REDESIGNING MEDICAL STUDENTS' TRAINING THROUGH VIRTUAL CLINICAL SIMULATION
DOI:
https://doi.org/10.17501/24246700.2021.7128Keywords:
higher education, educational innovation, professional education, pandemic adaptations, COVID-19, virtual simulationAbstract
Clinical simulation is an engaging teaching strategy that has been used to develop disciplinary and soft skills in medical students through structured educational activities with assessment and feedback. COVID-19 has forced medical schools into redesigning many curricular activities, including these clinical simulations, which leveraged virtual technologies to continue the training amid the pandemic. The objective of this study was to assess the adaptation of clinical simulation to a virtual-based format to continue medical students' training. The sample of participants in this study was 34-third-year medical students. Simulation sessions were held through a synchronous videoconference platform where students used a monitor for vital signs, an actor simulated a patient, and the corresponding lab results and imaging studies were available upon students' request. Students provided care for the patient by teams; they interviewed and asked for physical exam findings from an actor representing a nurse. The simulation adapted to the team's performance, students were provided with the test results as they requested, and the patient's vital signs responded to the team's prescriptions. Following the simulation, they received feedback using the debriefing with a good-judgment framework which supports a reflection regarding their mental processes leading to decision-making. Adapting educational strategies using technology in remote teaching is essential for medical schools to continue their training. This curricular adaptation exemplifies a proficient way to carry out virtual simulation activities amid the pandemic, easily adapted to other disciplines and educational levels.
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Ahmed, H., Allaf, M., & Elghazaly, H. (2020). COVID-19 and medical education. In The Lancet Infectious Diseases (Vol. 20, Issue 7, pp. 777–778). Lancet Publishing Group. https://doi.org/10.1016/S1473-3099(20)30226-7
Al-Elq, A. H. (2010). Simulation-based medical teaching and learning. Journal of Family & Community Medicine, 17(1), 35–40. https://doi.org/10.4103/1319-1683.68787
Brouwers, M., Custers, J., Bazelmans, E., Van Weel, C., Laan, R., & Van Weel-Baumgarten, E. (2019). Assessment of medical students' integrated clinical communication skills: Development of a tailor-made assessment tool. BMC Medical Education, 19(1), 1–10. https://doi.org/10.1186/s12909-019-1557-3
Buja, L. M. (2019). Medical education today: All that glitters is not gold. In BMC Medical Education (Vol. 19, Issue 1, pp. 1–11). BioMed Central Ltd. https://doi.org/10.1186/s12909-019-1535-9
Chick, R. C., Clifton, G. T., Peace, K. M., Propper, B. W., Hale, D. F., Alseidi, A. A., & Vreeland, T. J. (2020). Using Technology to Maintain the Education of Residents During the COVID-19 Pandemic. Journal of Surgical Education, 77(4), 729–732. https://doi.org/10.1016/j.jsurg.2020.03.018
Culpa-Bondal, A., & Dean, C. (2018). Increasing Students' Self-Confidence in Patient Interaction through Standardized Patient Simulations. Georgia College and State University, 2–29. http://hdl.handle.net/10755/601694
Friedman, C. P., Donaldson, K. M., & Vantsevich, A. V. (2016). Educating medical students in the era of ubiquitous information. Medical Teacher, 38(5), 504–509. https://doi.org/10.3109/0142159X.2016.1150990
Isaza-Restrepo, A., Gómez, M. T., Cifuentes, G., & Argüello, A. (2018). The virtual patient as a learning tool: A mixed quantitative qualitative study. BMC Medical Education, 18(1), 1–10. https://doi.org/10.1186/s12909-018-1395-8
Joseph, J. P., Joseph, A. O., Conn, G., Ahsan, E., Jackson, R., & Kinnear, J. (2020). COVID-19 Pandemic—Medical Education Adaptations: the Power of Students, Staff and Technology. Medical Science Educator, 30(4), 1355–1356. https://doi.org/10.1007/s40670-020-01038-4
Keiser, M., & Turkelson, C. (2018). Opportunities and Advantages With Virtual Technology Integration. In Virtual Simulation in Nursing Education. Springer Publishing Company. https://doi.org/10.1891/9780826169648.0005
Khan, K. Z., Ramachandran, S., Gaunt, K., & Pushkar, P. (2013). The Objective Structured Clinical Examination (OSCE): AMEE Guide No. 81. Part I: An historical and theoretical perspective. 2(35), 1437–1446. https://doi.org/10.3109/0142159X.2013.818634
Laidlaw, A., Aiton, J., Struthers, J., & Guild, S. (2012). Developing research skills in medical students: AMEE Guide No. 69. In Medical Teacher (Vol. 34, Issue 9, pp. 754–771). https://doi.org/10.3109/0142159X.2012.704438
Lane, J. L., Slavin, S., & Ziv, A. (2001). Simulation in Medical Education: A Review. Simulation & Gaming, 32(3), 297–314. https://doi.org/10.1177/104687810103200302
Maestre, J. M., & Rudolph, J. W. (2015a). Teorías y estilos de debriefing: el método con buen juicio como herramienta de evaluación formativa en salud. Revista Española de Cardiología, 68(4), 282–285. https://doi.org/10.1016/j.recesp.2014.05.018
Maestre, J. M., & Rudolph, J. W. (2015b). Theories and Styles of Debriefing: the Good Judgment Method as a Tool for Formative Assessment in Healthcare. Revista Española de Cardiología (English Edition), 68(4), 282–285. https://doi.org/10.1016/j.rec.2014.05.018
Olivares Olivares, S. L., & Valdez-García, J. E. (2017). Aprendizaje Centrado en el Paciente. In Editorial Médica Panamericana. Editorial Médica Panamericana.
Patel, S. M., Miller, C. R., Schiavi, A., Toy, S., & Schwengel, D. A. (2020). The sim must go on: adapting resident education to the COVID-19 pandemic using telesimulation. Advances in Simulation, 5(1), 26. https://doi.org/10.1186/s41077-020-00146-w
Pottle, J. (2019). Virtual reality and the transformation of medical education. Future Healthcare Journal, 6(3), 181–185. https://doi.org/10.7861/fhj.2019-0036
Regehr, G. (2004). Trends in Medical Education Research. Academic Medicine, 79(10), 939–947. https://journals.lww.com/academicmedicine
Segura-Azuara, N. de los Á., Eraña-Rojas, I. E., & López-Cabrera, M. V. (2018). High-fidelity simulation in pathophysiology courses with medical students. Educación Médica, 19(6), 355–358. https://doi.org/10.1016/j.edumed.2017.12.003
So, H. Y., Chen, P. P., Kwok, G., Wong, C., Tung, T., & Chan, N. (n.d.). Simulation in medical education. https://doi.org/10.4997/JRCPE.2019.112
Tabatabai, S. (2020). Simulations and virtual learning supporting clinical education during the covid 19 pandemic. In Advances in Medical Education and Practice (Vol. 11, pp. 513–516). Dove Medical Press Ltd. https://doi.org/10.2147/AMEP.S257750
Torres, A., Domańska‐Glonek, E., Dzikowski, W., Korulczyk, J., & Torres, K. (2020). Transition to online is possible: Solution for simulation‐based teaching during the COVID‐19 pandemic. Medical Education, 54(9), 858–859. https://doi.org/10.1111/medu.14245
Turner, T. L., Palazzi, D. L., & Ward, M. A. (2010). The Clinician-Educator's Handbook (MedEdPortal (ed.)). MedEdPortal. https://doi.org/https://doi.org/10.15766/mep_2374-8265.7749
Valdez-García, J. E., López Cabrera, M. V., Jiménez Martínez, M. de los Á., Díaz Elizondo, J. A., Dávila Rivas, J. A. G., & Olivares Olivares, S. L. (2020). Me preparo para ayudar: respuesta de escuelas de medicina y ciencias de la salud ante COVID-19. Inv Ed Med, 9(35), 9–11. https://doi.org/10.22201/facmed.20075057e.2020.35.20230
Wang, J., & Shi, X. (2020). Harmonizing the COVID-19 Pandemic Response with Economic and Social Recovery. China CDC Weekly, 2(36), 704–707. https://doi.org/10.46234/ccdcw2020.171