scholarly journals Assessment and Comparative Evaluation of Self-Efficacy as a Function of Training Style

2020 ◽  
Vol 9 (1) ◽  
pp. 188-192
Author(s):  
James P. Bliss ◽  
Beth M. Hartzler ◽  
Jennifer Winner ◽  
Douglas Hodge
Keyword(s):  
Self Efficacy ◽  
Simulation Training ◽  
Medical Training ◽  
Training Effectiveness ◽  
Military Health ◽  
Didactic Training ◽  
Starting Point ◽  
Simulation Based ◽  
Training Courses ◽  
The Military

As with civilian medicine, the Military Health System relies on medical manikins to supplement didactic training. Analyses of transfer-of-training and the calibration between self-efficacy (SE) and competence offer a robust look at training effectiveness; however, the logistics of collecting these data are complex. Self-reported SE is commonly used as a starting point to look at training effectiveness, and prior research has used it to compare didactic against simulation-based training options. Military medical training courses, however, often combine didactic and experiential (simulation-based) training. Little or no work has documented how SE is differentially affected in courses using both training approaches. Results reported here represent SE data from enlisted medical technicians completing pre-deployment readiness training. These data illustrate that SE gained through didactic training was maintained throughout the simulation training. We discuss possible reasons why this sample did not demonstrate further significant gains following simulation and we identify challenges associated with the study of individual constructs such as SE in the context of team-based training environments.

scholarly journals The Implementation Gap in Laparoscopic Simulation Training

2018 ◽  
Vol 108 (2) ◽  
pp. 109-116 ◽  
Author(s):  
K. Fjørtoft ◽  
L. Konge ◽  
I. Gögenur ◽  
E. Thinggaard
Keyword(s):  
Online Survey ◽  
Simulation Training ◽  
Improve Patient Safety ◽  
Medical Doctors ◽  
Implementation Gap ◽  
Simulation Based ◽  
Actual Use ◽  
Training Courses ◽  
Baseline Characteristics ◽  
Improve Patient

Background and Aims: Simulation-based training in laparoscopy can improve patient safety and efficiency of care, but it depends on how it is used. Research in medical education has moved from demonstrating transferability of simulation training to the operating room to how to best implement it. This study aims to investigate how simulation-based training in laparoscopy has been implemented Scandinavia. Material and Methods: An online survey was sent out to medical doctors at surgical, gynecological, and urological departments at 138 hospitals in Denmark, Norway, and Sweden. The questionnaire included questions on respondents’ baseline characteristics, opinions, access, and actual use of simulation-based training in laparoscopy. Results: In total, 738 respondents completed the survey. Of these, 636 (86.2%) of respondents agreed or strongly agreed that simulation-based training in laparoscopy should be mandatory. A total of 602 (81.6%) had access to simulation-based training in laparoscopy. Of the total 738 respondents, 141 (19.1%) were offered structured training courses, 129 (17.5%) were required to reach a predefined level of competency, and 66 (8.9%) had mandatory courses in laparoscopy. In all, 72 (9.8%) had never used simulation-based training in laparoscopy. Conclusion: An implementation gap in laparoscopic simulation-based training still exists in Scandinavia. Simulation equipment is generally available, but there is a lack of structured simulation-based training.

scholarly journals 1241 MaxSim, a Novel Simulation Based Education Course for OMFS Emergencies

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Holden
Keyword(s):  
Simulation Training ◽  
Medical Training ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Safe Environment ◽  
Clinical Scenarios ◽  
Simulation Based ◽  
Medical Emergencies ◽  
Second Year ◽  
First Time

Abstract Introduction For Oral and Maxillofacial Surgery (OMFS) Senior House Officers (SHOs), with no formal medical training, the first exposure to inpatient medical or OMFS emergencies will be the first time they are having to manage them, usually alone. Simulation based education has been demonstrated to increased experience and confidence when used in medical education 1, therefore an OMFS simulation-based education course was created to facilitate this learning in a safe environment. Method The course included stations on medical emergencies such as sepsis, and OMFS emergencies centred around scenarios that necessitate rapid response including retrobulbar haemorrhage and carotid artery blowout. A pre and post course questionnaire was given to all delegates to assess their change in confidence when managing the scenarios. Each was asked to score their confidence in managing the scenarios numerically from one to ten. Results Delegate numbers were limited due to the Covid-19 pandemic with all ten completing both questionnaires. There was an even distribution between first and second year SHOs. Two had received simulation training before however, very limited. In all ten simulation stations every delegate felt an increase in confidence on average by 4.5 (range: 3.8-5.6) on the ten-point scale, p < 0.05. Positive feedback was also given by all stating it was extremely useful. Conclusions Simulation based education has been shown to be invaluable method of training for clinical scenarios and needs to become more common place in Oral and Maxillofacial Surgery. This course is to be expanded post Covid-19 to become available nationally.

scholarly journals 81 Can Simulation-Based Training be Used to Teach Geriatric Medicine?

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i25-i26
Author(s):  
R Oates ◽  
K Lettal ◽  
N Allen ◽  
G Deivasikamani
Keyword(s):  
Health Education ◽  
Elderly Patients ◽  
Simulation Training ◽  
Medical Training ◽  
Stated Preference ◽  
Geriatric Medicine ◽  
Real Life ◽  
Kidney Injury ◽  
Free Text ◽  
Simulation Based

Abstract Introduction Health Education England (HEE) and the Joint Royal Colleges of Physicians Training Boards recognise the importance of simulation-based training especially for Core Medical Trainees in improving patient outcomes and enhancing learning (Enhancing UK Core Medical Training through Simulation based training, Health Education England 2016). Research also suggests simulation training can be used to address a wide variety of medical curricula agenda from emergency presentations to breaking bad news (Beaubien 2004, Quality & Safety in healthcare). HEE suggests simulation training can be used to develop understanding but also communication skills and awareness of human factors and are focusing on developing a national strategy. Geriatric Medicine is complex and trainees are expected to be competent in managing elderly patients in a variety of presentations. Our aim was to ascertain the confidence levels of CMT doctors managing elderly patients and whether simulation-based teaching is effective for geriatric teaching. Methods Three scenarios addressing common geriatric conditions were developed by a Geriatric Medicine Registrar and overseen by Geriatric Consultant. Scenarios including delirium secondary to sepsis, Opiate toxicity secondary to acute kidney injury (complicated by addressing dementia and risk of self-harm) and identifying and demonstrating appropriate palliative approaches to a catastrophic subdural haemorrhage. Trainees were given a brief summary of a case and asked to review and manage the ‘patient’. A geriatric registrar alongside two CMT doctors designed a pre and post confidence questionnaire using Likert scales and free text boxes to explore respondents’ views. Results 100% of trainees found the simulation training useful and would recommend the sessions. 100% of trainees stated preference for simulation-based teaching opposed to lecture and work based assessments. Confidence increased across all three scenarios post simulation. 70% of trainees stated they felt confident to manage delirium with sepsis pre-simulation, this increased to 91% post simulation. Trainees commented ‘feel confident to manage sepsis but not complicated by delirium or AKI’ and ‘prefer simulation to lectures’ Conclusions CMT doctors enjoy and find simulation training in geriatric medicine useful and show preponderance to this. Simulation training can be used to expose trainees to real life complex geriatric medicine scenarios in a safe environment. This programme will be developed to encompass additional medical scenarios and also to be delivered to foundation year doctors.

scholarly journals Methodology for quantitative assessment of combat casualty care

SIMULATION ◽  
2018 ◽  
Vol 95 (4) ◽  
pp. 289-295
Author(s):  
Michael A. Xynidis ◽  
Brian F. Goldiez ◽  
Jack E. Norfleet ◽  
Nina Rothstein
Keyword(s):  
Student Performance ◽  
Quantitative Assessment ◽  
Medical Training ◽  
Evaluation Process ◽  
Training Effectiveness ◽  
Individual Student ◽  
Psychomotor Activity ◽  
Combat Casualty ◽  
Significant Difference ◽  
Simulation Based

Evaluating proficiency in simulation-based combat casualty training includes the assessment of hands-on training with mannequins through instructor observation. The evaluation process is error-prone due to high student–instructor ratios as well as the subjective nature of the evaluation process. Other logistical inconsistencies, such as the short amount of time to observe individual student performance, can lessen training effectiveness as well. The simulation-based methodology described in this article addresses these challenges by way of quantitative assessment of training effectiveness in combat casualty training. The methodology discusses adaptation of Lempel–Ziv (LZ) complexity indexing to quantify psychomotor activity that is otherwise only subjectively estimated by an instructor. LZ indexing has been successfully used to assess proficiency in related studies of simulation-based training conducted by Bann et al. at the Imperial College of Science Technology and Medicine in London, and more recently by Watson at the University of North Carolina at Chapel Hill. This type of analysis has been applied to using simulation as a tool to assess not only mastery of a task, but as a method to assess whether a particular simulator and training approach actually works. Data have been gathered from nearly 100 military combat medic trainees at Joint Base Lewis McChord Medical Simulation Training Center. Participant hand-acceleration data from an emergency surgical cricothyrotomy reveals a statistically significant difference in ability between expertise levels. The higher the LZ scores and self-reported expertise level, the better the participant performed. The results show that when presented with demographic and video performance-based data, it is possible to gauge experience by applying LZ scoring to motion data. The methodology provides an objective measure that complements the subjective component of simulation-based cricothyrotomy training assessments. Further study is needed to determine whether this methodology would provide similar assessment advantages in other medical training in which speed and accuracy would be significant factors in determining procedural expertise.

Effectiveness of echocardiography simulation training for paediatric cardiology fellows in CHD

2018 ◽  
Vol 28 (4) ◽  
pp. 611-615 ◽  
Author(s):  
Jeffrey D. Dayton ◽  
Alan M. Groves ◽  
Julie S. Glickstein ◽  
Patrick A. Flynn
Keyword(s):  
New York ◽  
Simulation Training ◽  
Medical Training ◽  
Simulator Training ◽  
Columbia University ◽  
Training Simulator ◽  
Paediatric Cardiology ◽  
Presbyterian Hospital ◽  
Simulation Based ◽  
Standard Training

AbstractSimulation is used in many aspects of medical training but less so for echocardiography instruction in paediatric cardiology. We report our experience with the introduction of simulator-based echocardiography training at Weill Cornell Medicine for paediatric cardiology fellows of the New York–Presbyterian Hospital of Columbia University and Weill Cornell Medicine. Knowledge of CHD and echocardiographic performance improved following simulation-based training. Simulator training in echocardiography can be an effective addition to standard training for paediatric cardiology trainees.

Evaluation of Ambulatory Care Classification Systems for the Military Health Care System

1990 ◽  
Author(s):  
James M. Georgoulakis ◽  
Atanacio C. Guillen ◽  
Cherry L. Gaffney ◽  
Sue E. Akins ◽  
David R. Bolling ◽  
...  
Keyword(s):  
Health Care ◽  
Ambulatory Care ◽  
Health Care System ◽  
Classification Systems ◽  
Military Health ◽  
Military Health Care ◽  
The Military ◽  
Care System
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