scholarly journals Simulation Education of Healthcare Professionals in a High-Tech Multidisciplinary Clinic

2021 ◽  
Vol 1 (3) ◽  
pp. 146-147
Author(s):  
I. S. Abelskaya ◽  
T. V. Kaminskaya ◽  
Yu. V. Slobodin

The publication is devoted to the experience of organizing and applying simulation training in medicine on the basis of a multidisciplinary clinic. The authors noted modern approaches and rates of development of technologies in medicine, which require medical personnel to quickly and efficiently acquire manual skills and develop clinical thinking with minimization of diagnostic and treatment errors and safety for the patient. Simulation training is the educational stage that allows you to go through the required training path in a minimum time with maximum effect.

2021 ◽  
Vol 1 (3) ◽  
pp. 147-148
Author(s):  
I. S. Abelskaya ◽  
T. V. Kaminskaya ◽  
O. S. Borushko

The publication is devoted to the experience of organizing and conducting simulation training for nurses and pharmacists on the basis of a high-tech multidisciplinary clinic. The authors provide information on training courses for nurses in the dental, procedural, endoscopic rooms, as well as for paramedics, midwives, ambulatory physician assistant and pharmacists.


Author(s):  
Jin-Lain Ming ◽  
Hui-Mei Huang ◽  
Shiao-Pei Hung ◽  
Ching-I Chang ◽  
Yueh-Shuang Hsu ◽  
...  

Background: Workplace violence in the health care sector has become a growing global problem. Research has shown that although caregivers comprise a high-risk group exposed to workplace violence, most of them lacked the skills and countermeasures against workplace violence. Therefore, through a quasi-experimental design, this study aimed to investigate the effectiveness of situational simulation training on the nursing staffs’ concept and self-confidence in coping with workplace violence. Methods: Workplace violence simulation trainings were applied based on the systematic literature review and the conclusions from focus group interviews with nursing staff. Data were obtained from structured questionnaires including: (1) baseline characteristics; (2) perception of aggression scale (POAS); and (3) confidence in coping with patient aggression. Results: The results revealed that training course intervention significantly improved the nursing staffs’ self-perception and confidence against workplace violence (p < 0.001). Conclusions: The “simulation education on workplace violence training” as the intervention significantly improved the workplace violence perception and confidence among nursing staffs in coping with aggression events.


Author(s):  
Nikita E. DYATLOV ◽  
Inessa Ya. MOISEEVA ◽  
Larisa F. BURMISTROVA

The study discusses the purpose, tasks and main directions of simulation education in modern medical universities. We formulated the main directions of simulation training in modern conditions and gave a brief description of the possibilities of dummies and the simulation center itself: theoretical and practical training, simulation trainings, use of educational materials, debriefing, master classes, seminars and lectures, competitions and Olympiads, use of feedback devices, questionnaires, etc. We briefly described each learning method with advantages and existing disadvantages and paid attention to the training of the population in first aid skills. In conclusion, we presented the key advantages and disadvantages of simulation training: legislative regulation, cost of purchase of equipment and its maintenance, a wide range of competences of the teacher in terms of preparation for classes and adjustment of phantom, the need for programmers, engineers and laboratory technicians, issues of selection of the appropriate dummy among the line of domestic and foreign products. For each problem, we proposed ways to overcome it, as well as recommended various methods of training in simulation centers. The study will be useful for students and teachers of medical universities, as well as for doctors undergoing postgraduate training.


Author(s):  
VR Kuchma ◽  
AYu Makarova ◽  
OV Tikashkina

Background: Transition to machine learning, personalized medicine, and high-tech healthcare requires up-todate medical personnel. The higher medical school is transforming the system of training specialists using modern digital technologies and is starting education in the associated pre-universities, thus necessitating research into effects of current technologies on the functional state of high school students. Materials and methods: In April 2019, based on voluntary informed consent, we examined 181 healthy Moscow medical pre-university students (15–17 years of age) and assessed the impact of learning on the central nervous system, musculoskeletal system, and visual analyzer. Results: Traditional lessons in the pre-university are combined with project activities and development of practical skills. Phantom and simulation technologies along with modular construction of the curriculum are used to form practical knowledge and skills. The study load of 38–40 hours a week exceeds hygienic standards. Individual project activities in small groups (up to five students) with teachers last 20 hours a week. Simulation classes are held once a week after the main classes and last 90 minutes with a 5-minute break. Classes using simulation technologies are not always hygienically rational. Study loads, specifics of the timetable and teaching techniques approximated to university ones are adequate to functional capabilities of the body of medical pre-university students. Simulation classes cause no pronounced deviations in the neuromuscular apparatus of students. Most students demonstrate high stress tolerance and a greater motivational readiness for simulation exercises. Emotional tension and high anxiety rates are almost similar during traditional lessons and simulation activities on phantoms. Conclusions: It is advisable to make wider use of modern digital (simulation, phantom, virtual) and design and research teaching technologies including in medical classes of educational institutions.


2021 ◽  
Vol 22 (2) ◽  
pp. 25
Author(s):  
Jose Antonio Merchán-Baeza ◽  
Manuel González-Sánchez ◽  
David Pérez-Cruzado

Introducción: Los métodos de enseñanza utilizados en terapia ocupacional son numerosos y podrían clasificarse en dos grupos: métodos de enseñanza tradicionales y alternativos. La simulación es un método alternativo que permite el aprendizaje autónomo y el desarrollo de habilidades de pensamiento crítico de los estudiantes durante su participación activa en una práctica segura. Objetivo: Analizar la efectividad del aprendizaje a través de la simulación con pacientes estandarizados frente a la enseñanza tradicional en ciencias de la salud. Método: La estrategia de búsqueda fue: (“Patient Simulation” OR “Role Playing” OR “Simulation Scenario” OR “Simulation Education”) AND (“Program Evaluation” OR Effectiveness) AND (Student OR Postgraduate). El análisis de validez interna de los artículos incluidos en la revisión se realizó mediante la escala PEDro. Resultados: Se incluyeron catorce estudios y las variables evaluadas se organizaron en cuatro categorías: adquisición de conocimiento, aprendizaje de la práctica clínica, autoeficacia y desarrollo de habilidades de comunicación. Las muestras estuvieron compuestas por estudiantes de las profesiones de la salud y las simulaciones tuvieron una duración de entre 10 y 40 minutos por sesión (4-24 sesiones). Conclusión: No se encontraron diferencias significativas entre ambas metodologías en la adquisición de habilidades prácticas por parte de los estudiantes. Aun así, la visualización de videos explicativos al principio y el resumen al final del proceso de simulación, han demostrado ser etapas fundamentales para mejorar la efectividad de este método de enseñanza. Futuros estudios son necesarios para analizar los posibles beneficios de la simulación en la titulación de terapia ocupacional.


2020 ◽  
Vol 2 (37) ◽  
pp. 60-66
Author(s):  
Galymzhan Seisenbek ◽  
◽  
Dylara Agibaeva ◽  
Ali Amanbekov ◽  
◽  
...  

Abstract Today, the development trends of the leading countries of the world are aimed at creating optimal conditions for improving the quality of life of citizens. Strengthening health, leading an active lifestyle have become a trend in modern society. Every year the number of people striving to maintain good physical shape and, if necessary, receive quality medical care in a timely manner, is growing. Kazakhstan, whose goal is to enter the thirty advanced countries of the world, is also heading for the transition to a socially oriented type of economic development. The development of infrastructure for recreation and tourism in the country will contribute to the creation of conditions for increasing efficiency, maintaining and strengthening the health of citizens. In addition, the country has significant potential for the development of medical tourism, including health tourism, due to the presence of a modern medical cluster in Nur-Sultan, which provides high-tech medical services, a developed network of modern medical clinics, dental, cosmetic and IVF centers. Nevertheless, there are a number of systemic problems in domestic medical tourism that require complex solutions. One of the main reasons for the slow development of this area is the lack of a single coordination center, whose functional responsibilities include the development of conceptual documents, the introduction of statistical accounting for medical tourists and medical visas, the development of a single national brand, the promotion of Kazakhstani medical tourism abroad, etc. Also, insufficient organization of the system of commission payments between market participants, lack of flexible pricing, low level of patient care and knowledge of the english language of medical personnel negatively affects the development of medical tourism in the country. At the same time, the undeveloped infrastructure and material and technical base of medical and sanatoriumresort organizations are another reason that hinders the advancement of this direction. During the analytical study, 3 policy options were proposed: 1. Creation of a single coordination center for the development of medical tourism; 2. Improving the condition for medical tourists; 3. Development of the infrastructure of medical organizations. Each of the above policy options will contribute to the development of medical tourism in Kazakhstan. However, to achieve the best results, an integrated implementation is necessary, as the policies are interconnected.


2018 ◽  
Vol 8 (2) ◽  
pp. 116-119 ◽  
Author(s):  
Muhib Khan ◽  
Grayson L. Baird ◽  
Theresa Price ◽  
Tricia Tubergen ◽  
Omran Kaskar ◽  
...  

BackgroundAdvanced practice providers (APPs) are important members of stroke teams. Stroke code simulations offer valuable experience in the evaluation and treatment of stroke patients without compromising patient care. We hypothesized that simulation training would increase APP confidence, comfort level, and preparedness in leading a stroke code similar to neurology residents.MethodsThis is a prospective quasi-experimental, pretest/posttest study. Nine APPs and 9 neurology residents participated in 3 standardized simulated cases to determine need for IV thrombolysis, thrombectomy, and blood pressure management for intracerebral hemorrhage. Emergency medicine physicians and neurologists were preceptors. APPs and residents completed a survey before and after the simulation. Generalized mixed modeling assuming a binomial distribution was used to evaluate change.ResultsOn a 5-point Likert scale (1 = strongly disagree and 5 = strongly agree), confidence in leading a stroke code increased from 2.4 to 4.2 (p < 0.05) among APPs. APPs reported improved comfort level in rapidly assessing a stroke patient for thrombolytics (3.1–4.2; p < 0.05), making the decision to give thrombolytics (2.8 vs 4.2; p < 0.05), and assessing a patient for embolectomy (2.4–4.0; p < 0.05). There was no difference in the improvement observed in all the survey questions as compared to neurology residents.ConclusionSimulation training is a beneficial part of medical education for APPs and should be considered in addition to traditional didactics and clinical training. Further research is needed to determine whether simulation education of APPs results in improved treatment times and outcomes of acute stroke patients.


Author(s):  
A. B. Terekhov

Simulation education is a relatively new direction, without which it is already impossible to imagine medical education at the present time. The same applies to dentistry. The results of observations confirm the feasibility of using simulation training: students become more confident in professional skills, and the number of medical errors is reduced.


2021 ◽  
Author(s):  
Yasuo Murai ◽  
Shun Sato ◽  
Atsushi Tsukiyama ◽  
Asami Kubota ◽  
Fumihiro Matano ◽  
...  

Abstract Objective: The increase in minimally invasive surgery and endovascular procedures has led to a decrease in surgical experience. This may adversely affect both surgical training and postoperative management. Since it poses no risk to a patient, simulation training may be a solution these problems. COVID-19 requires social distancing which has created a negative impact on the simulation educational environment. To date, there is only limited research examining whether skills are evaluated objectively and equally in simulation training, especially in microsurgery. The purpose of this study was to analyze the objectivity and equality of simulation evaluation results conducted in a contest format.Methods: A nationwide recruitment process was conducted to select study participants. Participants were recruited from a pool of qualified physicians with less than 10 years’ experience. In this study, the simulation procedure consisted of incising a 1 mm thick artificial blood vessel and suturing it with a 10-0 thread using a surgical microscope. To evaluate the simulation procedures, a scoring chart was developed with a maximum of 5 points each for eight different evaluation criteria. Five neurosurgical supervisors from different hospitals were asked to use this scoring chart to grade the simulation proceduresResults: Initially, we planned to have the neurosurgical supervisors score the simulation procedure by direct observation. However, due to COVID-19 some study participants were unable to attend. Thus requiring some simulation procedures to be scored by video review. A total of 14 trainees participated in the study. The Cronbach's alpha coefficient among the scorers was 0.99, indicating a strong correlation. There was no statistically significant difference between the scores from the video review and direct observation judgments. There was a statistically significant difference (p < 0.001) between the scores for some criteria. For the eight criteria, individual scorers assigned scores in a consistent pattern. However, this pattern differed between scorers indicating that some scorers were more lenient than others.Conclusions: The results of this study indicate that both video review and direct observation methods are useful and highly objective techniques evaluate simulation procedures. Despite differences in score assignment patterns between individual scorers.


2021 ◽  
Author(s):  
Langyu Xu

UNSTRUCTURED Background: The COVID-19 pandemic has severely prevented the traditional face-to-face teaching, including the case-based learning (CBL), in medical education. While learning and instructing online has become the main way of teaching worldwide during the pandemic, it cannot yet fully meet the needs of medical students to improve their clinical thinking ability that requires experience in the hospital. Therefore, the online CBL shows special advantages in the situation. Here, we have examined the advantages and limitations, innovation, and recent development of internet based CBL (I-CBL) in clinical medical education to not only meet the challenges brought about by the COVID-19 pandemic, but also put forward new directions for internet based future medical education. Methods: We compared three leading methods of I-CBL described in the literature, i.e., WeChat, Online Conference, and Online Learning Platform. We analyzed the key development of I-CBL and then suggested new directions for further expanding it. Results: WeChat has more advantages over the other two methods in many aspects in China, where it is the main smart phone app for communication. Therefore, it is recommended that universities adopt WeChat or similar apps to enable I-CBL. Conclusion: There are still many gaps in the development of I-CBL. Compared with the short-term impact of the COVID-19 pandemic, the long-term impact and significance of I-CBL is more noteworthy. Colleges and universities should be prepared to invest into integrating high-tech with I-CBL to modernize medical education in the internet 5G age.


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