] Simulation can be used in the primary health care setting to improve confidence in performing life-saving skills, [31] clinical skills, [32],[33] communication skills, [34] and the quality of care for patients with chronic diseases such as diabetes mellitus and bronchial asthma. [35],[36] Such simulators as part task trainers, computer-based systems, virtual reality and the haptic system, simulated patients, simulated environment, and integrated simulators have been also used effectively to assess and evaluate clinical skills. [10],[37],[38] The major challenge to medical simulation is the fact that evidence to date is weak in methodology. Most of the published work is descriptive and limited in generalisability. The assumption that such learning is directly transferable to the clinical context is often untested. [39] Only a few studies have shown a direct positive impact in the clinical outcome from the use of simulation for medical training. [40]
In conclusion, the promise of simulation-based medical training offers useful opportunities to reduce risks to patients and learners, improve learners' competence and confidence, increase patient safety, and reduce health care costs in the long run. However, robust research is needed to see if simulation training does actually improve patient outcomes.
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[Figure 1], [Figure 2], [Figure 3], [Figure 4]
[Table 1], [Table 2], [Table 3]
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State of the science: the doll is dead: simulation in palliative care education |
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| Lowri Evans,Mark Taubert | | BMJ Supportive & Palliative Care. 2019; 9(2): 117 | | [Pubmed] | [DOI] | | | 27 |
Low-Fidelity, In-Situ Pediatric Resuscitation Simulation Improves RN Competence and Self-Efficacy |
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| Ada Saqe-Rockoff,Amanda V. Ciardiello,Finn D. Schubert | | Journal of Emergency Nursing. 2019; | | [Pubmed] | [DOI] | | | 28 |
Simulation In Surgical Training: Prospective Cohort Study Of Access, Attitudes And Experiences Of Surgical Trainees In The Uk And Ireland |
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| R. Nicholas,G. Humm,K. MacLeod,S. Bathla,A. Horgan,D.M. Nally,J. Glasbey,J.M. Clements,C. Fleming,H.M. Mohan | | International Journal of Surgery. 2019; | | [Pubmed] | [DOI] | | | 29 |
Perceived Barriers to the Development of Technical Skill Proficiency in Surgical Clerkship |
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| Jacqueline A. Luhoway,Joanna F. Ryan,Alexandra C. Istl,Jacob Davidson,Nicole Christakis,Andreana Bütter,Tina Mele | | Journal of Surgical Education. 2019; | | [Pubmed] | [DOI] | | | 30 |
EDUCATION OF THE MEDICAL STUDENTS IN CLINICAL DEPARTMENTS USING THE ?STANDARDIZED PATIENT? TECHNIQUE |
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| O. O. Khaniukov,Ye. D. Yehudina,L. V. Sapozhnychenko,O. S. Kalashnykova,O. I. Kravchenko | | Bulletin of Problems Biology and Medicine. 2019; 1(2): 241 | | [Pubmed] | [DOI] | | | 31 |
Impact of a faculty development course on relationship-centered communication skills |
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| Agnes Barden,Nicole Giammarinaro,Alice Fornari,Jane E. Cerise | | Journal of Communication in Healthcare. 2019; : 1 | | [Pubmed] | [DOI] | | | 32 |
Deaf ACCESS: Adapting Consent Through Community Engagement and State-of-the-Art Simulation |
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| Melissa L Anderson,Timothy Riker,Stephanie Hakulin,Jonah Meehan,Kurt Gagne,Todd Higgins,Elizabeth Stout,Emma Pici-D’Ottavio,Kelsey Cappetta,Kelly S Wolf Craig | | The Journal of Deaf Studies and Deaf Education. 2019; | | [Pubmed] | [DOI] | | | 33 |
Various 3D printed materials mimic bone ultrasonographically: 3D printed models of the equine cervical articular process joints as a simulator for ultrasound guided intra-articular injections |
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| Alexandra Beaulieu,Alex zur Linden,John Phillips,Luis G. Arroyo,Judith Koenig,Gabrielle Monteith,Antonio Riveiro Rodríguez | | PLOS ONE. 2019; 14(8): e0220332 | | [Pubmed] | [DOI] | | | 34 |
Use of high-fidelity simulated cases to improve third-year medical students’ ability to manage an acutely unwell patient |
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| Pratik Solanki | | BMJ Simulation and Technology Enhanced Learning. 2019; 5(3): 176 | | [Pubmed] | [DOI] | | | 35 |
Developing and Evaluating a Simulator for Complex IVC Filter Retrieval |
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| Nam S. Hoang,Benjamin H. Ge,William T. Kuo | | Academic Radiology. 2019; | | [Pubmed] | [DOI] | | | 36 |
Guidelines for designing a realistic peripheral venous catheter insertion simulator: A literature review |
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| Kevin Torossian,Stéphane Benayoun,Mélanie Ottenio,Anne-Catherine Brulez | | Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine. 2019; 233(10): 963 | | [Pubmed] | [DOI] | | | 37 |
Proficiency development for graduating medical students, using skills-level–appropriate mastery learning versus traditional learning for chest tube placement: Assessing anxiety, confidence, and performance |
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| Amy E. Liepert,Andrew J. Velic,Brooks Rademacher,Allison A. Blumenfeld,Elizabeth Bingman,Ann P. O’Rourke,Sarah Sullivan | | Surgery. 2019; | | [Pubmed] | [DOI] | | | 38 |
Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis |
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| Carmen La Cerra,Angelo Dante,Valeria Caponnetto,Ilaria Franconi,Elona Gaxhja,Cristina Petrucci,Celeste M Alfes,Loreto Lancia | | BMJ Open. 2019; 9(2): e025306 | | [Pubmed] | [DOI] | | | 39 |
Training Cesarean Section |
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| Diana B. Zetner,Iben Petersen,Lars Konge,Ebbe Thinggaard | | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2019; 14(4): 264 | | [Pubmed] | [DOI] | | | 40 |
Emerging Role of Drills and Simulations in Patient Safety |
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| Jean-Ju Sheen,Dena Goffman | | Obstetrics and Gynecology Clinics of North America. 2019; 46(2): 305 | | [Pubmed] | [DOI] | | | 41 |
The Effect of Simulation-Based Education on Correctional Health Teamwork and Communication |
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| Desiree A. Díaz,Deborah Shelton,Mindi Anderson,Gregory E. Gibert | | Clinical Simulation in Nursing. 2019; 27: 1 | | [Pubmed] | [DOI] | | | 42 |
Virtual reality simulation in endoscopy training: Current evidence and future directions |
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| Tahrin Mahmood,Michael Anthony Scaffidi,Rishad Khan,Samir Chandra Grover | | World Journal of Gastroenterology. 2018; 24(48): 5439 | | [Pubmed] | [DOI] | | | 43 |
The future of population medicine: Investigating the role of advanced practice providers and simulation education in special patient populations |
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| Bridget Niebruegge,James M. Holbrook,Christa Vernon,Connor Grotton,Andrea Maric | | Disease-a-Month. 2018; | | [Pubmed] | [DOI] | | | 44 |
Simulation-based first aid training of students of health sciences |
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| Brigita Marc,Eva Dolenc,Damjan Slabe,E. Masal,I. Önder,H. Çaliskan,S. Besoluk | | SHS Web of Conferences. 2018; 48: 01042 | | [Pubmed] | [DOI] | | | 45 |
Short duration clinically-based interprofessional shadowing and patient review activities may have a role in preparing health professional students to practice collaboratively: a systematic literature review |
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| Peter Brack,Nora Shields | | Journal of Interprofessional Care. 2018; : 1 | | [Pubmed] | [DOI] | | | 46 |
Assessing Competence in Emergency Radiology Using an Online Simulator |
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| Ivan R Diamond,Linda Probyn,Errol Colak,Karen Finlay,Eric S Bartlett | | Academic Radiology. 2018; | | [Pubmed] | [DOI] | | | 47 |
A comparative study on the frequency of simulation-based training and assessment of non-technical skills in the Norwegian ground ambulance services and helicopter emergency medical services |
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| Henrik Langdalen,Eirik B. Abrahamsen,Stephen J. M. Sollid,Leif Inge K. Sørskår,Håkon B. Abrahamsen | | BMC Health Services Research. 2018; 18(1) | | [Pubmed] | [DOI] | | | 48 |
Simulation-Based medical teaching and learning in human anatomy |
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| | | Actual problems of modern medicine. 2018; (1) | | [Pubmed] | [DOI] | | | 49 |
Best practices for teaching pharmacology to undergraduate nursing students: A systematic review of the literature |
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| Manu Gill,Elizabeth Andersen,Norma Hilsmann | | Nurse Education Today. 2018; | | [Pubmed] | [DOI] | | | 50 |
Development and Utilization of 3D Printed Material for Thoracotomy Simulation |
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| Evan Yates,Roger Chirurgi,Frosso Adamakos,Rania Habal,Rajnish Jaiswal,Hossein Kalantari,Getaw Worku Hassen | | Emergency Medicine International. 2018; 2018: 1 | | [Pubmed] | [DOI] | | | 51 |
Simulation Experiences in Canadian Physiotherapy Programmes: A Description of Current Practices |
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| Meaghan Melling,Mujeeb Duranai,Blair Pellow,Bryant Lam,Yoojin Kim,Lindsay Beavers,Erin Miller,Sharon Switzer-McIntyre | | Physiotherapy Canada. 2018; 70(3): 262 | | [Pubmed] | [DOI] | | | 52 |
Intrauterine contraceptive device insertion simulation training in primary care |
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| Lai Peng Ng,Eileen Yi Ling Koh | | Proceedings of Singapore Healthcare. 2018; 27(4): 229 | | [Pubmed] | [DOI] | | | 53 |
Virtual Reality and Simulation for Progressive Treatments in Urology |
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| Alaric Hamacher,Taeg Keun Whangbo,Su Jin Kim,Kyung Jin Chung | | International Neurourology Journal. 2018; 22(3): 151 | | [Pubmed] | [DOI] | | | 54 |
Medical emergencies in dental practice - management requirements and international practitioner proficiency. A scoping review |
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| M Vaughan,A Park,A Esterman | | Australian Dental Journal. 2018; | | [Pubmed] | [DOI] | | | 55 |
Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania |
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| R. Moshiro,H. L. Ersdal,P. Mdoe,H. L. Kidanto,C. Mbekenga | | Global Health Action. 2018; 11(1): 1423862 | | [Pubmed] | [DOI] | | | 56 |
Experience of lecturers with simulation training in midwifery education in Slovakia |
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| Erika Maskálová,Eva Urbanová,Martina Bašková,Eva Kvaltínyová | | Midwifery. 2018; | | [Pubmed] | [DOI] | | | 57 |
High-Fidelity Realistic Acute Medical Simulation and SBAR Training at a Tertiary Hospital in Blantyre, Malawi |
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| John David Chetwood,Priya Garg,Kieran Burton | | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2018; 13(2): 139 | | [Pubmed] | [DOI] | | | 58 |
Video-based feedback as a method for training rural healthcare workers to manage medical emergencies: a pilot study |
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| Zainab Oseni,Hla Hla Than,Edyta Kolakowska,Lauren Chalmers,Borimas Hanboonkunupakarn,Rose McGready | | BMC Medical Education. 2017; 17(1) | | [Pubmed] | [DOI] | | | 59 |
Bridging healthcare education and technology solution development through experiential innovation |
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| Noel Carroll,Ita Richardson,Mairead Maloney,Pauline O’Reilly | | Health and Technology. 2017; | | [Pubmed] | [DOI] | | | 60 |
Utility of Low Fidelity Manikins for Learning High Quality Chest Compressions |
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| Meenakshi Girish,Alka Rawekar,Sujo Jose,Umesh Chaudhari,Girish Nanoti | | The Indian Journal of Pediatrics. 2017; | | [Pubmed] | [DOI] | | | 61 |
An evaluation of the emergency care training workshops in the province of KwaZulu-Natal, South Africa |
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| Mergan Naidoo | | African Journal of Primary Health Care & Family Medicine. 2017; 9(1) | | [Pubmed] | [DOI] | | | 62 |
Modelo artesanal para treinamento de acesso vascular periférico |
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| Ingrid Rodrigues de Oliveira Rocha,Monna Hessen Banna de Oliveira,Karolynie Lessa Bengtson,Antonio Márcio Nunes Alves,Marcus Vinícius Henriques Brito | | Jornal Vascular Brasileiro. 2017; (0) | | [Pubmed] | [DOI] | | | 63 |
CONSTRUCT AND FACE VALIDITY OF THE EYESI INDIRECT OPHTHALMOSCOPE SIMULATOR |
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| Jonathan Chou,Tova Kosowsky,Abhishek R. Payal,Luis A. Gonzalez Gonzalez,Mary K. Daly | | Retina. 2017; 37(10): 1967 | | [Pubmed] | [DOI] | | | 64 |
Managing the patient identification crisis in healthcare and laboratory medicine |
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| Giuseppe Lippi,Camilla Mattiuzzi,Chiara Bovo,Emmanuel J. Favaloro | | Clinical Biochemistry. 2017; | | [Pubmed] | [DOI] | | | 65 |
Preliminary evaluation of the efficacy of an intervention incorporating precision teaching to train procedural skills among final cycle medical students |
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| Sinéad Lydon,Nadine Burns,Olive Healy,Paul OæConnor,Bronwyn Reid McDermott,Dara Byrne | | BMJ Simulation and Technology Enhanced Learning. 2017; 3(3): 116 | | [Pubmed] | [DOI] | | | 66 |
Simulation in Radiology Education: |
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| Katherine A. Klein,Colleen H. Neal | | Academic Radiology. 2016; | | [Pubmed] | [DOI] | | | 67 |
Acquisition of Competencies by Medical Students in Neurological Emergency Simulation Environments Using High Fidelity Patient Simulators |
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| M. J. Sánchez-Ledesma,J. A. Juanes,C. Sáncho,M. Alonso-Sardón,J. Gonçalves | | Journal of Medical Systems. 2016; 40(6) | | [Pubmed] | [DOI] | | | 68 |
Medical studentsæ perceptions regarding the importance of nutritional knowledge and their confidence in providing competent nutrition practice |
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| R. Perlstein,S. McCoombe,C. Shaw,C. Nowson | | Public Health. 2016; 140: 27 | | [Pubmed] | [DOI] | | | 69 |
Where Are the Sick Kids? |
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| Terrance McGovern,Katrina D’Amore | | Annals of Emergency Medicine. 2016; | | [Pubmed] | [DOI] | | | 70 |
Using High-Fidelity Simulators to Teach Acute Care Skills |
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| Paul R. Geisler,Erin Michele Jordan | | Athletic Training & Sports Health Care. 2016; 8(6): 240 | | [Pubmed] | [DOI] | | | 71 |
Teaching Corner: “First Do No Harm”: Teaching Global Health Ethics to Medical Trainees Through Experiential Learning |
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| Tea Logar,Phuoc Le,James D. Harrison,Marcia Glass | | Journal of Bioethical Inquiry. 2015; 12(1): 69 | | [Pubmed] | [DOI] | | | 72 |
Simulation-Based Medical Education in Pediatrics |
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| Joseph O. Lopreiato,Taylor Sawyer | | Academic Pediatrics. 2015; 15(2): 134 | | [Pubmed] | [DOI] | | | 73 |
How to make an aortic root replacement simulator at home |
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| Kasra Shaikhrezai,Maziar Khorsandi,Edward T Brackenbury,Sai Prasad,Vipin Zamvar,John Butler,Geoffrey Berg | | Journal of Cardiothoracic Surgery. 2015; 10(1): 18 | | [Pubmed] | [DOI] | | | 74 |
Simulation to Standardize Patient Care and Maintain Procedural Competency |
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| Meggan Butler-O’Hara,Margaret Marasco,Rita Dadiz | | Neonatal Network. 2015; 34(1): 18 | | [Pubmed] | [DOI] | | | 75 |
Simulation and the student pathway to critical care |
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| Melanie Rushton | | British Journal of Cardiac Nursing. 2015; 10(2): 93 | | [Pubmed] | [DOI] | | | 76 |
Cardiac Emergency Simulation: Drilling for Success in the Ambulatory Setting |
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| Jane A. Kusler-Jensen | | AORN Journal. 2014; 99(3): 385 | | [Pubmed] | [DOI] | | | 77 |
Role and challenges of simulation in undergraduate curriculum |
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| Ayesha Nuzhat,Raneem Osama Salem,Fatimah Nasser Al Shehri,Nasser Al Hamdan | | Medical Teacher. 2014; 36(S1): S69 | | [Pubmed] | [DOI] | | | 78 |
The Fact of IgnoranceRevisiting the Socratic Method as a Tool for Teaching Critical Thinking |
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| Douglas R. Oyler,Frank Romanelli | | American Journal of Pharmaceutical Education. 2014; 78(7): 144 | | [Pubmed] | [DOI] | | | 79 |
Targeted obstetric haemorrhage programme improves incoming resident confidence and knowledge |
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| H. L. Straub,G. Morgan,P. Ochoa,I. Grable,E. Wang,M. Kharasch,B. A. Plunkett | | Journal of Obstetrics & Gynaecology. 2013; 33(8): 798 | | [Pubmed] | [DOI] | |
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