scholarly journals SIMBA: Using Kolb’s Learning Theory in Simulation-Based Learning to Improve Participants' Confidence

2021 ◽  
Author(s):  
Meri Davitadze ◽  
Emma Ooi ◽  
Cai Ying Ng ◽  
Dengyi Zhou ◽  
Lucretia Thomas ◽  
...  
Keyword(s):  
Learning Style ◽  
Learning Theory ◽  
Instant Messaging ◽  
Low Cost ◽  
Rank Test ◽  
Personal Learning ◽  
Concrete Experience ◽  
Simulation Based ◽  
Signed Rank Test ◽  
Social Media Platforms

Abstract BackgroundSimulation via Instant Messaging- Birmingham Advance (SIMBA) delivers simulation-based learning (SBL) through WhatsApp and Zoom based on Kolb’s experiential learning theory. This study aimed to implement Kolb’s theory in practice during SIMBA adrenal session. MethodsKolb’s 4-stage cycle: concrete experience—simulation, reflective observation—discussion following simulation, abstract conceptualisation and assimilation of new information—Q&A and MCQs, and active experimentation—reflect on the acquired knowledge. Participants’ self-reported confidence levels pre- and post-SIMBA were analysed using Wilcoxon Signed Rank test. Key takeaway and feedback were assessed quantitatively and qualitatively in a thematic analysis. ResultsParticipants’ self-reported confidence improved significantly post-SIMBA in their approach to Cushing’s syndrome (p<0.0001) and adrenocortical carcinoma (p<0.0001). 93.9% (n=31/33) and 84.8% (n=28/33) strongly agreed/agreed the topics were applicable to their clinical practice and accommodated their personal learning style, respectively. 81.8% (n=27/33) reported increase in knowledge on patient management, and 75.8% (n=25/33) anticipated implementing learning points in their practice. ConclusionsSIMBA effectively adopts Kolb’s theory to provide best possible experience to learners, highlighting the advantages of utilising social media platforms for SBL in medical education. The ability to conduct SIMBA sessions at a low cost with high fidelity internationally paves way to engage more healthcare professionals worldwide.

Development and Assessment of an Inexpensive Smartphone-Based Respiratory Droplet Simulation Model

2021 ◽  
pp. 155335062110658
Author(s):  
Amir A. Hakimi ◽  
Dana M. Hutchison ◽  
Asher Park ◽  
Natasha Atanaskova Mesinkovska ◽  
Sehwan Kim ◽  
...  
Keyword(s):  
Simulation Model ◽  
Blue Light ◽  
Open Source Software ◽  
Low Cost ◽  
Smartphone Application ◽  
Rank Test ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Fluorescein Dye ◽  
Cobalt Blue

Background. Droplet simulation often requires expensive and inaccessible equipment. Herein, we develop and assess a low-cost droplet simulation model using easily accessible materials, open-source software, and a smartphone-based cobalt blue light. Methods. The simulation model was developed using commercial-grade materials and fluorescein dye. A clear face shield was assessed ten times following a simulated cough using fluorescein dye. A conventional ultraviolet Woods lamp was compared to a smartphone-based cobalt blue light to detect fluorescein illumination. Results. The simulation platform and smartphone-based cobalt blue light cost $20.18. A Wilcoxon signed rank test revealed that the median droplet area of fluorescence under the UV Wood’s lamp was not significantly different than that of the smartphone-based cobalt blue light (2.89 vs 2.94, P = .386). Conclusions. This simulation model is inexpensive and easily reproducible. The smartphone application may be a convenient alternative to standard ultraviolet lights. This model has great potential for use in financially restricted academic centers during the COVID-19 pandemic and beyond.

scholarly journals Assessing a Novel Method to Reduce Anesthesia Machine Contamination: A Prospective, Observational Trial

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Chuck J. Biddle ◽  
Beverly George-Gay ◽  
Praveen Prasanna ◽  
Emily M. Hill ◽  
Thomas C. Davis ◽  
...  
Keyword(s):  
Low Cost ◽  
Bacterial Species ◽  
Intervention Group ◽  
Anesthesia Machine ◽  
Rank Test ◽  
Anesthetic Care ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Anesthesia Machines ◽  
The Impact

Background. Anesthesia machines are known reservoirs of bacterial species, potentially contributing to healthcare associated infections (HAIs). An inexpensive, disposable, nonpermeable, transparent anesthesia machine wrap (AMW) may reduce microbial contamination of the anesthesia machine. This study quantified the density and diversity of bacterial species found on anesthesia machines after terminal cleaning and between cases during actual anesthesia care to assess the impact of the AMW. We hypothesized reduced bioburden with the use of the AMW. Methods. In a prospective, experimental research design, the AMW was used in 11 surgical cases (intervention group) and not used in 11 control surgical cases. Cases were consecutively assigned to general surgical operating rooms. Seven frequently touched and difficult to disinfect “hot spots” were cultured on each machine preceding and following each case. The density and diversity of cultured colony forming units (CFUs) between the covered and uncovered machines were compared using Wilcoxon signed-rank test and Student’s t-tests. Results. There was a statistically significant reduction in CFU density and diversity when the AMW was employed. Conclusion. The protective effect of the AMW during regular anesthetic care provides a reliable and low-cost method to minimize the transmission of pathogens across patients and potentially reduces HAIs.

scholarly journals Comparative evaluation of a new frugal binocular indirect ophthalmoscope

Eye ◽  
2021 ◽  
Author(s):  
Obaid Kousha ◽  
Sharma Ganesananthan ◽  
Bayan Shahin ◽  
John Ellis ◽  
Andrew Blaikie
Keyword(s):  
Low Cost ◽  
Optical Quality ◽  
Ease Of Use ◽  
Rank Test ◽  
Design Characteristic ◽  
Signed Rank ◽  
Significant Difference ◽  
Signed Rank Test ◽  
Solar Powered ◽  
Indirect Ophthalmoscope

Abstract Objectives We compare the optical quality and design characteristic a new low cost solar powered binocular indirect ophthalmoscope (BIO), Holo, to Keeler BIO. Methods Twenty-four participants each examined 10 simulation eyes using both the Holo and the Keeler BIO with a 30-diopter condensing lens. Number of Lea symbols printed on the retina of simulation eyes seen and time taken to identify them was recorded. Stereoacuity of 12 participants was tested while using the BIOs. Using 7-point Likert scale, participants gave feedback on design characteristic of both BIOs. Results There was no statistical difference in number of Lea symbols correctly identified (15.63/20 for Holo vs. 15/20 for Keeler BIO, p = 0.366, paired t test) or time taken to correctly identify each symbol (Holo 0.39 s faster; 95% confidence interval −2.24 to 3.03 s, p = 0.763) using each device. 12 out of 12 participants achieved stereoacuity of 60 arcsec using the Holo while with the Keeler BIO 11 achieved 60 arcsec and one 90 arcsec. There was no statistically significant difference in the scores for clarity of view, quality of illumination, field of view, binocularity, eye strain and robustness between the two devices. The Holo, scored higher for ease of use (6.5 vs. 6, p = 0.00488, Wilcoxon signed-rank test), comfort of wear (6 vs. 5, p = 0.000337) and portability (7 vs. 6, p = 0.000148). Conclusion The Holo has the potential to be a clinically useful yet affordable diagnostic tool suitable for the first time of equipping eye care workers in low resource settings with a BIO at volume.

scholarly journals Simulation via Instant Messaging-Birmingham Advance (SIMBA) model helped improve clinicians’ confidence to manage cases in diabetes and endocrinology

2019 ◽  
Author(s):  
Eka Melson ◽  
Meri Davitadze ◽  
Manal Aftab ◽  
Cai Ying Ng ◽  
Emma Ooi ◽  
...  
Keyword(s):  
Learning Style ◽  
Medical Training ◽  
Instant Messaging ◽  
Real Life ◽  
Virtual Learning Environment ◽  
Continuous Glucose Monitor ◽  
Personal Learning ◽  
Effective Learning ◽  
Postgraduate Medical Training ◽  
Confidence Levels

Abstract Background: Simulation-based learning (SBL) has been increasingly used in both undergraduate and postgraduate medical training curricula. The aim of Simulation via Instant Messaging-Birmingham Advance (SIMBA) is to create a simple virtual learning environment to improve trainees’ self-reported confidence in diabetes and Endocrinology. Methods: This study was done as part of the continuous professional development for Health Education England West Midlands specialty trainees in diabetes and Endocrinology. Standardized transcripts of anonymized real-life endocrinology (endocrine session) and diabetes cases (diabetes session) were used in the simulation model. Trainees interacted with moderators through WhatsApp® in this model. All cases were then discussed in detail by a consultant endocrinologist with reference to local, national and international guidelines. Trainee acceptance rate and improvement in their self-reported confidence levels post-simulation were assessed. Results: 70.8% (n=17/24) and 75% (n=18/24) strongly agreed the simulation session accommodated their personal learning style and the session was engaging. 66.7% (n=16/24) strongly felt that the simulation was worth their time. In endocrine session, there was a significant improvement in trainees’ confidence in the management of craniopharyngioma (p=0.0179) and acromegaly (p=0.0025). There was a trend towards improved confidence levels to manage Cushing’s disease and macroprolactinoma. In diabetes session, there was a significant improvement in trainees’ confidence to interpret continuous glucose monitor readings (p = 0.01). There was a trend towards improvement for managing monogenic diabetes, hypoglycaemic unawareness and interpreting Libre readings. Overall, there was a significant improvement in trainees’ confidence in managing cases that were discussed post-simulation. Conclusion: SIMBA is an effective learning model to improve trainees’ confidence to manage various diabetes and endocrine case scenarios. More sessions with a variety of other specialty case scenarios is needed to further assess SIMBA’s effectiveness and application in other areas of medical training.

scholarly journals Telemedicine communication using instant messaging technology improves pre-hospital triage in high mountain train disasters

2020 ◽  
pp. 102490792096653
Author(s):  
Chia-Hsi Chen ◽  
Tak-Yee Wong ◽  
Hsiu-Chun Chen ◽  
Jui-Fang Huang ◽  
Chung-Jing Wang
Keyword(s):  
Instant Messaging ◽  
Vital Signs ◽  
Emergency Medical Technician ◽  
Rank Test ◽  
Spearman Rank ◽  
Emergency Medical ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Medical Technician ◽  
Rapid Treatment

Background: Differences between pre-hospital triage by an emergency medical technician and Simple Triage and Rapid Treatment triage (START) by emergency staffs often affect manpower management and aggravate the chaos condition of emergency room. Objectives: Under the assistance of instant messaging, the authors aimed to identify ways of improving triage differences between emergency medical technician triage grading and Simple Triage and Rapid Treatment triage grading by emergency staffs. Methods: Recorded photographs of all patients were reviewed by a smartphone. We categorized patients according to three triage conditions: group 1, accident scene on-site or instantaneous Simple Triage and Rapid Treatment triage by the emergency medical technician; group 2, triage under Simple Triage and Rapid Treatment grading by emergency staffs; group 3, re-triage with START grading using recorded photographs, Glasgow Coma Scale, and vital signs when these patients were arrived in emergency room. The Wilcoxon Signed-Rank test, Spearman rank correlations, and Kruskal–Wallis test are employed to test differences among the groups. We used risk estimates with odds ratios and the chi-square test to statistically analyze the differences in triage grading. Results: Statistical analysis found conflicting results among Wilcoxon Signed-Rank test, Spearman rank correlations, and Kruskal–Wallis test. The difference in triage grading between groups 2 and 1 was greater than that between groups 2 and 3 (odds ratio, 6.473; 95% confidence interval, 1.693–24.470; p-value < 0.05). Conclusion: Transferred photographs combined with Glasgow Coma Scale and vital signs can help us to understand the real situations of patients. With instant messaging applications, it is possible to make more precise pre-hospital or instantaneous triage.

Simulation of an impacted fetal head extraction during cesarean section: description of the creation and evaluation of a new training program

2019 ◽  
Vol 47 (8) ◽  
pp. 857-866
Author(s):  
Cécile Monod ◽  
Johanna Buechel ◽  
Stefan Gisin ◽  
Aisha Abo El Ela ◽  
Deborah R. Vogt ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Training Program ◽  
Clinical Work ◽  
Likert Scale ◽  
Rank Test ◽  
Fetal Head ◽  
Simulation Based ◽  
Post Test ◽  
Signed Rank Test ◽  
Breech Extraction

Abstract Background Although cesarean sections at full dilatation are increasing, training in delivering a deeply impacted fetal head is lacking among obstetricians. The purpose of the study was to implement and evaluate a theoretical and simulation-based training program for this obstetrical emergency. Methods We developed a training program consisting of a theoretical introduction presenting a clinical algorithm, developed on the basis of the available literature, followed by a simulation session. We used the Kirkpatrick’s framework to evaluate the program. A questionnaire was distributed, directly before, immediately and 6 weeks after the training. Self-perceived competencies were evaluated on a 6-point Likert scale. Pre- and post-test differences in the Likert scale were measured with the Wilcoxon signed rank test. Additionally, the training sessions were video recorded and rated with a checklist in relation to how well the algorithm was followed. Results Eleven residents and eight senior physicians took part to the training. More than 40% of participants experienced a comparable situation after the course during clinical work. Their knowledge and self-perceived competencies improved immediately after the training program and 6 weeks later. Major improvements were seen in the awareness of the algorithm and in the confidence in performing the reverse breech extraction (14.3% of the participants felt confident with the maneuver in the pre-training assessment compared with 66.7% 6 week post-training). Conclusion Our theoretical and simulation-based training program was successful in improving knowledge and confidence of the participants in delivering a deeply impacted fetal head during a cesarean section performed at full dilation.

By What Right?

1986 ◽  
Vol 14 (4) ◽  
pp. 327-334 ◽  
Author(s):  
Gerald T. Kowitz ◽  
Jay C. Smith
Keyword(s):  
Learning Styles ◽  
Learning Style ◽  
Learning Theory ◽  
Program Design ◽  
Individual Learning ◽  
Instructional Program ◽  
Personal Learning ◽  
Model Based ◽  
Transition Training

Unless an instructional program is based upon characteristics of the learner, it may not work. The range of individual learning styles poses problems for program developers. To what extent can the learner be expected to conform to the requirements of the program? At what point will the need to conform become unpleasant and introduce inefficiency or even invite disaster? Two views are explored. One presents a model based on current learning theory, designed to provide transition training between personal learning style and program design. The second explores some factors concerning the desired closeness of fit between learning style and program design.

scholarly journals The effect of an experiential learning program on motivations and activity involvement among dementia supporters in Japan

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244337
Author(s):  
Hiromi Arakawa ◽  
Tokie Anme
Keyword(s):  
Experiential Learning ◽  
Intervention Group ◽  
Training Session ◽  
Rank Test ◽  
Control Group ◽  
Learning Program ◽  
Activity Involvement ◽  
Professional Programs ◽  
Concrete Experience ◽  
Signed Rank Test

Purpose The purpose of this study was to examine the effectiveness of an experiential learning program based on Kolb’s theory in increasing dementia supporters’ motivation and activity involvement within the community. Method In this interventional study, the sample was divided into two groups. The intervention group underwent dementia supporter training and participated in an experiential learning program, which was conducted two weeks after the initial training session. The control group underwent only the dementia supporter training. Results Kolb’s experiential learning model consists of four stages: concrete experience, reflective observation, conceptualization, and active experimentation. A total of 37 and 44 individuals constituted the intervention and control groups, respectively. The Wilcoxon signed-rank test revealed that there was a significant increase in motivation among the intervention group participants, when compared to the control group participants. Moreover, the activity rate was higher among the intervention group participants. Discussion The experiential learning program was effective in increasing motivation levels and activity involvement among the dementia supporters. Conclusions The experiential learning program for dementia supporters can be used to improve other volunteer and professional programs. Moreover, Kolb’s theory can be used to support individuals with dementia within the community.

scholarly journals Simulation via Instant Messaging-Birmingham Advance (SIMBA) model helped improve clinicians’ confidence to manage cases in diabetes and endocrinology

2020 ◽  
Author(s):  
Eka Melson ◽  
Meri Davitadze ◽  
Manal Aftab ◽  
Cai Ying Ng ◽  
Emma Ooi ◽  
...  
Keyword(s):  
Learning Style ◽  
Medical Training ◽  
Instant Messaging ◽  
Real Life ◽  
Virtual Learning Environment ◽  
Continuous Glucose Monitor ◽  
Personal Learning ◽  
Effective Learning ◽  
Postgraduate Medical Training ◽  
Confidence Levels

Abstract Introduction: Simulation-based learning (SBL) has been increasingly used in both undergraduate and postgraduate medical training curricula. The aim of Simulation via Instant Messaging-Birmingham Advance (SIMBA) is to create a simple virtual learning environment to improve trainees’ self-reported confidence in diabetes and Endocrinology. Methods: This study was done as part of the continuous professional development for Health Education England West Midlands specialty trainees in diabetes and Endocrinology. Standardized transcripts of anonymized real-life endocrinology (endocrine session) and diabetes cases (diabetes session) were used in the simulation model. Trainees interacted with moderators through WhatsApp® in this model. All cases were then discussed in detail by a consultant endocrinologist with reference to local, national and international guidelines. Trainee acceptance rate and improvement in their self-reported confidence levels post-simulation were assessed.Results: 70.8% (n=17/24) and 75% (n=18/24) strongly agreed the simulation session accommodated their personal learning style and the session was engaging. 66.7% (n=16/24) strongly felt that the simulation was worth their time. In endocrine session, there was a significant improvement in trainees’ confidence in the management of craniopharyngioma (p=0.0179) and acromegaly (p=0.0025). There was a trend towards improved confidence levels to manage Cushing’s disease and macroprolactinoma. In diabetes session, there was a significant improvement in trainees’ confidence to interpret continuous glucose monitor readings (p = 0.01). There was a trend towards improvement for managing monogenic diabetes, hypoglycaemic unawareness and interpreting Libre readings. Overall, there was a significant improvement in trainees’ confidence in managing cases that were discussed post-simulation. Conclusion: SIMBA is an effective learning model to improve trainees’ confidence to manage various diabetes and endocrine case scenarios. More sessions with a variety of other specialty case scenarios is needed to further assess SIMBA’s effectiveness and application in other areas of medical training.

Multidisciplinary Neonatal Emergencies Simulation Team-Training (NEST) Improves Participant’s Confidence in Dealing With Simulated Neonatal Emergencies

2018 ◽  
Vol 32 (2-3) ◽  
pp. 60-66
Author(s):  
Ravi Swamy ◽  
Manigandan Chandrasekaran ◽  
Praveen K. Venkatagiri ◽  
Anuj Grover ◽  
Vikram Datta ◽  
...  
Keyword(s):  
Human Factors ◽  
Communication Skills ◽  
Medical Curriculum ◽  
Team Training ◽  
Rank Test ◽  
High Scale ◽  
Signed Rank ◽  
Simulation Based ◽  
Signed Rank Test ◽  
Structured Approach

Background: A traditional medical curriculum has limited emphasis on communication skills, teamworking, and human factors. Simulation-based training emphasizes these skills and positively impacts patient safety. A group of Indian neonatologists in collaboration with their UK colleagues conducted adapted Neonatal Emergencies Simulation Team-training (NEST) courses in India. Aim: To evaluate the effectiveness of NEST courses in India and analyze the participant’s feedback Methods: A total of 16 NEST courses were conducted between November 2014 and February 2016. Structured pre- and postcourse feedback from participants was analyzed. Key domains studied included structured approach, human factors, situation-background-assessment-recommendation tool, and teamwork in an emergency. Each category was rated from 1 to 5, indicating a low to high scale. Pre- and posttraining scores and scores between centers were compared using the Wilcoxon signed-rank test and Kruskal-Wallis test, respectively. Results: A total of 191 feedbacks from 58 nurses and 133 doctors from 4 centers were analyzed. The comparison of self-reported pre- and postcourses showed a significant improvement across all domains. There was no statistical difference between scores from different centers showing consistent course results. Conclusions: We have demonstrated that the NEST multiprofessional course can be collaboratively delivered. The analysis of feedback shows a significant improvement in the candidate’s self-reported ability across all domains related to the application of the course principles to simulated neonatal emergencies.

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