JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Article

Simulation-Based Medical Education: A Boon for Medical Students? - An Integrative Review
  • VIEWS 705
  • PDF 159

Journal of Clinical and Biomedical Sciences

DOI: 10.58739/jcbs/v13i3.23.5

Year: 2023, Volume: 13, Issue: 3, Pages: 67-75

Review Article

Simulation-Based Medical Education: A Boon for Medical Students? - An Integrative Review

Ashokan Bhaskaran1, Paul Bhaskar Jyoti2*, Saha Pijush3, Domnic Inbaraj Susai4, Bhaskaran Mohana5

1Professor, Department of Surgery, College of Medicine, Shaqra University, Shaqra, KSA
2Associate Professor, Department of Obstetrics and Gynecology, College of Medicine, Shaqra University, Shaqra, KSA
3Assistant Professor, Department of Obstetrics and Gynecology, College of Medicine, Shaqra University, Shaqra, KSA
4Associate Professor, Department of Pharmacology, College of Medicine, Shaqra University, Dawadmi, KSA
5Assistant Professor, Department of Microbiology, College of Medicine, Shaqra University, Dawadmi, KSA

*Corresponding Author
Email: [email protected]

Received Date:19 February 2023, Accepted Date:07 September 2023, Published Date:16 October 2023

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Simulation is a synthetic representation of a real-world process with sufficient reliability to facilitate learning through contemplation and practice without the hazard, innate in a real-life experience. Nowadays, simulation is a useful accompaniment to medical education as pre-exposure to necessary clinical skills as exposure in the real clinical setting may be insufficient. Clinical skills and performance are considered core proficiency and are crucial to the professionals. This can enable the students to familiarize themselves with patient examination and hands-on- training by using models before coming across patients directly. Simulators are broadly classified into two broad categories: 1. High-fidelity Simulators and 2. Low-fidelity simulators. The fidelity of a simulator is decided by the extent to which it provides realism through characteristics. Simulation Based Medical Education (SBME) provides a safe environment for the students to acquire their psychomotor skill but is not necessarily better than other types of instruction as there is a high degree of variability between studies. SBME has been introduced in the health care field and now it is becoming one of the most popular teaching techniques for improving patient safety and care. It would be advantageous if it is included in medical curricula as it may proof boon for the young medicos.

Keywords: Medical simulation; SBME; Simulators

References

  1. Hammoud MM, Nuthalapaty FS, Goepfert AR, Casey PM, Emmons S, Espey EL, et al. To the point: medical education review of the role of simulators in surgical training. American Journal of Obstetrics and Gynecology. 2008;199(4):338–343. Available from: https://doi.org/10.1016/j.ajog.2008.05.002
  2. Cooke M, Irby DM, Sullivan W, Ludmerer KM. American Medical Education 100 Years after the Flexner Report. New England Journal of Medicine. 2006;355(13):1339–1344. Available from: https://www.nejm.org/doi/10.1056/NEJMra055445
  3. Sinha A, Flood K, Kessel D, Johnson S, Hunt C, Woolnough H, et al. The Role of Simulation in Medical Training and Assessment. Chicago, United States. Radiological Society of North America -RSNA. 2009. Available from: https://www.researchgate.net/publication/45655156_The_Role_of_Simulation_in_Medical_Training_and_Assessment
  4. Lane JL, Slavin S, Ziv A. Simulation in Medical Education: A Review. Simulation & Gaming. 2001;32(3):297–314. Available from: https://doi.org/10.1177/104687810103200302
  5. Zhang MY, Cheng X, Xu AD, Luo LP, Yang X. Clinical simulation training improves the clinical performance of Chinese medical students. Medical Education Online. 2015;20(1):1–7. Available from: https://doi.org/10.3402/meo.v20.28796
  6. Bugaj TJ, Nikendei C. Practical clinical training in skills labs: theory and practice. GMS Journal for Medical Education. 2016;33(4):1–21. Available from: https://doi.org/10.3205/zma001062
  7. Akaike M, Fukutomi M, Nagamune M, Fujimoto A, Tsuji A, Ishida K, et al. Simulation-based medical education in clinical skills laboratory. The Journal of Medical Investigation. 2012;59(1,2):28–35. Available from: https://doi.org/10.2152/jmi.59.28
  8. Weller JM, Nestel D, Marshall SD, Brooks PM, Conn JJ. Simulation in clinical teaching and learning. Medical Journal of Australia. 2012;196(9):594. Available from: https://doi.org/10.5694/mja10.11474
  9. Kincaid JP, Hamilton R, Tarr RW, HS. Simulation in education and training. In: Obaidat MS, Papadimitriou GI., eds. Applied System Simulation. (pp. 437-456) Boston, MA, USA. Springer. 2003.
  10. Elshama SS. How to apply Simulation-Based Learning in Medical Education? Iberoamerican Journal of Medicine. 2020;2(2):79–86. Available from: http://doi.org/10.5281/zenodo.3685233
  12. Lofaso DP, Deblieux PM, Dicarlo RP, Hilton C, Yang T, Chauvin SW. Design and Effectiveness of a Required Pre-Clinical Simulation-based Curriculum for Fundamental Clinical Skills and Procedures. Medical Education Online. 2011;16(1):1–10. Available from: https://doi.org/10.3402/meo.v16i0.7132
  13. Divya GK, Anukesh VK, Shaikh U. Pros and cons of simulation in medical education: A review. International Journal of Medical and Health Research. 2017;3(6):84–87. Available from: https://www.medicalsciencejournal.com/archives/2017/vol3/issue6/3-6-15
  17. Flanagan B, Nestel D, Joseph M. Making patient safety the focus: Crisis Resource Management in the undergraduate curriculum. Medical Education. 2004;38(1):56–66. Available from: https://doi.org/10.1111/j.1365-2923.2004.01701.x
  18. Rosen KR, Mcbride JM, Drake RL. The use of simulation in medical education to enhance students' understanding of basic sciences. Medical Teacher. 2009;31(9):842–846. Available from: https://doi.org/10.1080/01421590903049822
  19. Langhan TS, Rigby IJ, Walker IW, Howes D, Donnon T, Lord JA. Simulation-based training in critical resuscitation procedures improves residents' competence. Canadian Journal of Emergency Medicine. 2009;11(06):535–539. Available from: https://doi.org/10.1017/S1481803500011805
  20. Smolle J, Prause G, Smolle-Jüttner FM. Emergency treatment of chest trauma — an e-learning simulation model for undergraduate medical students☆. European Journal of Cardio-Thoracic Surgery. 2007;32(4):644–647. Available from: https://doi.org/10.1016/j.ejcts.2007.06.042
  21. Steadman RH, Coates WC, Huang YM, Matevosian R, Larmon BR, Mccullough L, et al. Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills*. Critical Care Medicine. 2006;34(1):151–157. Available from: https://journals.lww.com/ccmjournal/abstract/2006/01000/simulation_based_training_is_superior_to.21.aspx
  23. Cooke M, Irby DM, Sullivan W, Ludmerer KM. American Medical Education 100 Years after the Flexner Report. New England Journal of Medicine. 2006;355(13):1339–1344. Available from: https://doi.org/10.1056/NEJMra055445
  25. III JJS. Simulators and difficult airway management skills. Pediatric Anesthesia. 2004;14:28–37. Available from: https://doi.org/10.1046/j.1460-9592.2003.01204.x
  26. Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. (pp. 1-256) Upper Sadle River. Prentice Hall. 1984.
  28. So HY, Chen PP, Wong GKC, Chan TTN. Simulation in medical education. Journal of the Royal College of Physicians of Edinburgh. 2019;49(1):52–57. Available from: https://doi.org/10.4997/jrcpe.2019.112
  29. Weller JM, Nestel D, Marshall SD, Brooks PM, Conn JJ. Simulation in clinical teaching and learning. Medical Journal of Australia. 2012;196(9):594. Available from: https://doi.org/10.5694/mja10.11474
  30. Datta R, Upadhyay KK, Jaideep CN. Simulation and its role in medical education. Medical Journal Armed Forces India. 2012;68(2):167–172. Available from: https://doi.org/10.1016/S0377-1237(12)60040-9
  32. Sahu PK, Chattu VK, Rewatkar A, Sakhamuri S. Best practices to impart clinical skills during preclinical years of medical curriculum. Journal of Education and Health Promotion. 2019;8:1–8. Available from: https://www.jehp.net//article.asp?issn=2277-9531;year=2019;volume=8;issue=1;spage=57;epage=57;aulast=Sahu
  33. Soliman MM, Fouda K. Students’ Perception of One Year Experience with the Clinical Skills Laboratory at King Saud University Medical College. Journal of Taibah University Medical Sciences. 2008;3(2):140–147. Available from: https://doi.org/10.1016/S1658-3612(08)70064-7
  36. Zendejas B, Brydges R, Wang AT, Cook DA. Patient Outcomes in Simulation-Based Medical Education: A Systematic Review. Journal of General Internal Medicine. 2013;28(8):1078–1089. Available from: https://doi.org/10.1007/s11606-012-2264-5
  37. Daniel R, Evangeline D. Impact of simulation-based basic life support training among the medical students. National Journal of Physiology, Pharmacy and Pharmacology. 2018;8(12):1635–1640. Available from: https://www.bibliomed.org/mnsfulltext/28/28-1538055501.pdf?1696071231
  40. Swamy M, Bloomfield TC, Thomas RH, Singh H, Searle RF. Role of SimMan in teaching clinical skills to preclinical medical students. BMC Medical Education. 2013;13(1):1–6. Available from: https://doi.org/10.1186/1472-6920-13-20
  42. Goswami G, Sharma SK, Sharma R, RR. Simulation and skill training facilities in nursing institutes at Uttarakhand: A cross-sectional study. Iranian Journal of Nursing and Midwifery Research. 2021;26(5):449–454. Available from: https://pubmed.ncbi.nlm.nih.gov/34703785/
  43. Feddock CA. The lost art of clinical skills. The American journal of medicine. 2007;120(4):374–378. Available from: https://doi.org/10.1016/j.amjmed.2007.01.023

Copyright

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Published By Sri Devaraj Urs Academy of Higher Education, Kolar, Karnataka

  • 16 October 2023

Year: 2023, Volume: 13, Issue: 3

Article Metrics


More articles

DON'T MISS OUT!

Subscribe now for latest articles and news.