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Simulation medical education

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https://www.readbyqxmd.com/read/28933577/development-of-a-phenomenologically-derived-method-to-assess-affective-learning-in-student-journals-following-impactive-educational-experiences
#1
Gary D Rogers, Amary Mey, Pit Cheng Chan
BACKGROUND: Assessment of affective learning (AL) is difficult but important, particularly for health professional students, where it is intimately linked to the development of professional values. This study originally aimed to determine whether an emotionally impactive, extended, multimethod, interprofessional simulation experience enhanced the AL of senior medical students, compared to conventional seminars and workshops alone. This necessitated the development of a method to assess for the presence and quality of AL...
September 21, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28930764/when-listening-is-better-than-reading-performance-gains-on-cardiac-auscultation-test-questions
#2
Kathleen Short, S Deniz Bucak, Francine Rosenthal, Mark R Raymond
PURPOSE: In 2007, the United States Medical Licensing Examination embedded multimedia simulations of heart sounds into multiple-choice questions. This study investigated changes in item difficulty as determined by examinee performance over time. The data reflect outcomes obtained following initial use of multimedia items from 2007 through 2012, after which an interface change occurred. METHOD: A total of 233,157 examinees responded to 1,306 cardiology test items over the six-year period; 138 items included multimedia simulations of heart sounds, while 1,168 text-based items without multimedia served as controls...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28929032/use-of-simulation-in-canadian-neonatal-perinatal-medicine-training-programs
#3
Jonathan Wong, Emer Finan, Douglas Campbell
Introduction Simulation is used for the delivery of education and on occasion assessment. Before such a tool is used routinely in neonatal training programs across Canada, a need assessment is required to determine its current usage by accredited training programs. Our aim was to characterize the type of simulation modalities used and the perceived simulation-based training needs in Canadian neonatal-perinatal medicine (NPM) training programs. Methods A 22-item and 13-item online descriptive survey was sent to all NPM program directors and fellows in Canada, respectively...
July 8, 2017: Curēus
https://www.readbyqxmd.com/read/28919404/emergency-in-the-clinic-a-simulation-curriculum-to-improve-outpatient-safety
#4
Eve Espey, Gillian Baty, John Rask, Michelle Chungtuyco, Brenda Pereda, Lawrence Leeman
BACKGROUND: Emergency response skills are essential when events such as seizure, anaphylaxis or hemorrhage occur in the outpatient setting. As services and procedures increasingly move outside the hospital, training to manage complications may improve outcomes. OBJECTIVE: The objective of this study was to evaluate a simulation-based curriculum in outpatient emergency management skills with the outcome measures of graded objective performance and learner self-efficacy...
September 14, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28915950/improving-team-performance-through-simulation-based-learning
#5
REVIEW
Mark S Volk
American health care is facing an epidemic of medical errors. A major cause of these errors is poor teamwork. Crisis resource management (CRM) is a set of teamwork principles derived from the airline industry. Medical simulation is an educational tool that affords health care providers a means of improving teamwork by learning and practicing CRM. This article (1) discusses the case for teaching team training, (2) reviews the principles of medical simulation as they pertain to team training, (3) provides practical guidelines for using medical simulation in otolaryngology education, (4) discusses current evidence for the efficacy of medical simulation...
October 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28915897/development-of-a-complex-intervention-to-promote-appropriate-prescribing-and-medication-intensification-in-poorly-controlled-type-2-diabetes-mellitus-in-irish-general-practice
#6
Mark E Murphy, Molly Byrne, Atieh Zarabzadeh, Derek Corrigan, Tom Fahey, Susan M Smith
BACKGROUND: Poorly controlled type 2 diabetes mellitus (T2DM) can be seen as failure to meet recommended targets for management of key risk factors including glycaemic control, blood pressure and lipids. Poor control of risk factors is associated with significant morbidity, mortality and healthcare costs. Failure to intensify medications for patients with poor control of T2DM when indicated is called clinical inertia and is one contributory factor to poor control of T2DM. We aimed to develop a theory and evidence-based complex intervention to improve appropriate prescribing and medication intensification in poorly controlled T2DM in Irish general practice...
September 16, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28914990/simulating-the-multi-disciplinary-care-team-approach-enhancing-student-understanding-of-anatomy-through-an-ultrasound-anchored-interprofessional-session
#7
Marianne T Luetmer, Beth A Cloud, James W Youdas, Wojciech Pawlina, Nirusha Lachman
Quality of healthcare delivery is dependent on collaboration between professional disciplines. Integrating opportunities for interprofessional learning in health science education programs prepares future clinicians to function as effective members of a multi-disciplinary care team. This study aimed to create a modified team-based learning (TBL) environment utilizing ultrasound technology during an interprofessional learning activity to enhance musculoskeletal anatomy knowledge of first year medical (MD) and physical therapy (PT) students...
September 15, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28901645/measuring-achievement-goal-motivation-mindsets-and-cognitive-load-validation-of-three-instruments-scores
#8
David A Cook, Richmond M Castillo, Becca Gas, Anthony R Artino
OBJECTIVE: Measurement of motivation and cognitive load has potential value in health professions education. Our objective was to evaluate the validity of scores from Dweck's Implicit Theories of Intelligence Scale (ITIS), Elliot's Achievement Goal Questionnaire-Revised (AGQ-R) and Leppink's cognitive load index (CLI). METHODS: This was a validity study evaluating internal structure using reliability and factor analysis, and relationships with other variables using the multitrait-multimethod matrix...
October 2017: Medical Education
https://www.readbyqxmd.com/read/28899380/hotspots-in-research-on-the-measurement-of-medical-students-clinical-competence-from-2012-2016-based-on-co-word-analysis
#9
Xing Chang, Xin Zhou, Linzhi Luo, Chengjia Yang, Hui Pan, Shuyang Zhang
BACKGROUND: This study aimed to identify hotspots in research on clinical competence measurements from 2012 to 2016. METHODS: The authors retrieved literature published between 2012 and 2016 from PubMed using selected medical subject headings (MeSH) terms. They used BibExcel software to generate high-frequency MeSH terms and identified hotspots by co-word analysis and cluster analysis. RESULTS: The authors searched 588 related articles and identified 31 high-frequency MeSH terms...
September 12, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28892534/utility-of-combining-a-simulation-based-method-with-a-lecture-based-method-for-fundoscopy-training-in-neurology-residency
#10
Deepak K Gupta, Namir Khandker, Kristin Stacy, Curtis M Tatsuoka, David C Preston
Importance: Fundoscopic examination is an essential component of the neurologic examination. Competence in its performance is mandated as a required clinical skill for neurology residents by the American Council of Graduate Medical Education. Government and private insurance agencies require its performance and documentation for moderate- and high-level neurologic evaluations. Traditionally, assessment and teaching of this key clinical examination technique have been difficult in neurology residency training...
September 11, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28890925/on-the-road-to-becoming-a-responsible-leader-a-simulation-based-training-approach-for-final-year-medical-students
#11
Marion Schmidt-Huber, Janine Netzel, Jan Kiesewetter
Background and objective: There is a need for young physicians to take a responsible role in clinical teams, comparable to a leadership role. However, today's medical curricula barely consider the development of leadership competencies. Acquisition of leadership skills are currently a by-product of medical education, even though it seems to be a competency relevant for physicians' success. Therefore, an innovative leadership training program for young physicians was developed and validated. Training conceptualisation were based upon findings of critical incidents interviews (N=19) with relevant personnel (e...
2017: GMS Journal for Medical Education
https://www.readbyqxmd.com/read/28888070/using-virtual-reality-simulation-environments-to-assess-competence-for-emergency-medicine-learners
#12
Jillian L McGrath, Jeffrey M Taekman, Parvati Dev, Douglas R Danforth, Deepika Mohan, Nicholas Kman, Amanda Crichlow, William F Bond
Immersive learning environments that use virtual simulation technology are increasingly relevant as medical learners train in an environment of restricted clinical training hours and a heightened focus on patient safety. We conducted a consensus process with a breakout group of the 2017 Academic Emergency Medicine Consensus Conference "Catalyzing System Change Through Health Care Simulation: Systems, Competency, and Outcomes." This group examined the current uses of virtual simulation in training and assessment, including limitations and challenges in implementing virtual simulation into medical education curricula...
September 9, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28885943/systematic-review-of-live-tissue-versus-simulation-education-for-prehospital-trauma-providers
#13
Craig Goolsby, Andrew Branting, Jason Ausman, David Williams, Chelsea Ausman, Jason David, Rhonda Allard
BACKGROUND: Advanced simulation capabilities have provided medical educators novel approaches for learners. Simulation has successfully replaced many aspects of medical education that previously used animal live-tissue training (LTT) for physician education. However, prehospital trauma providers, such as combat medics, currently used LTT to prepare for patient care. This use of LTT has sparked a debate about the optimal educational modality for this unique learner population. At this time, there is no clear evidence-based recommendation available to recommend either LTT or simulation as a superior modality...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28876987/a-novel-approach-to-simulation-based-education-for-veterinary-medical-communication-training-over-eight-consecutive-pre-clinical-quarters
#14
Ryane E Englar
Experiential learning through the use of standardized patients (SPs) is the primary way by which human medical schools teach clinical communication. The profession of veterinary medicine has followed suit in response to new graduates' and their employers' concerns that veterinary interpersonal skills are weak and unsatisfactory. As a result, standardized clients (SCs) are increasingly relied upon as invaluable teaching tools within veterinary curricula to advance relationship-centered care in the context of a clinical scenario...
2017: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/28874934/emergency-physician-performed-transesophageal-echocardiography-in-simulated-cardiac-arrest
#15
Don V Byars, Jordan Tozer, John M Joyce, Michael J Vitto, Lindsay Taylor, Turan Kayagil, Matt Jones, Matthew Bishop, Barry Knapp, David Evans
INTRODUCTION: Transesophageal echocardiography (TEE) is a well-established method of evaluating cardiac pathology. It has many advantages over transthoracic echocardiography (TTE), including the ability to image the heart during active cardiopulmonary resuscitation. This prospective simulation study aims to evaluate the ability of emergency medicine (EM) residents to learn TEE image acquisition techniques and demonstrate those techniques to identify common pathologic causes of cardiac arrest...
August 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28873924/simulation-in-medical-school-education
#16
Nuno Pombo, Nuno Garcia, Miguel Castelo-Branco
The Universidade da Beira Interior (UBI), Covilhã, Portugal in the medical degree course uses simulation in an integrated and comprehensive program as a pedagogical tool.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28871238/overcoming-therapeutic-inertia-in-multiple-sclerosis-care-a-pilot-randomized-trial-applying-the-traffic-light-system-in-medical-education
#17
Gustavo Saposnik, Jorge Maurino, Angel P Sempere, Maria A Terzaghi, Christian C Ruff, Muhammad Mamdani, Philippe N Tobler, Xavier Montalban
BACKGROUND: Physicians often do not initiate or intensify treatments when clearly warranted, a phenomenon known as therapeutic inertia (TI). Limited information is available on educational interventions to ameliorate knowledge-to-action gaps in TI. OBJECTIVES: To evaluate the feasibility and efficacy of an educational intervention compared to usual care among practicing neurologists caring for patients with multiple sclerosis (MS). METHODS: We conducted a pilot double-blind, parallel-group, randomized clinical trial...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28846175/mannequin-based-telesimulation-increasing-access-to-simulation-based-education
#18
Emily M Hayden, Avni Khatri, Hillary R Kelly, Phoebe H Yager, Gloria M Salazar
The 2017 Academic Emergency Medicine Consensus Conference, "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes," highlights how simulation can improve the delivery of health care across larger systems; however, how can systems change when valuable educational interventions reach only limited populations? Studies have demonstrated the benefit of simulation education(1,2) but have questioned the use of simulation in a system with limited financial resources.(3) Most academic medical centers have mannequin-based simulation technology;(4) yet, it is unclear from the literature how many community hospitals, especially in rural areas, have a simulation center or mannequins...
August 28, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28843457/development-and-validation-of-a-family-meeting-assessment-tool-fmat
#19
Yuya Hagiwara, Jennifer Healy, Shuko Lee, Jeanette Ross, Dixie Fischer, Sandra Sanchez-Reilly
CONTEXT: A cornerstone procedure in Palliative Medicine is to perform family meetings. Learning how to lead a family meeting is an important skill for physicians and others who care for patients with serious illnesses and their families. There is limited evidence on how to assess best practice behaviors during end of life family meetings. OBJECTIVES: Our aim was to develop and validate an observational tool to assess trainees' ability to lead a simulated end-of-life family meeting...
August 23, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28842763/development-of-a-surgical-training-model-for-bilateral-axillo-breast-approach-robotic-thyroidectomy
#20
Hyeong Won Yu, Jin Wook Yi, Chan Yong Seong, Jong-Kyu Kim, In Eui Bae, Hyungju Kwon, Young Jun Chai, Su-Jin Kim, June Young Choi, Kyu Eun Lee
BACKGROUND: Bilateral axillo-breast approach robotic thyroidectomy (BABA RT) is an excellent surgical method, being oncologically safe and with anatomic views similar to those of open surgery. BABA RT, however, requires training and a learning curve for proficiency. We evaluated the educational effectiveness of a surgical training model for BABA RT, comparing objective BABA scores with scores on the da Vinci Skills Simulator (dVSS). METHODS: Medical students, surgical residents, and surgical fellows performed structured tasks with the BABA training model and dVSS under the same conditions...
August 25, 2017: Surgical Endoscopy
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