In-situ simulation: A different approach to patient safety through immersive training

Simulation is becoming more and more popular in the field of healthcare education. The main concern for some faculty is knowing how to organise simulation training sessions when there is no simulation centre as they are not yet widely available and their cost is often prohibitive. In medical education, the pedagogic objectives are mainly aimed at improving the quality of care as well as patient safety. To that effect, a mobile training approach whereby simulation-based education is done at the point of care, outside simulation centres, is particularly appropriate. It is usually called “in-situ simulation”. This is an approach that allows training of care providers as a team in their normal working environment. It is particularly useful to observe human factors and train team members in a context that is their real working environment. This immersive training approach can be relatively low cost and enables to identify strengths and weaknesses of a healthcare system. This article reminds readers of the principle of « context specific learning » that is needed for the good implementation of simulation-based education in healthcare while highlighting the advantages, obstacles, and challenges to the development of in-situ simulation in hospitals. The objective is to make clinical simulation accessible to all clinicians for the best interests of the patient.Peer reviewe

Enhancing simulation education with intelligent tutoring systems

The demand for education in the area of simulation is in the increase. This paper describes how education in the field of simulation can take advantage of the virtues of intelligent tutoring with respect to enhancing the educational process. For this purpose, this paper gives an overview of what constitutes the objectives and the content of a comprehensive course in discrete event simulation. The architecture of an intelligent tutoring system is presented and it is discussed how these sophisticated learning aids offer individualised student guidance and support within a learning environment. The paper then introduces a prototype intelligent tutoring system, the simulation tutor, and suggests how the system might be developed to enhance education in simulation

Engaging Undergraduate Students in Transportation Studies through Simulating Transportation for Realistic Engineering Education and Training (STREET)

The practice of transportation engineering and planning has evolved substantially over the past several decades. A new paradigm for transportation engineering education is required to better engage students and deliver knowledge. Simulation tools have been used by transportation professionals to evaluate and analyze the potential impact of design or control strategy changes. Conveying complex transportation concepts can be effectively achieved by exploring them through simulation. Simulation is particularly valuable in transportation education because most transportation policies and strategies in the real world take years to implement with a prohibitively high cost. Transportation simulation allows learners to apply different control strategies in a risk-free environment and to expose themselves to transportation engineering methodologies that are currently in practice. Despite the advantages, simulation, however, has not been widely adopted in the education of transportation engineering. Using simulation in undergraduate transportation courses is sporadic and reported efforts have been focused on the upper-level technical elective courses. A suite of web-based simulation modules was developed and incorporated in the undergraduate transportation courses at University of Minnesota. The STREET (Simulating Transportation for Realistic Engineering Education and Training) research project was recently awarded by NSF (National Science Foundation) to develop web-based simulation modules to improve instruction in transportation engineering courses and evaluate their effectiveness. Our ultimate goal is to become the epicenter for developing simulation-based teaching materials, an active textbook, which offers an interactive learning environment to undergraduate students. With the hand-on nature of simulation, we hope to improve student understanding of critical concepts in transportation engineering and student motivation toward transportation engineering, and improve student retention in the field. We also would like to disseminate the results and teaching materials to other colleges to integrate the simulation modules in their curricula.Transportation Education and Training, Transportation Simulation, Roadway Geometry Design

Simulation in clinical education: a reflective and critical account

Simulation. A complex tool employed to immerse learners in a reality created specifically to elicit actions, behaviours and thought processes which can then be discussed with peers and reflected upon by the learner immediately and at leisure. This was my understanding of what simulation has to offer as an educational intervention. I viewed simulation through the lens of Honey and Mumford's (1986) experiential learning typology, seeing it satisfy all four learning styles - activist and reflector most obviously so, but theorist because of the observational element and pragmatist as the scenario unravels. It externalises what is often the internal parts of the cycle – reflection and abstract conceptualisation – through the debriefing process. I also believed that high fidelity environments offered the greatest return in terms of learning – being rather dismissive of lower fidelity tools. However, through active observation of simulation – both in a setting I am familiar with (mannequin based scenarios) and in one I am not (dental student lab-based simulation) – I am recognising that this view may be only a small aspect of what simulation has to offer and that fidelity is not everything

Creating a Professional Development Plan for a Simulation Consortium

As the United States struggles with health care reform and a nursing education system that inadequately prepares students for practice, dramatic advances in educational technology signal opportunities for both academic and practicing nurses to affect our profession as never before. Simulation technologies provide large and small institutions with the means to educate health care students and novice professionals effectively and efficiently through hands-on experience, but the costs of such a venture can be prohibitive. A simulation consortium offers a venue for different health care and educational institutions with shared goals to pool knowledge, monies, and labor toward health care education throughout a geographic area. This article details one Midwestern U.S. region's work in creating a professional development plan for a new simulation consortium

Cadaveric simulation for improving surgical training in dermatology.

Simulation models are rapidly changing medical education, especially the training of dermatology residents. Various models are available, including cadaveric simulations. Our study evaluates the impact of a cadaveric simulation on the training of dermatology residents. Over a period of three years, cadaveric simulation was shown to increase the surgical knowledge of residents. Residents were more confident in their knowledge of surgical anatomy and also surgical skills. Cadaveric simulation may offer a positive impact on resident training in dermatology

Poverty Simulation Participation: Transformative Learning Outcomes Among Family and Consumer Sciences Students

The purpose of this study was to investigate to what extent participating in a poverty simulation effectively increase a student’s understanding of life in poverty among human development and family sciences (HDFS) and teacher education students in family and consumer sciences (FCS). Using a mixed-method design, a convenience sample of junior and senior undergraduate students (N=57) in FCS from a Midwestern state university participated in a modified version of a poverty simulation. Using a pre-post questionnaire, the quantitative results indicated overall scores moved in a favorable direction in attitude improvement toward the poor and the qualitative responses provided support for the poverty simulation as an effective instructional tool. The results concluded encouragement of more positive attitudes among the HDFS and teacher education students, providing future child care specialists, social service agents and educators with an empathic and interaction basis for working with clients and students who are experiencing poverty