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"Medical Simulation"

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https://www.readbyqxmd.com/read/29916292/process-of-medical-simulator-development-an-approach-based-on-personal-experience
#1
Dinker R Pai, Chau P N Minh, Morten B S Svendsen
With increasing demand for simulators from the healthcare community and increasingly sophisticated technology being used in the manufacture of medical simulators, the manufacture of healthcare simulators has become a multifaceted undertaking. Based on our experience in the field and our diverse backgrounds, we explore the processes and issues related to the development of these simulators and suggest ways for the developing teams to collaborate and coordinate with each other to achieve a successful outcome.
June 19, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29895093/does-the-virtual-refractor-patient-simulator-improve-student-competency-when-refracting-in-the-consulting-room
#2
Mohammed S Alhazmi, Craig W Butler, Barbara M Junghans
BACKGROUND: The use of patient simulators in ophthalmic education appears limited. This study examines the effects of the addition of the 'Virtual Refractor' patient simulator learning activity into a short unit preparing students to determine the power of the spectacle lenses required by patients in a clinic. METHODS: Twenty-four year one optometry students were randomly assigned to either the simulator-intervention group (n = 12) or the non-intervention group...
June 12, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29794517/measuring-mindsets-and-achievement-goal-motivation-a-validation-study-of-three-instruments
#3
David A Cook, Becca L Gas, Anthony R Artino
PURPOSE: To evaluate the validity of scores from three instruments measuring achievement goal motivation-related constructs: a shortened version of Dweck's Implicit Theories of Intelligence Scale (ITIS-S), measuring incremental and entity mindsets; Elliot's Achievement Goal Questionnaire-Revised (AGQ-R), measuring mastery-approach, mastery-avoidance, performance-approach, and performance-avoidance achievement goals; and Midgley's Patterns of Adaptive Learning Scales (PALS), measuring mastery, performance-approach, and performance-avoidance achievement goals...
May 22, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29776841/-medical-simulation-as-a-tool-in-the-training-of-perinatal-professionals
#4
B Tosello, J Blanc, C Kelway, V Pellegrin, E Quarello, F Comte, C Zakarian, C D'Ercole
Though technology plays an increasingly important role in modern health systems, human performance remains a major determinant of safety, effectiveness and efficiency of patient care. This is especially true in the delivery room. Thus, the training of professionals must aim not only for the acquisition of theory and practical skills on an individual basis, but also for the learning of teamwork systematically. Training health professionals with simulation enhances their theoretical knowledge and meets formal requirements in literacy, technical skills and communication...
May 15, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29737026/medical-simulation-in-interventional-cardiology-more-research-is-needed
#5
EDITORIAL
Peter Tajti, Emmanouil S Brilakis
Medical simulation is being used for training fellows to perform coronary angiography. Medical simulation training was associated with 2 min less fluoroscopy time per case after adjustment. Whether medical simulation really works needs to be evaluated in additional, well-designed and executed clinical studies.
May 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29725565/the-use-of-simulation-to-improve-family-understanding-and-support-of-anesthesia-providers
#6
Susan M Martinelli, Fei Chen, Gene Hobbs, Brooke A Chidgey, Lacey E Straube, David Zvara, Robert Isaak
Introduction  Burnout in medical providers is associated with work dissatisfaction, reduction in patient safety, and provider depression. Simulation is a tool effectively used for specific task training but has not been broadly used as a means to combat medical professional stress and enhance wellness. The authors created a medical simulation program targeted at those involved in the social support of medical providers. The hypothesis was that education of non-medical persons involved in social support would translate into an enhanced understanding of the demands among medical providers in anesthesiology...
March 2, 2018: Curēus
https://www.readbyqxmd.com/read/29699897/development-of-regional-extracorporeal-life-support-system-the-importance-of-innovative-simulation-training
#7
Mateusz Puślecki, Marcin Ligowski, Marek Dąbrowski, Sebastian Stefaniak, Małgorzata Ładzińska, Aleksander Pawlak, Marcin Zieliński, Łukasz Szarpak, Bartłomiej Perek, Marek Jemielity
BACKGROUND: Despite advances in mechanical ventilation, severe acute respiratory distress syndrome (ARDS) is associated with high morbidity and mortality rates ranging from 30% to 60%. Extracorporeal Membrane Oxygenation (ECMO) can be used as a "bridge to recovery". ECMO is a complex network that provides oxygenation and ventilation and allows the lungs to rest and recover from respiratory failure, while minimizing iatrogenic ventilator-induced lung injury. In the critical care settings, ECMO is shown to improve survival rates and outcomes in patients with severe ARDS...
April 18, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29687734/temporal-pattern-of-emotions-and-cognitive-load-during-simulation-training-and-debriefing
#8
Kristin Fraser, Kevin McLaughlin
BACKGROUND: In the simulated clinical environment, there is a perceived benefit to the emotional activation experienced by learners; however, potential harm of excessive and/or negative emotions has also been hypothesized. An improved understanding of the emotional experiences of learners during each phase of the simulation session will inform instructional design. METHODS: In this observational study, we asked 174 first-year medical students about their emotional state upon arrival to the simulation lab (t1)...
April 24, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29665867/ultrasim-ultrasound-in-trauma-simulation
#9
Devon McLean, Leanne Hewitson, Paul Atkinson, David Lewis, Jacqueline Fraser, Glenn Verheul, Jayanand Mekwan, Bryn Robinson
CLINICIAN'S CAPSULE What is known about the topic? Ultrasound simulation is an invaluable resource in medical education. However, the equipment required is often prohibitively expensive. What did this study ask? Does the use of a low-cost ultrasound simulator in trauma simulation improve diagnostic capabilities? What did this study find? Study participants experienced improvements in diagnostic accuracy, confidence, and precision following the use of this ultrasound simulator. Why does this study matter to clinicians? This low-cost ultrasound simulator provides an alternative to current technology and can easily be implemented into medical simulations...
April 18, 2018: CJEM
https://www.readbyqxmd.com/read/29582056/educational-intervention-in-a-medically-underserved-area
#10
Joel Atance, Morgan Mickalis, Brianna Kincade
Context: Medical students from rural and medically underserved areas (MUAs) are more likely than their peers to practice medicine in rural areas and MUAs. However, students from MUAs are also more likely to face socioeconomic barriers to a career in medicine. Objective: To determine whether a week-long summer enrichment experience (SEE) at Edward Via College of Osteopathic Medicine-Carolinas could successfully teach high school students from MUAs basic biomedical concepts and foster an interest in medicine and the health sciences...
April 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29580444/medical-simulation-as-a-vital-adjunct-to-identifying-clinical-life-threatening-gaps-in-austere-environments
#11
Adaora M Chima, Rahul Koka, Benjamin Lee, Tina Tran, Onyebuchi U Ogbuagu, Howard Nelson-Williams, Michael Rosen, Michael Koroma, John B Sampson
BACKGROUND: Maternal mortality and morbidity are major causes of death in low-resource countries, especially those in Sub-Saharan Africa. Healthcare workforce scarcities present in these locations result in poor perioperative care access and quality. These scarcities also limit the capacity for progressive development and enhancement of workforce training, and skills through continuing medical education. Newly available low-cost, in-situ simulation systems make it possible for a small cadre of trainers to use simulation to identify areas needing improvement and to rehearse best practice approaches, relevant to the context of target environments...
April 2018: Journal of the National Medical Association
https://www.readbyqxmd.com/read/29547887/an-evaluation-of-navy-en-route-care-training-using-a-high-fidelity-medical-simulation-scenario-of-interfacility-patient-transport
#12
Christine A DeForest, Virginia Blackman, John E Alex, Lauren Reeves, Alejandra Mora, Crystal Perez, Joseph Maddry, Domenique Selby, Benjamin Walrath
Introduction: Military prehospital and en route care (ERC) directly impacts patient morbidity and mortality. Provider knowledge and skills are critical variables in the effectiveness of ERC. No Navy doctrine defines provider choice for patient transport or requires standardized provider training. Frequently, Search and Rescue Medical Technicians (SMTs) and Navy Nurses (ERC RNs) are tasked with this mission though physicians have also been used. Navy ERC provider training varies greatly by professional role...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29478579/air-medical-simulation-training-a-retrospective-review-of-cost-and-effectiveness
#13
Marc P Dotson, Mark L Gustafson, Alfred Tager, Leslie M Peterson
OBJECTIVE: Simulation training is an integral part of the training of medical personnel. However, there are limited data on the use of simulation in the training of helicopter emergency medical services (HEMS). METHODS: In this study, we retrospectively compared the number of orientation flights needed to be released to a full crewmember and the cost of training in an air medical flight academy before and after implementation of a high-fidelity air medical simulator...
March 2018: Air Medical Journal
https://www.readbyqxmd.com/read/29432402/performance-under-stress-conditions-during-multidisciplinary-team-immersive-pediatric-simulations
#14
Daniel Aiham Ghazali, Ivan Darmian-Rafei, Stéphanie Ragot, Denis Oriot
OBJECTIVES: The primary objective was to determine whether technical and nontechnical performances were in some way correlated during immersive simulation. Performance was measured among French Emergency Medical Service workers at an individual and a team level. Secondary objectives were to assess stress response through collection of physiologic markers (salivary cortisol, heart rate, the proportion derived by dividing the number of interval differences of successive normal-to-normal intervals > 50 ms by the total number of normal-to-normal intervals [pNN50], low- and high-frequency ratio) and affective data (self-reported stress, confidence, and dissatisfaction), and to correlate them to performance scores...
February 9, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29412098/leadership-in-crisis-situations-merging-the-interdisciplinary-silos
#15
Hugo Paquin, Ilana Bank, Meredith Young, Lily H P Nguyen, Rachel Fisher, Peter Nugus
Purpose Complex clinical situations, involving multiple medical specialists, create potential for tension or lack of clarity over leadership roles and may result in miscommunication, errors and poor patient outcomes. Even though copresence has been shown to overcome some differences among team members, the coordination literature provides little guidance on the relationship between coordination and leadership in highly specialized health settings. The purpose of this paper is to determine how different specialties involved in critical medical situations perceive the role of a leader and its contribution to effective crisis management, to better define leadership and improve interdisciplinary leadership and education...
February 5, 2018: Leadership in Health Services
https://www.readbyqxmd.com/read/29401337/skills-decay-in-military-medical-training-a-meta-synthesis-of-research-outcomes
#16
Amber S Linde, Jona Caridha, Kevin J Kunkler
Background: In fiscal year 2012, the Medical Simulation and Information Sciences Research Program released two Skills Decay (SD) research program announcements (PAs) under the Medical Readiness Initiative entitled "Medical Practice Initiative Breadth of Medical Practice & Disease Frequency Exposure (MPI-BMP)" and the "Medical Practice Initiative Procedural Skill Decay and Maintenance (MPI-PSD)." The Office of Naval Research also released a PA entitled "Medical Modeling and Simulation (MM&S) for Military Training and Education...
January 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29373386/high-fidelity-realistic-acute-medical-simulation-and-sbar-training-at-a-tertiary-hospital-in-blantyre-malawi
#17
John David Chetwood, Priya Garg, Kieran Burton
No abstract text is available yet for this article.
April 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29354280/medical-judgement-analogue-studies-with-applications-to-spaceflight-crew-medical-officer
#18
Michele L McCarroll, Rami A Ahmed, Alan Schwartz, Michael David Gothard, Steven Scott Atkinson, Patrick Hughes, Jose Cepeda Brito, Lori Assad, Jerry Myers, Richard L George
Background: The National Aeronautics and Space Administration (NASA) developed plans for potential emergency conditions from the Exploration Medical Conditions List. In an effort to mitigate conditions on the Exploration Medical Conditions List, NASA implemented a crew medical officer (CMO) designation for eligible astronauts. This pilot study aims to add knowledge that could be used in the Integrated Medical Model. Methods: An analogue population was recruited for two categories: administrative physicians (AP) representing the physician CMOs and technical professionals (TP) representing the non-physician CMOs...
October 2017: BMJ simulation & technology enhanced learning
https://www.readbyqxmd.com/read/29250473/trauma-resuscitation-in-a-left-ventricular-assist-device-patient-an-emergency-medicine-simulation-scenario
#19
William E Kenyhercz, Jorge L Pérez, Adrienne N Wolfe, Morgan R Starkey, Dominic J Bagnoli Iii, Ahmed F Ozgur, Anna Ciullo, Rami Ahmed
Heart failure is a leading cause of death worldwide. While heart transplantation is the most successful treatment for end-stage heart failure, the scarcity in donor hearts has ushered in the use of alternative therapies, such as the left ventricular assist device (LVAD). This patient population may present with low frequency, but they require disease-specific management. Learners may fine-tune these principles in a safe learning environment, such as a medical simulation lab. Here, we present a case in which a patient with a LVAD sustained serious traumatic injuries...
October 13, 2017: Curēus
https://www.readbyqxmd.com/read/29228934/a-pilot-study-to-assess-the-utility-of-a-freely-downloadable-mobile-application-simulator-for-undergraduate-clinical-skills-training-a-single-blinded-randomised-controlled-trial
#20
Richard D Bartlett, Dina Radenkovic, Stefan Mitrasinovic, Andrew Cole, Iva Pavkovic, Peyton Cheong Phey Denn, Mahrukh Hussain, Magdalena Kogler, Natalia Koutsopodioti, Wasima Uddin, Ivan Beckley, Hana Abubakar, Deborah Gill, Daron Smith
BACKGROUND: Medical simulators offer an invaluable educational resource for medical trainees. However, owing to cost and portability restrictions, they have traditionally been limited to simulation centres. With the advent of sophisticated mobile technology, simulators have become cheaper and more accessible. Touch Surgery is one such freely downloadable mobile application simulator (MAS) used by over one million healthcare professionals worldwide. Nevertheless, to date, it has never been formally validated as an adjunct in undergraduate medical education...
December 11, 2017: BMC Medical Education
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