Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.5281/zenodo.3685233
Iberoamerican Journal of Medicine
Review

How to apply Simulation-Based Learning in Medical Education?

Said Said Elshama

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Abstract

Simulation-Based Learning is considered the best alternative teaching and assessment tool that able to make the change in education, training, improving the quality and assessing the performance of the medical students. It helps students for acquiring many skills such as professionalism, communication, self-evaluation, time management, and teamwork. In addition, the use of simulation in medical education is based on many noble goals and ethical rules; it provides the best standards for patient care and safety, patient autonomy, and social justice. However, assessment of the application of simulation appropriateness depends on validity, reliability, and utility. Simulation has many types and classifications; it may be classified into human simulation such as role-play and standardized patient or non-human simulation such as manikin and the based computer simulation. It may be also classified according to the type or the fidelity. According to the type, it is classified into compiler-driven and event-driven, or according to the fidelity as a low, medium, and high-fidelity. There are specific criteria and steps that should be applied when designing a simulation course or operation a simulation training session as well as designing a skill checklist for ensuring a successful simulation application in medical education. However, many challenges and obstacles are still facing simulation implementation in medical education in different medical schools.

Keywords

Simulation; Obstacles; Challenges; Medical Education

References

1. Elshama SS. How to Develop Medical Education (Implementation View). 1st ed. Scholars' Press Germany: 2016.
2. McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ. 2010;44:50-63. doi: 10.1111/j.1365-2923.2009.03547.x.
3. Datta CR, Upadhyay BKK, Jaideep SCC. Simulation and its role in medical education. Med J Armed Forces India. 2012;68:167-72. doi: 10.1016/S0377-1237(12)60040-9.
4. Cook DA, Hamstra SJ, Brydges R, Zendejas B, Szostek JH, Wang AT, Erwin PJ, et al. Comparative effectiveness of instructional design features in simulation-based education: Systematic review and meta-analysis. Med Teach. 2013; 35(1): 867-98. doi: 10.3109/0142159X.2012.714886.
5. Harder BN. Use of simulation in teaching and learning in health sciences: a systematic review. J Nurs Educ. 2010;49(1):23-8. doi: 10.3928/01484834-20090828-08.
6. Okuda Y, Bryson EO, DeMaria S, Jacobson L, Quinones J, Shen B. et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76(4):330-43. doi: 10.1002/msj.20127.
7. McGaghie WC, Siddall VJ, Mazmanian PE, Myers J. Lessons for Continuing Medical Education From Simulation Research in Undergraduate and Graduate Medical Education. Chest. 2009; 135(3):62-8. doi: 10.1378/chest.08-2521.
8. Norman G. Medical education: past, present and future. Perspect Med Educ 2012;1(1):6-14. doi: doi: 10.1007/s40037-012-0002-7.
9. Issenberg SB. The scope of simulation-based healthcare education. Simul Healthc. 2006 Winter;1(4):203-8. doi: 10.1097/01.SIH.0000246607.
10. Ziv A, Wolpe PR, Small SD, Glick S. Simulation-Based Medical Education: An Ethical Imperative. Acad Med. 2003;78(8):783-8. doi: 10.1097/00001888-200308000-00006.
11. Sørensen JL, Østergaard D, LeBlanc V, Ottesen B, Konge L, Dieckmann P, et al. Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation. BMC Med Educ. 2017;17(1):20. doi: 10.1186/s12909-016-0838-3.
12. Ypinazar, VA, Margolis SA. Clinical Simulators: Applications and implications for rural medical education. Rural Remote Health 2006;6(2):527.
13. Maran NJ, Glavin RJ. Low- to high-fidelity simulation - A continuum of medical education? Med Educ. 2003;37(1):22-8. doi: 10.1046/j.1365-2923.37.s1.9.x.
14. Yaeger KA, Halamek LP, Coyle M, Murphy A, Anderson J, Boyle K, et al. High-fidelity simulation-based training in neonatal nursing. Adv Neonatal Care. 2004;4(6):326-31. doi: 10.1016/j.adnc.2004.09.009.
15. Lewis R, Strachan A, Smith MM. Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? A review of the current evidence. Open Nurs J. 2012;6(1):82-9. doi: 10.2174/1874434601206010082.
16. La Cerra C, Dante A, Caponnetto V, Franconi I, Gaxhja E, Petrucci C. 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. BMJ Open. 2019; 9(2):025306. doi: 10.1136/bmjopen-2018-025306.
17. Armenia S, Thangamathesvaran L, Caine AD, King N, Kunac A, Merchant AM. The Role of High-Fidelity Team-Based Simulation in Acute Care Settings: A Systematic Review. Surg J (N Y). 2018;4(3):136-51. doi: 10.1055/s-0038-1667315.
18. Warren JN, Luctkar-Flude M, Godfrey C, Lukewich J. A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs. Nurse Educ Today. 2016;46:99-108. doi: 10.1016/j.nedt.2016.08.023.
19. Grand'Maison P, Brailovsky CA, Lescop J, Rainsberry P. Using Standardized Patients in Licensing/Certification Examinations: Comparison of Two Tests in Canada. Fam Med. 1997;29(1):27-32.
20. Berenson LD, Goodill SW, Wenger S. Standardized patient feedback: making it work across disciplines. J Allied Health. 2012;41(1):27-31.
21. Walker St, Weidner T, Armstrong KJ. Standardized Patient Encounters and Individual Case-Based Simulations Improve Students' Confidence and Promote Reflection: A Preliminary Study. Athl Train Educ J. 2015;10(2):130-7. doi: 10.4085/1002130.
22. Block L, Brenner J, Conigliaro J, Pekmezaris R, DeVoe B, Kozikowski A. Perceptions of a longitudinal standardized patient experience by standardized patients, medical students, and faculty. Med Educ Online. 2018;23(1):1548244. doi: 10.1080/10872981.2018.1548244.
23. Kodner C, Bonhert C. The longitudinal standardized patient project: innovation from necessity. Acad Med. 2015; 90:317-20. doi: 10.1097/ACM.0000000000000565.
24. Mookherjee S. How to develop a competency-based examination blueprint for longitudinal standardized patient clinical skills assessments. Med Teach. 2013;35:883-90. doi: 10.3109/0142159X.2013.809408.
25. Vest BM, Lynch A, McGuigan D, Servoss T, Zinnerstrom K, Symons AB. Using standardized patient encounters to teach longitudinal continuity of care in a family medicine clerkship. BMC Med Educ. 2016;16(1):208. doi: 10.1186/s12909-016-0733-y.
26. Maicher K, Danforth D, Price A, Zimmerman L, Wilcox B, Liston B, et al. Developing a Conversational Virtual Standardized Patient to Enable Students to Practice History-Taking Skills. Simul Healthc 2017;12(2):124-31. doi: 10.1097/SIH.0000000000000195.
27. Heru AM. Role-Play in Medical Education to Address Student Mistreatment. Virtual Mentor. 2014; 16(3): 177-81. doi: 10.1001/virtualmentor.2014.16.03.medu1-1403.
28. Joyner B, Young L. Teaching medical students using role-play: twelve tips for successful role-plays. Med Teach. 2006; 28(3):225-9. doi: 10.1080/01421590600711252.
29. Stevens R. Role-play and student engagement: reflections from the classroom. Teach High Educ. 2015;20(5):481-92. doi: 10.1080/13562517.2015.1020778.
30. Lateef F. Simulation-based learning: Just like the real thing. J Emerg Trauma Shock. 2010;3(4):348-52. doi: 10.4103/0974-2700.70743.
31. Lababidi H, Munshi F. Development of simulation curriculum in postgraduate programs. J Health Spec 2015;3:17-21.
32. Aebersold M. Simulation-Based Learning: No Longer a Novelty in Undergraduate Education. Online J Issues Nurs. 2018;23(2):1. doi: 10.3912/OJIN.Vol23No02PPT39.
33. Salas E, Wildman JL, Piccolo RF. Using Simulation-Based Training to Enhance Management Education. Acad Manag Learn Educ. 2009;8(4):559-73. doi:10.5465/AMLE.2009.47785474.
34. Sellberg C, Lindmark O, Rystedt H. Learning to navigate: the centrality of instructions and assessments for developing students’ professional competencies in simulator-based training. WMU J Marit Affairs. 2018;17:249-65. doi: 10.1007/s13437-018-0139-2
35. Offiah G., Ekpotu LP, Murphy S, Kane D, Gordon A, O'Sullivan M. Evaluation of medical student retention of clinical skills following simulation training. BMC Med Educ 2019;19:263. doi: 10.1186/s12909-019-1663-2.
36. Labuschagne MJ, Nel MM, Nel PPC, Van Zyl GJ. Recommendations for the establishment of a clinical simulation unit to train South African medical students. Afr. J. Health Prof. Educ. 2014;6(2):138-42. doi: 10.7196/ajhpe.345.
37. Dieckmann P, Zeltner LG, Helsø A. Hand-it-on: an innovative simulation on the relation of non-technical skills to healthcare. Adv Simul (London). 2016;1(30) doi: 10.1186/s41077-016-0031-0.
38. Elshama SS. How to Use Simulation in Medical Education. 1st ed. Scholars' Press Germany: 2016.
39. Krishnan DG, Keloth AV, Ubedulla S. Pros and cons of simulation in medical education: A review. Int J Med Health Res. 2017;3(6):84-7. doi: doi.org/10.22271/ijmhr
40. Datta R, Upadhyay K, Jaideep C. Simulation and its role in medical education. Med J Armed Forces India. 2012;68:167-72. doi: 10.1016/S0377-1237(12)60040-9.
41. McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003-2009. Med Educ 2010; 44:50-63. doi: 10.1111/j.1365-2923.2009.03547.x.


Submitted date:
02/21/2020

Reviewed date:
03/05/2020

Accepted date:
03/05/2020

Publication date:
03/05/2020

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