scholarly journals Evaluating the Effectiveness of Simulation Training in Obstetrics and Gynecology, Pediatrics and Emergency Medicine

Folia Medica ◽  
2019 ◽  
Vol 61 (4) ◽  
pp. 605-611
Author(s):  
Milena G. Sandeva ◽  
Stoilka Tufkova ◽  
Kostadin Ketev ◽  
Diana Paskaleva
Keyword(s):  
Simulation Training ◽  
Postgraduate Education ◽  
Hospital Environment ◽  
Good Tool ◽  
The Real ◽  
Technical Performance ◽  
Medical University ◽  
Training Opportunities ◽  
Medical Simulation Training ◽  
Observational Descriptive Study

Simulation training in medicine is a powerful tool for acquiring knowledge and practical skills in an environment close to the real world. Decreasing training opportunities directly on the patient tend to introduce simulations close to the real hospital environment without compromising the patient’s safety.  The aim of the study was to evaluate the effectiveness of simulation training in the Medical Simulation Training Center (MSTC) at the Medical University of Plovdiv. A prospective observational descriptive study was performed at the MSTC at Plovdiv Medical University between September 2017 and March 2019. The study included 245 respondents who participated in one or more practical simulation trainings and were surveyed. The results of the study suggest that the knowledge, skills and attitudes of the trainees improve after training sessions. By increasing the number of visits, the self-esteem and confidence in performing the manipulation also increases, knowledge and technical performance significantly improve and mistakes are reduced. A statistically significant relationship has been demonstrated between the sequence of visits and acquired competencies (p=0.0001). There are no performance mistakes in those attending three or more times, but 16.2% of them still experience uncertainty while performing. Here, however, 83.8% performed the manipulation automatically and without mistakes.  Simulation training in medicine is effective and useful. It has its place in the curriculum for students and is a good tool for acquiring knowledge, skills and techniques in postgraduate education.

scholarly journals Modern technologies in teaching obstetrics. About students' attachment to simulation training

2021 ◽  
pp. 72-75
Author(s):  
A. V. Soshnikov ◽  
O. V. Gorokh ◽  
N. Yu. Katkova
Keyword(s):  
Simulation Training ◽  
Educational Process ◽  
Medical Simulation ◽  
Practical Training ◽  
Simulation Center ◽  
Medical University ◽  
Medical Simulation Training ◽  
Modern Technologies

The authors of this article describe the experience of applying of simulation technologies in the curriculum in a medical university. The article discusses the methodology of practical training in obstetrics on the platform of a simulation center. The article also presents the results of the study that reveals students ' opinion about the role of the medical simulation training and its place in the educational process.

scholarly journals Features of phantom-simulation training in the discipline “Orthopedic Dentistry” at the stage of postgraduate education

2019 ◽  
Vol 06-07 (1-2) ◽  
pp. 43-45
Author(s):  
A. Nikonov ◽  
N. Breslaviec
Keyword(s):  
Working Conditions ◽  
Simulation Training ◽  
New Technologies ◽  
Postgraduate Education ◽  
Advanced Training ◽  
Practical Skills ◽  
The Real

The article describes in detail the importance of simulation training in the training and advanced training of dentists, in particular, orthopedic dentists. The goals and principles of using stimulant simulators for learning practical skills and new technologies are described. The importance of maximum closeness to the real working conditions of the doctor with absolute safety for the patient’s health is emphasized.

scholarly journals Simulation Training and Coordination of the Results of Mastering Educational Programs in a Medical University

2021 ◽  
Vol 1 (3) ◽  
pp. 176-177
Author(s):  
L. R. Avetisyan ◽  
A. V. Baykov ◽  
L. J. Petrosyan ◽  
G. A. Avetisyan ◽  
A. A. Airapetyan
Keyword(s):  
Simulation Training ◽  
Functional Integration ◽  
Quality Standards ◽  
Educational Programs ◽  
Educational Services ◽  
Medical Simulation ◽  
Methodological Approaches ◽  
Medical University ◽  
Medical Simulation Training

Trends to improve international quality standards for medical education dictate the need for the proper application of methods for coordinating the results of the development of educational programs.The introduction of methodological approaches for coordinating the results of mastering educational programs, as well as the founding of two medical simulation training centers and their functional integration into the educational system of the Yerevan State Medical University after M. Heratsi served as a serious help for improving the quality of educational services.

scholarly journals Simulation learning technologies in modern dental education: analysis of students’ opinions

2020 ◽  
Vol 47 (5) ◽  
pp. 135-146
Author(s):  
Elena V. Felker ◽  
◽  
Lilia A. Yachmeneva ◽  
Margarita A. Baroyan ◽  
Anna A. Zubkova ◽  
...  
Keyword(s):  
Simulation Training ◽  
Dental Students ◽  
Learning Technologies ◽  
Hospital Environment ◽  
First Year ◽  
Practical Training ◽  
Practical Skills ◽  
General Desire ◽  
Simulation Center ◽  
Medical University

Simulation training in medicine opens up new horizons for students’ practical training, advanced training of practicing physicians, as well as systems for assessing the formation of competencies. The Dentist Laboratory, in which dental students start learning already in the first year of study, is successfully functioning in the Training Simulation Center (TSC) of Kursk State Medical University (KSMU). To study the satisfaction of students with the effectiveness of using simulation training in the formation of practical skills, after passing the test during on-the-job training, a voluntary anonymous survey of 110 fourth-year students of the Faculty of Dentistry of Kursk State Medical University was conducted. The questionnaire included a question pool for approval of the argument, and the overwhelming majority of the surveyed students recognize the clear advantages of using simulation technologies at all stages of medical education. 84% of the respondents noted that the reality of sensations when modeling clinical situations in the phantom class of KSMU is close to a real hospital environment. The respondents identified the required number of trainings they needed to confidently master the basic practical skills, as well as highlighted the disadvantages of simulation training in comparison with actual clinical practice. Analyzing the data obtained and taking into account the students’ general desire to increase the total number of trainings, the schedule of classes in the simulation class of KSMU was corrected.

TEACH-POT: Provide Opportunities in Teaching

2020 ◽  
pp. 79-91 ◽  
Author(s):  
Maria Giulia Ballatore ◽  
Ettore Felisatti ◽  
Laura Montanaro ◽  
Anita Tabacco
Keyword(s):  
Academic Community ◽  
Real Effect ◽  
The Real ◽  
Main Components ◽  
The Impact ◽  
Training Opportunities ◽  
Different Levels

This paper is aimed to describe and critically analyze the so-called "TEACHPOT" experience (POT: Provide Opportunities in Teaching) performed during the last few years at Politecnico di Torino. Due to career criteria, the effort and the time lecturers spend in teaching have currently undergone a significant reduction in quantity. In order to support and meet each lecturers' expectations towards an improvement in their ability to teach, a mix of training opportunities has been provided. This consists of an extremely wide variety of experiences, tools, relationships, from which everyone can feel inspired to increase the effectiveness of their teaching and the participation of their students. The provided activities are designed around three main components: methodological training, teaching technologies, methodological experiences. A discussion on the findings is included and presented basing on the data collected through a survey. The impact of the overall experience can be evaluated on two different levels: the real effect on redesigning lessons, and the discussion on the matter within the entire academic community.

scholarly journals Reinstating a national simulation programme in anaesthesiology during the coronavirus pandemic

2021 ◽  
pp. bmjstel-2021-000894
Author(s):  
Sinead Campbell ◽  
Sarah Corbett ◽  
Crina L Burlacu
Keyword(s):  
Simulation Training ◽  
Online Video ◽  
Safety Measures ◽  
Face To Face ◽  
Video Assisted ◽  
Simulation Based ◽  
High Standards ◽  
Strongly Agree ◽  
Training Opportunities ◽  
Simulation Programme

BackgroundWith the introduction of strict public health measures due to the coronavirus pandemic, we have had to change how we deliver simulation training. In order to reinstate the College of Anaesthesiologists Simulation Training (CAST) programme safely, we have had to make significant logistical changes. We discuss the process of reopening a national simulation anaesthesiology programme during a pandemic.MethodsWe approached how to reinstate the programme with three distinct but intertwined projects, as in the following: (1) a survey of effects of the pandemic on training opportunities for anaesthesiology trainees, (2) proposals for methods of reinstating simulation were developed under the headings avoidance, compromise, accommodation and collaboration. A small online video-assisted simulation pilot was carried out to test the compromise method, (3) having opted for combined accommodation (onsite with smaller participant numbers and safety measures) and collaboration (with other regional centres), a postreinstatement evaluation during a 4-month period was carried out.Results(1) Eighty-five per cent of 64 trainees surveyed felt that they had missed out not only just on simulation-based education (43%) but also on other training opportunities, (2) when five trainees were asked to state on a 1 to 5 Likert scale (strongly disagree, disagree, undecided, agree and strongly agree) whether online video-assisted simulation was similar to face-to-face simulation in four categories (realism, immersion, sense of crisis and stress), only 9 (45%) of the 20 answers agreed they were similar, (3) When onsite simulation was reinstated, the majority of trainees felt that training was similar to prepandemic and were happy to continue with this format.ConclusionIn order to reinstate simulation, we have identified that accommodation and collaboration best suited the CAST while compromise failed to rank high among trainees’ preferences. Onsite courses will continue to be delivered safely while meeting the high standards our trainees have come to expect.

scholarly journals Kinematic variables of table vault on artistic gymnastics

2016 ◽  
Vol 30 (1) ◽  
pp. 97-107
Author(s):  
Sarah Maria Boldrini FERNANDES ◽  
Paulo CARRARA ◽  
Júlio Cerca SERRÃO ◽  
Alberto Carlos AMADIO ◽  
Luis MOCHIZUKI
Keyword(s):  
Web Of Science ◽  
Body Position ◽  
Meta Analysis ◽  
Technical Level ◽  
Male And Female ◽  
The Real ◽  
Technical Performance ◽  
Comprehensive Information ◽  
Applicable Knowledge ◽  
And Gender

Abstract The table vault is an event of male and female Artistics Gymnastics. Although it can be performed in a variety of rotations and body positions in different phases, it can be separated in three groups: handspring, Yurchenko and Tsukahara. It is believed that kinematic variables of vault may vary according to group of vault or gymnast body position, but few studies compares the real differences among the three groups of vaults, comparing and describing the variables in different phases. Vault kinematic variables could be diversifying according to the approach or position of the vaulting, but little has been studied about the biomechanical differences, comparing and describing behaviours at different stages. The aim of this study was to organize critical, objective and to systematize the most relevant kinematic variables to performance on vaulting. A Meta analysis over the basis Pubmed, Sport Discus and Web of Science were performed about this issue. From the selected references, we described and analyzed the kinematics of the table vault. Vault can be characterized in seven phases of analysis. Most of the studies are descriptive, and some do not descript all phases. Differences among vault variables according to group vaults, technical level and gender were analysed only in recent studies. There still gaps of knowledge about kinematic variables of table vault, in order to provide comprehensive information about all possibilities of vaults in this gymnastic event. It is concluded that kinematic variables of table vault depends upon vault group and may be considered to the improvement of technical performance. More researches are needed to approach the coaching interface with biomechanics applicable knowledge.

scholarly journals Validation of the soft-embalmed Thiel cadaver as a high-fidelity simulator of pressure during targeted nerve injection

2021 ◽  
pp. rapm-2020-102132
Author(s):  
Graeme McLeod ◽  
Shengli Zihang ◽  
Amy Sadler ◽  
Anu Chandra ◽  
Panpan Qiao ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Regional Anesthesia ◽  
Simulation Training ◽  
Historical Data ◽  
Injection Pressure ◽  
Opening Pressure ◽  
Nerve Blocks ◽  
Geometric Ratio ◽  
Fresh Frozen ◽  
Training Opportunities

IntroductionAlthough administration of regional anesthesia nerve blocks has increased during the COVID-19 pandemic, training opportunities in regional anesthesia have reduced. Simulation training may enhance skills, but simulators must be accurate enough for trainees to engage in a realistic way—for example, detection of excessive injection pressure. The soft-embalmed Thiel cadaver is a life-like, durable simulator that is used for dedicated practice and mastery learning training in regional anesthesia. We hypothesized that injection opening pressure in perineural tissue, at epineurium and in subepineurium were similar to opening pressures measured in experimental animals, fresh frozen cadavers, glycol soft-fix cadavers and patients.MethodsWe systematically reviewed historical data, then conducted three validation studies delivering a 0.5 mL hydrolocation bolus of embalming fluid and recording injection pressure. First, we delivered the bolus at 12 mL/min at epimysium, perineural tissue, epineurium and in subepineurium at 48 peripheral nerve sites on three cadavers. Second, we delivered the bolus at using three infusion rates: 1 mL/min, 6 mL/min and 12 mL/min on epineurium at 70 peripheral nerve sites on five cadavers. Third, we repeated three injections (12 mL/min) at 24 epineural sites over the median and sciatic nerves of three cadavers.ResultsMean (95%) injection pressure was greater at epineurium compared with subepineurium (geometric ratio 1.2 (95% CI: 0.9 to 1.6)), p=0.04, and perineural tissue (geometric ratio 5.1 (95% CI: 3.7 to 7.0)), p<0.0001. Mean (95%) injection pressure was greater at 12 mL/min compared with 1 mL/min (geometric ratio 1.6 (95% CI: 1.2 to 2.1), p=0.005). Pressure measurements were similar in study 3 (p>0.05 for all comparisons).DiscussionWe conclude that the soft-embalmed Thiel cadaver is a realistic simulator of injection opening pressure.

scholarly journals Peculiarities of expression indicators and accentuated personality traits in men with psoriasis without taking into account somatotype and in representatives of meso- and endo-mesomorphic somatotypes

2021 ◽  
Vol 25 (4) ◽  
pp. 540-544
Author(s):  
Obadeh Bassam Abdel-Rahman Al-Qaraleh ◽  
V. I. Stepanenko ◽  
T. G. Kryvonis ◽  
V. S. Shkolnikov ◽  
S. V. Prokopenko
Keyword(s):  
Personality Traits ◽  
Social Stigma ◽  
Postgraduate Education ◽  
Pathological Process ◽  
The Body ◽  
Individual Traits ◽  
Clinical Center ◽  
The Difference ◽  
High Level ◽  
Medical University

Annotation. Exacerbation and aggravation of psoriasis increases the chances of neurosis, depression, can significantly impair mental health through social stigma and leads to social isolation and maladaptation, a significant reduction in quality of life. Studying this problem from the standpoint of comparative assessment of the distribution of character accentuations in patients with different dermatoses can provide insight into how a certain level of adequacy of psychological adaptive response is associated with organic pathological process or genetically existing expression of certain traits. The aim of the study was to found the features of indicators of expression and features of accentuated personality traits in men with psoriasis without taking into account somatotype and in representatives of meso- and endo-mesomorphic somatotypes. Men aged 22 to 35 years, patients with psoriasis (n=100, including 32 with mild and 68 with severe course) at the Department of Skin and Venereal Diseases with a course of postgraduate education National Pirogov Memorial Medical University, Vinnytsya and Military Medical Clinical Center of the Central Region, conducted an anthropometric survey by V. V. Bunak Estimation of the expression and features of accentuated personality traits made according to G. Shmishek The reliability of the difference between the values between the independent quantitative values was determined using the U-Mann-Whitney test. In healthy subjects, taking into account and without taking into account the somatotype, it is seen that the type of physique did not significantly affect the severity of individual traits and their combinations in this group of people. With the increase in the course of psoriasis among subjects without somatotype, there is a decrease in the percentage of persons with hyperthymic and demonstrative and an increase – with emotional, pedantic, anxious, cyclothymic, excitable, dysthymic and exalted type of character accentuation; among patients of mesomorphic somatotype there is a decrease in the percentage of people with stuck and demonstrative and an increase – with emotional, pedantic, anxious, cyclothymic, excitable, dysthymic and exalted type of character accentuation; among patients of endo-mesomorphic somatotype there is a decrease in the percentage of people with hypertension and an increase – with stuck, demonstrative and excitable type of character accentuation. All this maintains a pathologically high level of affective tension, which disrupts the autonomic balance in the body, can be a pathogenic factor in the development of psychosomatic illness and leads to ineffective treatment of psoriasis.

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