Enhancing Tele-Simulation during OSCE: Incorporating Feedback from Standardized Patients

Background: As COVID-19 impacted universities across the globe for over one year, the organization of OSCEs also demanded change. The traditional OSCEs had to transition to Tele simulation OSCEs. As the pandemic continues, there is possibility that this approach may continue for some time, it is imminent to capture feedback from the simulated patients so that we can explore ways to improve in future. Objectives: To gather feedback from standardized patients doing Tele Simulation in OSCEs, To develop plans to improve Tele Simulation involving Standardized Patients based on the feedback gathered. Method: Data were collected immediately after Tele simulation OSCE during debriefing from 18 Simulated Patients. This was followed up with an open-ended questionnaire and gathered additional information. Results: The feedback from SPs included their feelings when they were introduced to Tele simulation OSCE, Tele simulation versus Face to Face OSCE and areas of improvement. Conclusion: Tele simulation OSCE was a quick adaptation during COVID-19 pandemic. But the lessons learned, and the feedback received are pearls for future innovative approaches to assessments. It is encouraged to collect verbal and written feedback for the improvement of Tele simulation.

SIMULATION TRAINING IN THE FORMATION OF FUTURE DOCTORS AS A WAY OF DEVELOPING THEIR PRACTICAL EXPERIENCE

It is shown that the use of simulation technologies in the learning process allows medical students to gain practical experience and qualitatively increase the level of their professionalism against the background of the appropriate level of theoretical knowledge. The content of simulation training as an art to imitate reality, the sequence of events and actions or the mental process of training in the quality of medical care to patients is considered. Its advantages and disadvantages are revealed. An analysis of the effectiveness of simulation training with the involvement of a standardized “patient” during the internship by students of the Department of Surgical Diseases. The role of teachers of the department is shown, who observed the behavior of the “standardized patient” and evaluated the results of students’ work according to the scoring system, according to the criteria. A detailed analysis of the training results, a joint discussion of measures aimed at improving treatment and diagnostic tactics and errors were conducted. Methodical recommendations for training have been developed. It is concluded that the method of “standardized patients” is an effective way to gain practical experience of clinical competence and its evaluation. The worldwide spread of this method indicates the need for its intensive implementation in Ukraine.

Experience in teaching standardized patients in Russia

The assessment of communication skills in the accreditation procedure is carried out in simulated conditions with the participation of a standardized patient (SP). SP is a clinical history simulator. A standardized patient in accreditation is a standard of behavior: the same conditions for all accredited, strict adherence to the clinical scenario, a dosed story of the scenario strictly in accordance with the accredited’ communicative actions (actions according to the checklist). The preparation of a joint venture in Russia at the moment is a continuous complex process. The theses present the results of the work carried out.