Use of simulator-based medical procedural curriculum: the learner's perspectives
Open Access
- 8 November 2010
- journal article
- Published by Springer Science and Business Media LLC in BMC Medical Education
- Vol. 10 (1), 77
- https://doi.org/10.1186/1472-6920-10-77
Abstract
Background Simulation is increasingly used for teaching medical procedures. The goal of this study was to assess learner preferences for how simulators should be used in a procedural curriculum. Methods A 26-item survey was constructed to assess the optimal use of simulators for the teaching of medical procedures in an internal medicine residency curriculum. Survey domains were generated independently by two investigators and validated by an expert panel (n = 7). Final survey items were revised based on pilot survey and distributed to 128 internal medicine residents. Results Of the 128 residents surveyed, 106 (83%) responded. Most responders felt that simulators should be used to learn technical skills (94%), refine technical skills (84%), and acquire procedural teaching skills (87%). Respondents felt that procedures most effectively taught by simulators include: central venous catheterization, thoracentesis, intubation, lumbar puncture, and paracentesis. The majority of learners felt that teaching should be done early in residency (97%). With regards to course format, 62% of respondents felt that no more than 3-4 learners per simulator and an instructor to learner ratio of 1:3-4 would be acceptable. The majority felt that the role of instructors should include demonstration of technique (92%), observe learner techniques (92%), teach evidence behind procedural steps (84%) and provide feedback (89%). Commonly cited barriers to procedural teaching were limitations in time, number of instructors and simulators, and lack of realism of some simulators. Conclusions Our results suggest that residents value simulator-based procedural teaching in the form of small-group sessions. Simulators should be an integral part of medical procedural education.Keywords
This publication has 21 references indexed in Scilit:
- Improving internal medicine residents' performance, knowledge, and confidence in central venous catheterization using simulatorsJournal of Hospital Medicine, 2009
- Use of simulation‐based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unitJournal of Hospital Medicine, 2009
- Teaching communication skills using the integrated procedural performance instrument (IPPI): A randomized controlled trialThe American Journal of Surgery, 2009
- A guide for the design and conduct of self-administered surveys of cliniciansCMAJ : Canadian Medical Association Journal, 2008
- Assessing procedural skills in context: exploring the feasibility of an Integrated Procedural Performance Instrument (IPPI)Medical Education, 2006
- The "To Err is Human" report and the patient safety literatureQuality and Safety in Health Care, 2006
- Randomised, controlled study investigating the optimal instructor: student ratios for teaching suturing skillsMedical Education, 2006
- Simulation Based Medical Education: an opportunity to learn from errorsMedical Teacher, 2005
- Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic reviewMedical Teacher, 2005
- The role of deliberate practice in the acquisition of expert performance.Psychological Review, 1993