scholarly journals Using Peer Role-playing to Improve Student Skills for Musculoskeletal Physical Examinations

2020 ◽  
Author(s):  
Kazuyo Yamauchi ◽  
Yoko Hagiwara ◽  
Nahoko Iwakura ◽  
Saori Kubo ◽  
Azusa Sato ◽  
...  
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Role Play ◽  
Real Life ◽  
Role Playing ◽  
Musculoskeletal Symptoms ◽  
Traditional Curriculum ◽  
Self Reflection ◽  
Simulation Based ◽  
Simulation Group

Abstract The traditional curriculum for medical students in Japan does not include sufficient opportunity for the students to develop their skills for musculoskeletal examination and clinical reasoning and diagnosis. So, many residents report a lack of confidence in performing these tasks. Our aim was to assess the effectiveness of peer role-playing to improving these skills among 90 women medical students who were completing their first orthopaedic clinical clerkship. Participants were allocated into two groups. One group participated in role-play (the simulation group) and the other did not participate in role-play because of the clerkship schedule or almanac circumstance (the no-simulation group). This program consisted of two modules: the simulation-based module and the outpatient encounter module. Each module included two sessions. The simulation-based module had two parts: a structured encounter with role-play for musculoskeletal cases, and a structured debriefing with the course supervisor including self-reflection. The students’ performance was observed and assessed using the mini clinical evaluation exercise (mini-CEX) for musculoskeletal cases in the simulation-based module (Day1) and the outpatient encounter module (Day2). The simulation-based module increased the physical examination score on the mini-CEX because of the encounters with real-life patients with musculoskeletal symptoms. This result suggests that role-play as a peer enhancing simulation may help to improve the competency of medical students in performing a musculoskeletal physical examination in a clinical setting.

scholarly journals Using peer role-playing to improve students’ clinical skills for musculoskeletal physical examinations

2020 ◽  
Author(s):  
Kazuyo Yamauchi ◽  
Yoko Hagiwara ◽  
Nahoko Iwakura ◽  
Saori Kubo ◽  
Azusa Sato ◽  
...  
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Clinical Reasoning ◽  
Clinical Skills ◽  
Role Play ◽  
Role Playing ◽  
Simulation Program ◽  
Control Group ◽  
Clinical Competency ◽  
Simulation Group

Abstract Background: The traditional curriculum for medical students in Japan does not include sufficient opportunity for the students to develop their skills for musculoskeletal (MSK) examination and clinical reasoning and diagnosis. So, the effective program requires to help medical students and residents improve these clinical skills about MSK. Our purpose was to assess using mini-CEX that these clinical skills of medical students have experienced peer role-playing simulation program.Methods: Participants were 90 women medical students who were completing their first orthopaedic clinical clerkship, were allocated into two groups. The simulation group encountered with role-play for MSK cases as low fidelity simulation, and a structured debriefing with the course supervisor including self- reflection at Day 1 (n = 64). The control group did not participate in the role-play due to clerkship schedule randomized (n = 26). We observed and assessed all participants’ performance at outpatient encounter using the mini clinical evaluation exercise (mini-CEX) when all participant encountered the first visit MSK outpatient at Day 2, and compared mini-CEX score between the simulation group and the control group. A statistical method was used Wilcoxon rank-sum test.Results: The Physical examination, the Clinical reasoning and Diagnosis, and the Overall clinical competency of the mini-CEX scores were significant differences in the simulation group higher than in the control group (p < .05, Physical examination: p = .014, Clinical Reasoning: p = .042, Overall: p = .016). These finding suggests the possibility that our medical students who have experienced peer role-playing simulation program improved the clinical skills of physical examination, the clinical reasoning and diagnosis, and the Overall clinical competency on the real-life MSK outpatient encounters.Conclusions: We successfully capture to assess using mini-CEX that these clinical skills improving of medical students who have experienced peer role-playing simulation program. A peer role-playing as a low-fidelity simulation will enable to polish the competency of medical students a musculoskeletal physical examination, and a clinical reasoning and diagnosis in a clinical setting, as a practical educational opportunity.

scholarly journals Using peer role-playing to improve students’ clinical skills for musculoskeletal physical examinations

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kazuyo Yamauchi ◽  
Yoko Hagiwara ◽  
Nahoko Iwakura ◽  
Saori Kubo ◽  
Azusa Sato ◽  
...  
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Clinical Reasoning ◽  
Clinical Skills ◽  
Role Play ◽  
Role Playing ◽  
Control Group ◽  
Simulation Group ◽  
Physical Examinations ◽  
Simulation Programme

Abstract Background The traditional curriculum for medical students in Japan does not include sufficient opportunities for students to develop their skills for musculoskeletal (MSK) examination and clinical reasoning and diagnosis. Therefore, an effective programme is required to help medical students and residents improve their clinical skills in MSK. This paper aims to assess the clinical skills of medical students who have participated in a peer role-playing simulation programme using a mini clinical evaluation exercise (mini-CEX). Methods Participants were 90 female medical students who were completing their first orthopaedic clinical clerkship. They were divided into two groups. The simulation group participated in a role-play focussed on MSK cases as low-fidelity simulation, a structured debriefing with the course supervisor, and a self-reflection on Day 1 (n = 64). The control group did not participate in the role-play due to randomised clerkship schedules (n = 26). On Day 2 of the intervention, we observed and assessed all participants’ performances during MSK outpatient encounters using the mini-CEX. We compared the mini-CEX score between the simulation group and the control group; the Wilcoxon rank-sum test was used for statistical analysis. Results The mini-CEX scores for physical examination, clinical reasoning and diagnosis, and overall clinical competency were significantly higher in the simulation group than in the control group (p < .05, physical examination: p = .014, clinical reasoning: p = .042, overall: p = .016). These findings suggest that medical students who partake in a peer role-playing simulation programme could experience improved clinical skills for physical examination, clinical reasoning and diagnosis, and overall clinical competency in real-life MSK outpatient encounters. Conclusions Through a mini-CEX assessment, our findings indicate that medical students who participated in our peer role-playing simulation programme have improved clinical skills. Peer role-playing as a low-fidelity simulation and practical educational opportunity will enable educators to polish the competency of medical students in musculoskeletal physical examinations and clinical reasoning and diagnosis in a clinical setting.

scholarly journals Positive effects of lumbar puncture simulation training for medical students in clinical practice

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sinead Gaubert ◽  
Alice Blet ◽  
Fadia Dib ◽  
Pierre-François Ceccaldi ◽  
Thomas Brock ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Medical Students ◽  
Success Rate ◽  
Confidence Level ◽  
Simulation Training ◽  
Real Life ◽  
Theoretical Knowledge ◽  
Simulation Based ◽  
Simulation Group ◽  
The Impact

Abstract Background Lumbar puncture (LP) is an invasive medical procedure that can be done by any doctor. Several simulation-based trainings have been built however the evaluations of the theoretical knowledge and the impact of the simulation-based training have never been performed in real life. The objective was to evaluate the impact of a LP training on the theoretical knowledge improvement and the performance of a LP in clinical practice. Methods Before and after medical students’ training, theoretical knowledge and confidence level were assessed. Over a 6 months period, the impact of simulation training was evaluated by the success rate of students’ first LP carried out in hospitalized patients and compared to the results of a no-training control. Results Students’ theoretical knowledge and confidence level showed significant improvement after simulation training on 115 students (p < 0.0001). The evaluation in real life based on 41 students showed that the success rate of the first LP in patients was higher in the LP simulation group compared to the control group (67% vs 14%, p = 0.0025). The technical assistance was also less frequently needed in the LP simulation group (19% vs 57%, respectively, p = 0.017). The rate of students who participated in this educational study was low. Discussion Simulation-based teaching was an effective way to improve students’ theoretical and practical knowledge. Whether this approach translates to other procedural skills in real clinical settings merits further study. The low participation rate in the study is due to the fact that students are not used to be included in educational studies and to the complexity of evaluation in routine clinical practice.

scholarly journals Disaster Day: A Simulation-Based Disaster Medicine Curriculum for Novice Learners

2021 ◽  
Vol 8 ◽  
pp. 238212052110207
Author(s):  
Brad D Gable ◽  
Asit Misra ◽  
Devin M Doos ◽  
Patrick G Hughes ◽  
Lisa M Clayton ◽  
...  
Keyword(s):  
Medical Students ◽  
Disaster Management ◽  
Disaster Preparedness ◽  
Real Life ◽  
Mass Casualty ◽  
Disaster Medicine ◽  
Incident Command ◽  
Management Concepts ◽  
Simulation Based ◽  
Second Year

Background: Mass casualty and multi-victim incidents have increased in recent years due to a number of factors including natural disasters and terrorism. The Association of American Medical Colleges (AAMC) recommends that medical students be trained in disaster preparedness and response. However, a majority of United States medical students are not provided such education. Objective: The goal of this study was to evaluate the effectiveness of a 1 day, immersive, simulation-based Disaster Day curriculum. Settings and Design: Learners were first and second year medical students from a single institution. Materials and Methods: Our education provided learners with information on disaster management, allowed for application of this knowledge with hands-on skill stations, and culminated in near full-scale simulation where learners could evaluate the knowledge and skills they had acquired. Statistical analysis used: To study the effectiveness of our Disaster Day curriculum, we conducted a single-group pretest-posttest and paired analysis of self-reported confidence data. Results: A total of 40 first and second year medical students participated in Disaster Day as learners. Learners strongly agreed that this course provided new information or provided clarity on previous training, and they intended to use what they learned, 97.6% and 88.4%, respectively. Conclusions: Medical students’ self-reported confidence of key disaster management concepts including victim triage, tourniquet application, and incident command improved after a simulation-based disaster curriculum. This Disaster Day curriculum provides students the ability to apply concepts learned in the classroom and better understand the real-life difficulties experienced in a resource limited environment.

scholarly journals Legens alvor. Styring i rollespillets læringspraksis

2016 ◽  
Vol 27 (1) ◽  
pp. 57-73 ◽  
Author(s):  
Lotte Galløe
Keyword(s):  
Social Services ◽  
Role Play ◽  
Real Life ◽  
Management Training ◽  
Role Playing ◽  
Parent Management Training ◽  
Learning Technology ◽  
Advanced Form ◽  
The Social ◽  
Parent Management

Denne artikel beskæftiger sig med rollespil som en læringsteknologi. Artiklen stiller skarpt på rollespil som en nuanceret styring, der søger at fremme en særlig adfærd. Der argumenteres for, at rollespillet er et eksempel på en strategisk praksis, der fungerer ved at inddrage de lærende i påvirkningen af sig selv og hinanden. Gennem et feltstudie af et træningsforløb for forældre med udadreagerende børn er rollespil som læringsteknologi undersøgt. Med et foucaultiansk magtperspektiv belyses de specifikke teknikker, der gør rollespillet til en legende praksis, for siden at tillægge det en anden alvor. Artiklen viser, hvordan rollespillet tager form i samspillet mellem instruktører og forældre og viser sig virksomt ved at inkludere forældrene i udførelsen og omdirigere deres modstand. ENGELSK ABSTRACT: Lotte Galløe: Imaginary Real Life. The Governed Learning of Role Playing This paper examines role-playing as a learning technology. It focuses on role-playing, as employed in the social services, as an advanced form of governance aiming to produce a certain behavior on the part of the learners. Based on an ethnographic interpretation of Michel Foucault’s notion of power, the paper sheds light on role-playing in practice in Parent Management Training (PMTO) group sessions. Role-playing in PMTO exemplifies the use of particular techniques that shape role-playing as an imaginary game, and simultaneously ascribes it significance in real life. The article argues that role-playing’s apparent non-serious approach enables a strategic practice engaging the learners in the governing actions targeted towards shaping them as subjects. The paper shows how the techniques of enactment, instruction, and evaluation unfold by involving the parents in the performance. Finally the paper shows how resistance is rejected or adapted within the governing practice. Keywords: role-play, Foucault, governance, PMTO, learning.

The Influence of Role Play Teaching Technique on English Performance Among Learners With Hearing Impairment, Kenya

2021 ◽  
pp. 225-245
Author(s):  
Judith Opiyo Yabbi
Keyword(s):  
Hearing Impairment ◽  
Primary Schools ◽  
Teaching And Learning ◽  
Positive Impact ◽  
Role Play ◽  
Real Life ◽  
Role Playing ◽  
Effective Implementation ◽  
Teaching Technique ◽  
Secondary Materials

Role-play is a holistic pedagogy in teaching. The technique instills critical thinking in pupils, enhances emotional intelligence, and improves morality and forms of realism about information. The chapter examines the influence of role-play teaching technique on English performance among the pupils with hearing impairment in Kenyan primary schools. The chapter looks at several elements of role-playing such as games, real-life expression, imitation, positive impact, and the challenges facing the effective implementation of the use of role-play in teaching and learning in primary schools of learners with hearing impairment. This study is a desktop review and only relies on secondary materials. The literature was sourced in various databases. The review revealed that role-play improves the self-efficacy of the learner since the technique is grounded in reality. Learning is enhanced when the activities involved are memorable and engaging.

scholarly journals Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students

2020 ◽  
Vol 7 ◽  
pp. 238212052092999
Author(s):  
Sarah Smithson ◽  
Gary Beck Dallaghan ◽  
Jason Crowner ◽  
Laura Trollinger Derry ◽  
Akshitha (Ammu) Vijayakumar ◽  
...  
Keyword(s):  
Medical Students ◽  
Leadership Competencies ◽  
Educational Activity ◽  
Peak Performance ◽  
Self Awareness ◽  
Self Assessment ◽  
Self Reflection ◽  
Simulation Based ◽  
Professional Coaching ◽  
Fourth Year Medical Students

Background: Medical education has traditionally been rooted in the teaching of health and disease processes, with little attention to the development of teamwork and leadership competencies. Objective: In an era of value-based health care provided by high-functioning teams, new approaches are needed to develop communication, leadership, and teamwork skills for medical students. Design: We designed and piloted a simulation-based educational activity called Peak Performance that linked a workbook, which focused on self-reflection on communication and leadership skills, with professional coaching. The simulation scenario placed students in the role of an upper-level resident on an inpatient service, followed by a small group debrief with students, a clinical faculty member, and a professional executive coach. After the debriefing session, students were invited to complete a self-reflection workbook within 1 week of the initial simulation. The final element of the curriculum was an individualized session with an executive coach. Peak Performance was offered to all fourth-year medical students enrolled in the Social and Health Systems Science required course at the University of North Carolina School of Medicine. Results: Pre-/post-self-assessments of leadership competencies were completed by students. Pre-simulation self-assessment scores ranged from 3.72 to 4.33 on a 5-point scale. The lowest scores were in “Managing Conflict” and “Managing Others.” The highest score was in “Self-Awareness.” The post-simulation scores decreased in every competency, with “Managing Others” dropping significantly from 3.72 pre-simulation to 3.36 post-simulation (0.31, P < .05). Satisfaction with the curriculum was high, as reflected by a Net Promoter Score of 91% (“excellent” > 50%). Conclusions: A novel simulation-based educational activity linked to professional coaching is a feasible and impactful strategy to develop leadership, communication, and teamwork skills in medical students. Student insight and self-awareness increased as evidenced by a decrease in competency self-assessment after guided reflection and individualized coaching.

scholarly journals Drama: A Neglected Source in Language Teaching to Improve Communication

2019 ◽  
Vol 9 (5) ◽  
pp. 242
Author(s):  
Mustafa Altun
Keyword(s):  
Learning Environment ◽  
Language Learning ◽  
Communication Skills ◽  
Language Teaching ◽  
Role Play ◽  
Real Life ◽  
Role Playing ◽  
Skills Development ◽  
Oral Skills ◽  
Survey Questionnaires

Although drama takes several forms such as role-playing, story-telling, dialogues, etc., it is majorly used for the purpose of communication. Drama is an influential language tool to prepare learners how to function appropriately in real life situations. A language learning environment in which dramatic activities are employed to practice the language helps learners produce discourse in realistic conversations. The present paper shows the benefits of drama in language learning. In particular, the paper aims to reveal the contributions of engaging in conversation contents through role-play and simulation activities to the development of communication skills. The great difference between the pre survey and post survey questionnaires indicated that the students demonstrated a move towards the inclusion of drama in language learning and oral skills development.

scholarly journals Evaluating the feasibility and effectiveness of e- OSCE in the COVID- 19 era

2021 ◽  
Author(s):  
Sarra Shorbagi ◽  
Nabil Sulaiman ◽  
Ahmad Hasswan ◽  
Mujtaba Kaouas ◽  
Mona M. Al-Dijani ◽  
...  
Keyword(s):  
Medical Students ◽  
Physical Examination ◽  
Clinical Training ◽  
Clinical Skills ◽  
Real Life ◽  
Procedural Skills ◽  
Face To Face ◽  
Global Pandemic ◽  
The Face

Abstract Background: The emergence of coronavirus disease 2019 (COVID-19) and its quick progress to a global pandemic has urged medical schools to shift from didactic to distance learning and assessment approaches. The quality of clinical training and assessment have been jeopardized due to the regulatory restrictions and potential hazards to human lives. The aim of this paper is to evaluate the feasibility and effectiveness of an electronic Objective Structured Clinical Examination (e-OSCE), which attempted to transform the format of a face-to-face OSCE to an e-OSCE.Methods: We conducted three end of clerkship e-OSCEs for final year medical students in Surgery, Medicine and Family Medicine using teleconferencing application of Microsoft Teams (MST). The e-OSCE blueprint included the assessment of all clinical skills except physical examination and procedural skills. Examiners supervised e-OSCE from the college campus while all students were remotely assessed through the MST channels. During the exam, the students stayed in their specified MST channels, examiners rotated across all students. The feasibility and effectiveness of e-OSCE was evaluated using a self-administered questionnaire to students, examiners and e-OSCE team. Results: The data analysis showed that 93.4% students and 92.2% examiners agreed with the quality and process of e-OSCE. Similarly, 83.6% students and 98% examiners agreed with the fairness, smoothness and organization of e-OSCE. As many as 45.9% students and 74.5% examiners agreed that e-OSCE was close to real life practice. Approximately one fifth of students and one third of examiners preferred e-OSCE over the face-to-face OSCE. The analysis of qualitative data generated themes of e-OSCE structure and technology. While majority of participants were satisfied with e-OSCE, students were concerned about examiners’ training and e-OSCE contents. Examiners and e-OSCE team recognized the paper-less, tech-savy, fast and reliable e-OSCE format. Conclusion: During and beyond COVID- 19 era, e-OSCE is a feasible and effective modality for assessing clinical competence except for physical examination and procedural skills. The planning and implementation of e-OSCE reflects an ingenuity in assessment of clinical competencies of medical students.

scholarly journals Penerapan Latihan Keterampilan Sosial: Bermain Peran Pada Pasien Skizofrenia dengan Masalah Keperawatan Isolasi Sosial Di Ruang Puri Mitra RSJ Menur Surabaya

2020 ◽  
Vol 22 (2) ◽  
pp. 81
Author(s):  
Herdiana Putri Larasati
Keyword(s):  
Social Skills ◽  
Physical Examination ◽  
Social Isolation ◽  
Social Skills Training ◽  
Role Play ◽  
Skills Training ◽  
Role Playing ◽  
The Subject ◽  
Training Therapy

ABSTRACTPatients  have  difficulty  in  spontaneously  relating  to  others  who  are manifested by isolating themselves, not being mindful and unable to share experiences.  If  social  isolation  patients  are  not  resolved  quickly,  they  can endanger the safety of themselves and others. The purpose of this research is to apply  social  skills  training  therapy:  role  play  with  social  isolation  nursing problem in Puri Mitra Meniran Mental Room of Menur Surabaya. The study design uses a case study, the subject of one patient's study with a catatonic  diagnosis  of  schizophrenia,  with  social  isolation  nursing  issues. Methods of collection by observation, interview, physical examination, and application of social skills training therapy: role play. Application of social skills training therapy: this role play is performed for approximately 60 minutes every day. The application is given in SP 1 step 6 on the 9th day indicating the patient is willing to communicate with others. Once this implementation is applied there is an increase in interacting with others. So the more often done for patients with social isolation then very helpful and facilitate the patient in interacting with others. Keywords: Social Isolation, Social Skills; Role Playing AbstrakPasien mengalami kesulitan dalam berhubungan secara spontan dengan orang lain yang dimanifestasikan dengan mengisolasi diri, tidak ada perhatian dan tidak sanggup berbagi pengalaman. Bila pasien isolasi sosial tidak cepat teratasi maka akan dapat membahayakan keselamatan diri sendiri maupun orang lain. Tujuan penelitian ini untuk menerapkan terapi latihan keterampilan sosial: bermain peran dengan masalah keperawatan isolasi sosial di Ruang Puri Mitra Rumah Sakit Jiwa Menur Surabaya. Desain penelitian menggunakan studi kasus, subjek penelitian satu orang pasien dengan diagnosa medis skizofrenia katatonik, dengan masalah keperawatan isolasi sosial. Metode pengumpulan dengan cara observasi, wawancara, pemeriksaan  fisik,  dan  penerapan  terapi  latihan  keterampilan  sosial:  bermain peran. Penerapan terapi latihan keterampilan sosial: bermain  peran ini dilakukan selama kurang lebih 60 menit setiap hari. Penerapan tersebut diberikan dalam SP 1 langkah ke 6 di hari ke 9 menunjukkan pasien mau berkomunikasi dengan orang lain. Setelah diberikan penerapan ini terjadi peningkatan berinteraksi dengan orang lain. Sehingga semakin sering dilakukan untuk pasien dengan isolasi sosial maka sangat  membantu  dan  mempermudah  pasien  dalam  berinteraksi  dengan  orang lain. Keywords: Isolasi Sosial, Keterampilan Sosial; Bermain Peran

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