MEDICAL SIMULATION: The Vision of Learning in Healthcare
Main Article Content
Abstract
Simulation-based education, is a relatively new approach, for practice and learning to develop healthcare professionals’ knowledge, skills, and attitudes, with different simulation modalities. This educational strategy is used to achieve adequate command in learning on preselected, programmed real-life or near-real-life clinical scenarios, avoiding undesirable features encountered or confronted in learning with real patients and undue stress to real patients within a safe learning environment.
This editorial aimed to give a general overview of simulation in healthcare education. A brief history, the healthcare simulation concept and challanges of this training modality mentioned in the highlights of relevant references.
Simulation based education has emerged as a transformative approach, significantly enhancing healthcare professionals’ learning experience and clinical competency. The various types of simulations offer a safe and controlled environment for participants to practice and hone technical and non-technical skills, ultimately improving patient safety and clinical outcomes.
The integration of simulation with other training modalities and its adoption in diverse global contexts highlight its potential to revolutionize medical education worldwide.
Article Details
How to Cite
SIVRIKAYA, G. Ulufer; GONENLI, M. Gokhan.
MEDICAL SIMULATION: The Vision of Learning in Healthcare.
Medical Research Archives, [S.l.], v. 12, n. 12, dec. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/6122>. Date accessed: 06 jan. 2025.
doi: https://doi.org/10.18103/mra.v12i12.6122.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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8. Piryani RM, Piryani S, Shrestha U, Acharya A, et al. Simulation-based education workshop: perceptions of participants. Adv Med Educ Pract. 2019; 10: 547-54. Doi:10.2147/AMEP.S204816
9. Hodges BD, Kuper A. Theory and practice in the design and conduct of graduate medical education. Acad Med. 2012 Jan ;87(1): 25-33. Doi:10.1097/ACM.0b013e318238e069
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11. Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. 2nd ed. Upper Saddle River (NJ): Pearson Education; 2015.
12. Stocker M, Burmester M, Allen M. Optimisation of simulated team training through the application of learning theories: a debate for a conceptual framework. BMC Med Educ. 2014 Apr 3; 14: 69. Doi:10.1186/1472-6920-14-69
13. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990 Sep; 65(9 Suppl): S63-7.
14. Leiphrakpam PD, Armijo PR, Are C. Incorporation of Simulation in Graduate Medical Education: Historical Perspectives, Current Status, and Future Directions. J Med Educ Curric Dev. 2024 May 26; 11. Doi:10.1177/23821205241257329
15. Hood RJ, Maltby S, Keynes A, Kluge MG, et al. Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework. Front Neurol. 2021 Nov 11; 12: 665808. Doi:10.3389/fneur.2021.665808
16. Miyoshi T, Ino H, Kataoka H, Otsuka F. Effects on postgraduate-year-I residents of simulation-based learning compared to traditional lecture-style education led by postgraduate-year-II residents: a pilot study. BMC Med Educ. 2019 Mar 20; 19(1): 87. Doi:10.1186/s12909-019-1509-y
17. Higgins M, Madan C, Patel R. Development and decay of procedural skills in surgery: A systematic review of the effectiveness of simulation-based medical education interventions. Surgeon. 2021 Aug; 19(4): e67-e77. Doi:10.1016/j.surge.2020.07.013
18. Ali KQ, Soofi SB, Hussain AS, Ansari U, et al. Simulator-based ultrasound training for identification of endotracheal tube placement in a neonatal intensive care unit using point of care ultrasound. BMC Med Educ. 2020 Nov 7; 20(1): 409. Doi:10.1186/s12909-020-02338-4
19. Ali AA, Chang WW, Tabatabai A, Pergakis MB, et al. Simulation-based assessment of trainee's performance in post-cardiac arrest resuscitation. Resusc Plus. 2022 Apr 28; 10: 100233. Doi:10.1016/j.resplu.2022.100233
20. Elendu C, Amaechi DC, Okatta AU, Amaechi EC, et al. The impact of simulation-based training in medical education: A review. Medicine (Baltimore). 2024; 103(27): e38813. Doi:10.1097/MD.0000000000038813
21. Savoldelli GL, Burlacu CL, Lazarovici M, Matos FM, Østergaard D; Utstein Simulation Study Group. Integration of simulation-based education in anaesthesiology specialist training: Synthesis of results from an Utstein Meeting. Eur J Anaesthesiol. 2024 Jan 1; 41(1): 43-54. Doi:10.1097/EJA.0000000000001913
22. Schaff, J., Russell, C. (2020). Mannequin-Based Simulators and Part-Task Trainers. In: Mahoney, B., Minehart, R., Pian-Smith, M. (eds) Comprehensive Healthcare Simulation: Anesthesiology . Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-26849-7_11.
23. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2008 Jan; 23 Suppl 1(Suppl 1): 46-9. Doi:10.1007/s11606-007-0283-4
24. Tonapa SI, Mulyadi M, Ho KHM, Efendi F. Effectiveness of using high-fidelity simulation on learning outcomes in undergraduate nursing education: systematic review and meta-analysis. Eur Rev Med Pharmacol Sci. 2023 Jan; 27(2): 444-58. Doi:10.26355/eurrev_202301_31040
25. Cipresso P, Giglioli IAC, Raya MA, Riva G. The Past, Present, and Future of Virtual and Augmented Reality Research: A Network and Cluster Analysis of the Literature. Front Psychol. 2018 Nov 6; 9: 2086. Doi:10.3389/fpsyg.2018.02086
26. Zackoff MW, Young D, Sahay RD, Fei L, et al. Establishing Objective Measures of Clinical Competence in Undergraduate Medical Education Through Immersive Virtual Reality. Acad Pediatr. 2021 Apr; 21(3): 575-9. Doi:10.1016/j.acap.2020.10.010
27. Weile J, Nebsbjerg MA, Ovesen SH, Paltved C, Ingeman ML. Simulation-based team training in time-critical clinical presentations in emergency medicine and critical care: a review of the literature. Adv Simul (Lond). 2021 Jan 20; 6(1): 3. Doi:10.1186/s41077-021-00154-4
28. Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017 Dec 1; 119(suppl_1): i106-i114. Doi:10.1093/bja/aex302
29. Savoldelli GL, Brindley PG, Jaffrelot M, Cardinal P. Chapter 25 – Crisis resource management and nontechnical skills: from individuals to teams, from danger to safety. In: Chiniara G, editor. Clinical simulation. 2nd ed: Academic Press; 2019. p. 347–72.
30. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013 Oct; 35(10): e1511-30. Doi:10.3109/0142159X.2013.818632
31. Schram A, Bonne NL, Henriksen TB, Paltved C, et al. Simulation-based team training for healthcare professionals in pediatric departments: study protocol for a nonrandomized controlled trial. BMC Med Educ. 2024 Jun 1; 24(1): 607. Doi:10.1186/s12909-024-05602-z
32. Cook DA, Hatala R, Brydges R, Zendejas B, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011 Sep 7; 306(9): 978-88. Doi:10.1001/jama.2011.1234
33. Velásquez ST, Ferguson D, Lemke KC, Bland L, et al. Interprofessional communication in medical simulation: findings from a scoping review and implications for academic medicine. BMC Med Educ. 2022 Mar 26; 22(1): 204. Doi:10.1186/s12909-022-03226-9.
34. Nagarajappa A, Kaur S. Simulation in contemporary medical education: Current practices and the way forward. Indian J Anaesth. 2024 Jan;68(1):17-23. Epub 2024 Jan 18. Doi:10.4103/ija.ija_1203_23
35. Lawson S, Reid J, Morrow M, Gardiner K. Simulation-based Education and Human Factors Training in Postgraduate Medical Education: A Northern Ireland Perspective. Ulster Med J. 2018 Oct; 87(3): 163-167.
36. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2008 Jan; 23 Suppl 1(Suppl 1): 46-9. Doi:10.1007/s11606-007-0283-4
2. Lateef F. Simulation-based learning: Just like the real thing. J Emerg Trauma Shock. 2010 Oct; 3(4): 348-52. Doi:10.4103/0974-2700.70743
3. Aggarwal R, Darzi A. Technical-skills training in the 21st century. N Engl J Med. 2006 Dec 21; 355(25): 2695-6. Doi:10.1056/NEJMe068179
4. Ayaz O, Ismail FW. Healthcare Simulation: A Key to the Future of Medical Education - A Review. Adv Med Educ Pract. 2022 Apr 5; 13: 301-8. Doi:10.2147/AMEP.S353777
5. To Err is Human: Building a Safer Health System. In: Kohn LT, Corrigan JM, Donaldson MS, eds. Washington, DC: National Academies Press; 2000.
6. Bradley P. The history of simulation in medical education and possible future directions. Med Educ. 2006 Mar; 40(3): 254-62. Doi:10.1111/j.1365-2929.2006.02394.x
7. Khan MR, Begum S. Apprenticeship to simulation - The metamorphosis of surgical training. J Pak Med Assoc. 2021 Jan ;71(Suppl 1)(1) :S72-S76.
8. Piryani RM, Piryani S, Shrestha U, Acharya A, et al. Simulation-based education workshop: perceptions of participants. Adv Med Educ Pract. 2019; 10: 547-54. Doi:10.2147/AMEP.S204816
9. Hodges BD, Kuper A. Theory and practice in the design and conduct of graduate medical education. Acad Med. 2012 Jan ;87(1): 25-33. Doi:10.1097/ACM.0b013e318238e069
10. Yardley S, Teunissen PW, Dornan T. Experiential learning: AMEE guide no. 63. Med Teach. 2012; 34(2): e102–15.
11. Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. 2nd ed. Upper Saddle River (NJ): Pearson Education; 2015.
12. Stocker M, Burmester M, Allen M. Optimisation of simulated team training through the application of learning theories: a debate for a conceptual framework. BMC Med Educ. 2014 Apr 3; 14: 69. Doi:10.1186/1472-6920-14-69
13. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990 Sep; 65(9 Suppl): S63-7.
14. Leiphrakpam PD, Armijo PR, Are C. Incorporation of Simulation in Graduate Medical Education: Historical Perspectives, Current Status, and Future Directions. J Med Educ Curric Dev. 2024 May 26; 11. Doi:10.1177/23821205241257329
15. Hood RJ, Maltby S, Keynes A, Kluge MG, et al. Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework. Front Neurol. 2021 Nov 11; 12: 665808. Doi:10.3389/fneur.2021.665808
16. Miyoshi T, Ino H, Kataoka H, Otsuka F. Effects on postgraduate-year-I residents of simulation-based learning compared to traditional lecture-style education led by postgraduate-year-II residents: a pilot study. BMC Med Educ. 2019 Mar 20; 19(1): 87. Doi:10.1186/s12909-019-1509-y
17. Higgins M, Madan C, Patel R. Development and decay of procedural skills in surgery: A systematic review of the effectiveness of simulation-based medical education interventions. Surgeon. 2021 Aug; 19(4): e67-e77. Doi:10.1016/j.surge.2020.07.013
18. Ali KQ, Soofi SB, Hussain AS, Ansari U, et al. Simulator-based ultrasound training for identification of endotracheal tube placement in a neonatal intensive care unit using point of care ultrasound. BMC Med Educ. 2020 Nov 7; 20(1): 409. Doi:10.1186/s12909-020-02338-4
19. Ali AA, Chang WW, Tabatabai A, Pergakis MB, et al. Simulation-based assessment of trainee's performance in post-cardiac arrest resuscitation. Resusc Plus. 2022 Apr 28; 10: 100233. Doi:10.1016/j.resplu.2022.100233
20. Elendu C, Amaechi DC, Okatta AU, Amaechi EC, et al. The impact of simulation-based training in medical education: A review. Medicine (Baltimore). 2024; 103(27): e38813. Doi:10.1097/MD.0000000000038813
21. Savoldelli GL, Burlacu CL, Lazarovici M, Matos FM, Østergaard D; Utstein Simulation Study Group. Integration of simulation-based education in anaesthesiology specialist training: Synthesis of results from an Utstein Meeting. Eur J Anaesthesiol. 2024 Jan 1; 41(1): 43-54. Doi:10.1097/EJA.0000000000001913
22. Schaff, J., Russell, C. (2020). Mannequin-Based Simulators and Part-Task Trainers. In: Mahoney, B., Minehart, R., Pian-Smith, M. (eds) Comprehensive Healthcare Simulation: Anesthesiology . Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-26849-7_11.
23. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2008 Jan; 23 Suppl 1(Suppl 1): 46-9. Doi:10.1007/s11606-007-0283-4
24. Tonapa SI, Mulyadi M, Ho KHM, Efendi F. Effectiveness of using high-fidelity simulation on learning outcomes in undergraduate nursing education: systematic review and meta-analysis. Eur Rev Med Pharmacol Sci. 2023 Jan; 27(2): 444-58. Doi:10.26355/eurrev_202301_31040
25. Cipresso P, Giglioli IAC, Raya MA, Riva G. The Past, Present, and Future of Virtual and Augmented Reality Research: A Network and Cluster Analysis of the Literature. Front Psychol. 2018 Nov 6; 9: 2086. Doi:10.3389/fpsyg.2018.02086
26. Zackoff MW, Young D, Sahay RD, Fei L, et al. Establishing Objective Measures of Clinical Competence in Undergraduate Medical Education Through Immersive Virtual Reality. Acad Pediatr. 2021 Apr; 21(3): 575-9. Doi:10.1016/j.acap.2020.10.010
27. Weile J, Nebsbjerg MA, Ovesen SH, Paltved C, Ingeman ML. Simulation-based team training in time-critical clinical presentations in emergency medicine and critical care: a review of the literature. Adv Simul (Lond). 2021 Jan 20; 6(1): 3. Doi:10.1186/s41077-021-00154-4
28. Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in anaesthesia. Br J Anaesth. 2017 Dec 1; 119(suppl_1): i106-i114. Doi:10.1093/bja/aex302
29. Savoldelli GL, Brindley PG, Jaffrelot M, Cardinal P. Chapter 25 – Crisis resource management and nontechnical skills: from individuals to teams, from danger to safety. In: Chiniara G, editor. Clinical simulation. 2nd ed: Academic Press; 2019. p. 347–72.
30. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013 Oct; 35(10): e1511-30. Doi:10.3109/0142159X.2013.818632
31. Schram A, Bonne NL, Henriksen TB, Paltved C, et al. Simulation-based team training for healthcare professionals in pediatric departments: study protocol for a nonrandomized controlled trial. BMC Med Educ. 2024 Jun 1; 24(1): 607. Doi:10.1186/s12909-024-05602-z
32. Cook DA, Hatala R, Brydges R, Zendejas B, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011 Sep 7; 306(9): 978-88. Doi:10.1001/jama.2011.1234
33. Velásquez ST, Ferguson D, Lemke KC, Bland L, et al. Interprofessional communication in medical simulation: findings from a scoping review and implications for academic medicine. BMC Med Educ. 2022 Mar 26; 22(1): 204. Doi:10.1186/s12909-022-03226-9.
34. Nagarajappa A, Kaur S. Simulation in contemporary medical education: Current practices and the way forward. Indian J Anaesth. 2024 Jan;68(1):17-23. Epub 2024 Jan 18. Doi:10.4103/ija.ija_1203_23
35. Lawson S, Reid J, Morrow M, Gardiner K. Simulation-based Education and Human Factors Training in Postgraduate Medical Education: A Northern Ireland Perspective. Ulster Med J. 2018 Oct; 87(3): 163-167.
36. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2008 Jan; 23 Suppl 1(Suppl 1): 46-9. Doi:10.1007/s11606-007-0283-4