Simulation Based Training in Internal Medicine as an Essential Adjunct to Conventional Medical Education in a Developing World Setting
European Journal of Clinical and Biomedical Sciences
Volume 7, Issue 1, February 2021, Pages: 1-5
Received: Oct. 23, 2020;
Accepted: Nov. 26, 2020;
Published: Jan. 12, 2021
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Christopher Nyirenda, Department of Internal Medicine, Ndola Teaching Hospital, Copper Belt University, Ndola, Zambia
Kennedy Gondwe, Department of Internal Medicine, Kitwe Teaching Hospital, Copper Belt University, Kitwe, Zambia
Moono Silitongo, Department of Anatomy, Copper Belt University, Ndola, Zambia
Samuel Phiri, Arthur Davison Children’s Teaching Hospital, Copper Belt University, Ndola, Zambia
Medical training has over time significantly evolved globally. Plausibly, this may have been motivated by the need to produce qualified human resource in order to match the ever increasing demand on health services in the face of population growth and the associated rise in disease burden. The growing number of medical training institutions coupled with the increasing number of students enrolled in these institutions in the face of limited qualified human resource, infrastructure, equipment and patient subjects may pose a threat to the quality of medical training expected to be delivered and the caliber of graduates to be produced. However, this may also be an opportunity for the affected medical training institutions to come up with ways of supplementing the traditional methods of teaching in order to overcome the challenges met with delivering to huge numbers of students using the traditional approach alone. In this case simulation based training can be considered and applied in medical schools in the hope of enhancing training in clinical skills. The simulation based approach in training has been commonly used in faculties such as nursing, surgery, obstetrics and gynecology but less so, though now increasingly becoming the practice in Internal Medicine and Pediatrics training. Medical simulation can be defined as the use of a device or series of devices to emulate a real patient care situation or environment for the purposes of training, evaluation and/ or research. It is a mode of medical training that can enhance clinical skills in the students while also promoting patient safety. This paper will seek to examine the various simulation based methods and there applicability in medical training. The paper will further seek to analyze the role of simulation based training in the setting of medical education in Internal Medicine.
Simulation Based Training in Internal Medicine as an Essential Adjunct to Conventional Medical Education in a Developing World Setting, European Journal of Clinical and Biomedical Sciences.
Vol. 7, No. 1,
2021, pp. 1-5.
Sims P. A medical school in Zambia. Journal of Public Health Medicine. 1997 Vol. 19, No 2, pp 137-138.
HPCZ orders CBU to stop offering medical courses. Lusaka times.com. November 9, 2018.
Smith SR, Dollas R. AMEE Guide No 14: Outcome-based education: Part 2- Planning, implementing, and evaluation of competency-based curriculum. Med Teach. 1999; 21: 15–22.
Al-Elq A H. Simulation-based medical teaching and learning. J Family Community Med. 2010 Jan-Apr; 17 (1): 35–40.
So HY, Chen PP, Wong GKC, Chan TTN. Simulation in medical education. J R Coll Physicians Edinb 2019; 49: 52–7.
Bandaranayake RC. The Integrated Medical Curriculum. London: Radcliffe; 2011.
van Merriënboer JJG, Kirschner PA. Ten Steps to Complex. Learning. 3rd Ed. New York: Routledge; 2018.
Flangan B, Nestel D, Joseph M. Making patient safety the focus: Crisis resource management in the undergraduate curriculum. Med Edu. 2004; 38: 56–66 [PubMed: 14962027].
Sanri E, Karacabey S, Eroglu SE, Akoglu H, Denizbasi A. The additional ımpact of simulation based medical training to traditional medical training alone in advanced cardiac life support: a scenario based evaluation. SIGNA VITAE 2018; 14 (2): 68-72S.
Eng. AJ, Namba JM, Box KW, Lane JR, Kim DY, Davis DP, et al. High-fidelity simulation training in advanced resuscitation for pharmacy residents. Am J PharmEduc 2014; 78 (3): 59.
Oman SP, Simon LV. Past Present and Future of Simulation in Internal Medicine. StatPearls Publishing; 2020 Jan.
Rosen KR. The history of medical simulation. J Crit Care. 2008 Jun; 23 (2): 157-66 [PubMed: 18538206].
Mathai SK, Miloslavsky EM, Contreras-Valdes FM, Milosh-Zinkus T, Hayden EM, Gordon JA, Currier PF. How we implemented a resident-led medical simulation curriculum in a large internal medicine residency program. Med Teach. 2014 Apr; 36 (4): 279-83 [PubMed: 24495251].
Paul E. Ogden, MD, Lauren S. Cobbs, MD, Martha R. Howell, MEd, Stephen J. B. Sibbitt, MD, Donald J. DiPette, MD. Clinical Simulation: Importance to the Internal Medicine Educational Mission. The American Journal of Medicine, Vol 120, No 9, September 2007.
Instructor training. Presented Institute for Medical Simulation as a Teaching Tool at Harvard Medical School. October 4-6, 2006.
Issenberg SB, Mcgaghie WC, Petrusa ER, Gordon DJ, Scalese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review. Med Teach 2005; 27: 10–28.
McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. 2010a. A critical review of simulation-based medical education research: Med Educ 2003-2009; 44: 50–63.
Ivette Motola, Luke A. Devine, Hyun Soo Chung, John E. Sullivan & S. Barry Issenberg (2013) Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82, Medical Teacher, 35: 10, e1511-e1530, DOI: 10.3109/0142159X.2013.818632.
Ledingham McA, Harden RM. Twelve tips for setting up a clinical skills training facility. Med Teach. 1998; 20: 503–7.
Vozenilek J, Huff J, Rezneck M, Gordon J. See one, do one, teach one: advanced technology in medical education. Acad Emerg Med. 2004; 11: 1149-1154.
Kneebone R, Scott W, Darzi A, Horrocks M. Simulation and clinical practice: strengthening the relationship. Med Educ. 2004; 10: 1095-1102.
Dalley P, Robinson B, Weller J, Caldwell C. The use of high fidelity human patient simulation and the introduction of new anesthesia delivery systems. Anesth Analg. 2004; 6: 1737-1741.
Fried M, Satava R, Weghorst S, et al. Identifying and reducing errors with surgical simulation. Qual Saf Health Care. 2004; 13 (Suppl 1): i19-i26.
Patow C. Improving patient safety through simulation technology. AHIP Cover. 2004; 3: 74-77.
Friedrich MJ. Practice makes perfect: risk-free training with patient simulators. JAMA. 2002; 288: 2808-2812.
Dawson S, Gould DA. Procedural simulation's developing role in medicine. Lancet. 2007 May 19; 369 (9574): 1671-3 [PubMed: 17512839].
Griswold S, Ponnuru S, Nishisaki A, Szyld D, Davenport M, Deutsch ES, Nadkarni V. The emerging role of simulation education to achieve patient safety: translating deliberate practice and debriefing to save lives. Pediatr. Clin. North Am. 2012 Dec; 59 (6): 1329-40 [PubMed: 23116529].
Oak SN. Medical simulation: a virtual world at your doorstep. J Post grad Med. 2014 Apr-Jun; 60 (2): 171-4 [PubMed: 24823516].
Rudolph JW, Simon R, Dufresne RL, Raemer DB. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Simul Healthc. 2006 Spring; 1 (1): 49-55 [PubMed: 19088574].
Seropian MA, Brown K, Gavilanes JS, Driggers B. Simulation: Not just a Manikin. J Nurs Educ. 2004; 43: 164–9 [PubMed: 15098910].
Shanks D, Wong RY, Roberts JM, Nair P, Ma IWY. Use of simulator-based medical procedural curriculum: the learner’s perspectives. BMC Medical Education 2010, 10: 77. http://www.biomedcentral.com/1472-6920/10/77.
Barsuk JH, Cohen ER, Vozenilek JA, O’Connor LM, McGaghie WC, Wayne DB. Simulation-Based Education with Mastery Learning Improves Paracentesis Skills. Journal of Graduate Medical Education, March 2012.
Murphy JG, Cremonini F, Kane GC, Dunn W. Is simulation based medicine training the future of clinical medicine? European Review for Medical and Pharmacological Sciences 2007; 11: 1-8.
Scaled Worlds: Development, Validation and Applications. Schifl ett SG, Elliott LR, Salas E, Coovert MD, editors. New York: Routledge; 2017.