SIMULATIOM BASED EDUCATION AS TOOL IN EMERGENCY MEDICINE: A SYSTEMATIC REVIEW
Main Article Content
Abstract
INTRODUCTION: Realistic simulation is increasingly present in academic curricula. The traditional method of teaching is being gradually replaced by new methodological approaches, which reliably reproduce real situations and produce technical knowledge and skills in medical students in the medical emergency.
Realistic simulation is increasingly present in the academic curriculum. The traditional method of teaching is being gradually replaced by new methodological approaches, which reliably reproduce real situations and produce technical knowledge and skills in medical students in the medical emergency. The aim of this study was to carry out a systematic review of articles on realistic simulation as an educational tool in emergency medicine. A systematic review of articles on realistic simulation as an educational tool in emergency medicine, published in the corresponding period from January 1th, 2014 to October 28, 2018, was carried out in the SCOPUS database. The keywords were "simulation training", "medical students" and "emergency medicine". The research strategy resulted in 124 references. After the search for the title and summary of the citations considered for eligibility based on the inclusion criteria of the study, 106 articles were excluded, and 18 articles were retrieved and included in the final sample. The studies were distributed in 5 categories to better systematic review of the organizational quality, they are: Realistic simulation associated with the ultrasonography in the emergency; Realistic simulation and electronic devices; The effectiveness of realistic simulation in resource optimization; Impact of simulated training on student confidence; Realistic simulation as a tool in the development of skills and knowledge. This study presents the main aspects of realistic simulation as an educational tool in emergency medicine. It can be concluded that this new teaching approach has several benefits for students to learn, such as: stimulating students in the learning process, retaining technical skills in procedures, providing a safe environment for users to repeat optimization of time and financial resources.
Keywords: realistic simulation, emergency medicine, educational, systematic review
Metrics
Article Details
This license allows reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
References
- Ilgen JS, Sherbino J, Cook DA. Technology-enhanced simulation in emergency medicine: a systematic review and meta-analysis. Acad Emerg Med. 2013 Fev;20(2):117-27.
- Haubruck P, Nickel F, Ober J, Walker T, Bergdolt C, Friedrich M, et al. Evaluation of App-Based Serious Gaming as a Training Method in Teaching Chest Tube Insertion to Medical Students: Randomized Controlled Trial. J Med Internet Res. 2018 Mai 21;20(5):e195.
- Meurling L, Hedman L, Felländer-Tsai L, Wallin C-J: Leaders’ and followers’individual experiences during the early phase of simulation-based team training: an exploratory study. BMJ Qual Saf 2013, 22(6):459–467.
- Salas E, Paige JT, Rosen MA. Creating new realities in healthcare: the status of simulation-based training as a patient safety improvement strategy. BMJ Qual Saf 2013, 22(6):449–452.
- Kneebone R. Simulation in surgical training: educational issues and practical implications. Med Educ. 2003; 37(3): 267-277.
- Watmough SD, Box H, Bennett N, Stewart A, Farrell M. Unexpected medical undergraduate simulation training (UMUST): can unexpected medical simulation scenarios help prepare medical students for the transition to foundation year doctor? BMC Medical Education. 2016;16:110.
- Shaefer JJ. Simulators and difficult airway management skills. Paediatr Anaesth. 2004 Jan;14(1):28-37.
- Rosenberg M. Simulation technology in anesthesiology. Anesth Prog. 2000;47(1):8-11.
- Chan CH, Chan TN, Yuen MC, Tung WK. Evaluation of a simulation-based workshop on clinical performance for emergency physicians and nurses. World J Emerg Med. 2015; 6(1): 16–22.
- Davis LE, Storjohann TD, Spiegel JJ, Beiber KM, Barletta JF. High-fidelity simulation for advanced cardiac life support training. Am J Pharm Educ. 2013 Abr 12; 77(3): 59.
- Al-Elq AH. Simulation-based medical teaching and learning. J Family Community Med. 2010 Jan-Abr; 17(1): 35–40.
- Lee Chin K, Ling Yap Y, Leng Lee W, Chang Soh Y. Comparing effectiveness of high-fidelity human patient simulation vs case-based learning in pharmacy education. Am J Pharm Educ. 2014 Out 15;78(8):153.
- Bentley S, Mudan G, Strother C, Wong N. Are Live Ultrasound Models Replaceable? Traditional versus Simulated Education Module for FAST Exam. West J Emerg Med. 2015 Nov;16(6):818-22.
- Eroglu O, COSKUN F. Medical students knowledge of ultrasonography: effects of a simulation-based ultrasound training program. Pan Afr Med J [Internet]. 2018 [acesso em 2018 out. 28]; 30: 122. Disponível em: http://www.panafrican-med-journal.com/content/article/30/122/full/
- Parks AR, Verheul G, LeBlanc-Duchin D, Atkinson P. Effect of a point-of-care ultrasound protocol on the diagnostic performance of medical learners during simulated cardiorespiratory scenarios. CJEM. 2015 Mai;17(3):263-9.
- Karakuş A, Duran L, Yavuz Y, Altintop L, Calişkan F. Computer-based simulation training in emergency medicine designed in the light of malpractice cases. BMC Med Educ. 2014 Jul 27;14:155.
- Karakus A, Şenyer N. The preparedness level of final year medical students for an adequate medical approach to emergency cases: computer-based medical education in emergency medicine. Int J Emerg Med [Internet]. 2014 [acesso em 2018 out. 28]; 7: 3. Disponível em: https://intjem.biomedcentral.com/articles/10.1186/1865-1380-7-3
- Lehmann R, Thiessen C, Frick B, Bosse HM, Nikendei C, Hoffmann GF, et al. Improving Pediatric Basic Life Support Performance Through Blended Learning With Web-Based Virtual Patients: Randomized Controlled Trial. J Med Internet Res [Internet]. 2015 [acesso em 2018 out. 28]; 17(7): e162. Disponível: https://www.jmir.org/2015/7/e162/
- Tatli O, Turkmen S, Imamoglu M, Karaca Y, Cicek M, Yadigaroglu M, et al. A novel method for improving chest tube insertion skills among medical interns. Using biomaterial-covered mannequin. Saudi Med J. 2017 Out;38(10):1007-1012.
- Parsons JR, Crichlow A, Ponnuru S, Shewokis PA, Goswami V, Griswold S. Filling the Gap: Simulation-based Crisis Resource Management Training for Emergency Medicine Residents. West J Emerg Med. 2018 Jan;19(1):205-210.
- Jauregui J, Bright S, Strote J, Shandro J. A Novel Approach to Medical Student Peer-assisted Learning Through Case-based Simulations. West J Emerg Med. 2018 Jan;19(1):193-197.
- Goolsby CA, Goodwin TL, Vest RM. Hybrid Simulation Improves Medical Student Procedural Confidence During EM Clerkship. Mil Med. 2014 Nov;179(11):1223-7.
- Coughlin RF, Chandler I, Binford JC, Bonz JW, Hile DC. Enhancement of cricothyroidotomy education using a novel technique: cadaver autografting. J Emerg Med. 2017 Dez;53(6):885-889.
- Stroben F, Schröder T, Dannenberg KA, Thomas A, Exadaktylos A, Hautz WE. A simulated night shift in the emergency room increases students’ self-efficacy independent of role taking over during simulation. BMC Med Educ. 2016 Jul 15;16:177.
- Sánchez-Ledesma MJ, Juanes JA, Sáncho C, Alonso-Sardón M, Gonçalves J. Acquisition of Competencies by Medical Students in Neurological Emergency Simulation Environments Using High Fidelity Patient Simulators. J Med Syst. 2016 Jun;40(6):139.
- Reed T, Pirotte M, McHugh M, Oh L, Lovett S, Hoyt AE, et al. Simulation-Based Mastery Learning Improves Medical Student Performance and Retention of Core Clinical Skills. Simul Healthc. 2016 Jun;11(3):173-80.
- Miller R, Ho H, Ng V, Tran M, Rappaport D, Rappaport WJ, et al. Introducing a Fresh Cadaver Model for Ultrasound-guided Central Venous Access Training in Undergraduate Medical Education. West J Emerg Med. 2016 Mai;17(3):362-6.
- Lamba S, Nagurka R, Offin M, Scott SR. Structured Communication: Teaching Delivery of Difficult News with Simulated Resuscitations in an Emergency Medicine Clerkship. West J Emerg Med [Internet]. 2015 [acesso em 2018 out. 28]; 16(2): 344–352. Disponível em: https://escholarship.org/uc/item/02q3z3hc