Handsonexperience in learning: Use of simulation tools to increase competency

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Hands-on-experience in learning Use of
simulation tools to increase competency
Yvonne George Daniel McDermott Sandy
Robinson Cuyahoga Community College
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Forum Agenda

• Introductory PowerPoint
• Video of students learning with use of simulation
  
• Feedback practice session
• Impact of simulation on Physician Assistant
  Program
• Developing a simulation lab
• Questions

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Definition of terms

• Simulation Simulation is a techniquenot a
  technologyto replace or amplify real experiences
  with guided experiences that evoke or replicate
  substantial aspects of the real world in a fully
  interactive manner. (Gaba, 2004)

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Simulation tools
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Standardized Patients

• Standardized patients (SPs) are specially trained
  individuals who accurately portray patients for
  the purpose of educating students.
• SP's were first used in the 60s by Dr. Howard
  Barrows. (Reed et al. n.d.)
• Help create a "near-real-to-life", safe and
  supportive environment conducive for learning.
• Used for the USMLE
• Medical Schools 90, unique in 2 year schools

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Standardized Patients

• Uses
• Patient communication
• History taking
• Physical exam
• Skills practice
• Skills assessment

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Standardized Patients

• Where do we get SPs?
• How recruited?
• How are they trained?
• What is the cost?

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Does simulation increase competency?

• Simulation is effective in measuring competency
  (Nehring, et al., 2001).
• Requires learners to demonstrate proper
  technique, decision making, and critical thinking
  necessary to perform tasks (Gaba, 2004).
• Simulation aids in the acquisition of the "skills
  needed to provide competent safe patient care"
  (Gaba, 2004).
• Use of simulators improves clinical performance
  (Steadman, et al., 1999).

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Preliminary Data

• Interpersonal Skills

• Application of Knowledge

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Preliminary Data

• Value of Feedback

• Overall Experience

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Next Steps

• Continue data collection
• Survey Lab Instructors
• Has competency improved?
• Survey clinical instructors
• Are students better prepared?
• Has competency improved?
• How do students compare to previous students?
• How do students compare to those of other
  institutions?

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Learning With Simulation

• VIDEO

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Developing a simulation session

• Determine your goals (What do you want to
  accomplish?)
• Feedback
• Write scenario if required
• Determine how much time for each student to
  complete encounter
• Determine location
• Assemble equipment and simulation tools (SPs,
  props, etc.)
• Conduct dry run

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Daniel McDermott, M.S., PA-C Program
Manager Physician Assistant Program
Cuyahoga Community College
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(No Transcript)
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References

• Bruce, S., Bridges, E. J., Holcomb, J. B.
  (2003). Preparing to respond Joint Trauma
  Training Center and USAF Nursing Warskills
  Simulation Laboratory. Critical Care Nursing
  Clinics of North America, 15(2), 149-162.
• Decker, S., Sportsman, S., Puetz, L., Billings,
  L. (2008). The evolution of simulation and its
  contribution to competency. The Journal of
  Continuing Education in Nursing, Vol 39, No 2.
• Ende J. (2000). Feedback A key feature of
  medical training. Radiology 2000 215 17-19.
• Gaba, D. M. (2004). The future vision of
  simulation in health careElectronic version.
  Quality and Safety in Health Care, 13(Suppl.1),
  i2-i10.
• Howley LD, Martindale J. The efficacy of
  standardized patient feedback in clinical
  teaching. A mixed methods analysis. (2004).
  Medical Education Online 2004918. Available
  from http//www.med-ed-online.org

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References

• Pinsky LE, Wipf JE. (2000). A picture is worth a
  thousand words. Practical use of videotape in
  teaching. Journal of General Internal Medicine,
  November 2000 Volume 15.
• National Council for State Boards of Nursing.
  (2005). Business book NCSBN 2005 annual meeting.
  Chicago, IL Author.
• Reed G. W. (n.d.). Makoul, G., Hawkins, R.,
  Hallock, J.A., Scoles, P., Reichgott, M. J., n.d.
  Standardized/simulated, patients in medical
  education. http//www.ama-assn.org/ama/upload/mm/4
  4/standardizedpatients.doc
• Tilley, D. S. (February 2008). Competency in
  Nursing a concept analysis. The Journal of
  Continuing Education in Nursing, February 2008
  Volume 39, No. 2.
• Yudkowsky, R. (2002). Should we use standardized
  patients instead of real patients for high-stakes
  exams in psychiatry? Academic Psychiatry
  26187-192, September 2002, Academic Psychiatry.
  http//ap.psychiatryonline.org/cgi/content/full/26
  /3/18

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Contact information

• Sandy Robinson, M.Ed., RRT, RCP
• Associate Dean, Health Careers
• Sandy.Robinson_at_Tri-C.edu
• Daniel McDermott, M.S., PA-C
• Program Manager
• Physician Assistant Program
• Daniel.McDermott_at_Tri-C.edu
• Yvonne George, B.B.A., RRT, RCP
• Preceptor, Health Careers
• Yvonne.George_at_Tri-C.edu