Yvonne George Daniel McDermott Sandy Robinson

Yvonne GeorgeDaniel McDermottSandy Robinson

Cuyahoga Community College

Introductory PowerPoint Video of students learning with use

of simulation Feedback practice session Impact of simulation on Physician

Assistant ProgramDeveloping a simulation lab Questions

Simulation: “Simulation is a technique—not a technology—to 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)

Standardized patients (SPs) are specially trained individuals who accurately portray patients for the purpose of educating students.

SP's were first used in the 60’s 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

Uses Patient communication History taking Physical exam Skills practice Skills assessment

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

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).

INTERPERSONAL SKILLS APPLICATION OF KNOWLEDGE

VALUE OF FEEDBACK OVERALL EXPERIENCE

Continue data collectionSurvey 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?

VIDEO

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

Cuyahoga Community College

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 care[Electronic 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 2004;9:18. Available from: http://www.med-ed-online.org

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/44/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 26:187-192, September 2002, Academic Psychiatry. http://ap.psychiatryonline.org/cgi/content/full/26/3/18

Sandy Robinson, M.Ed., RRT, RCP Associate Dean, Health Careers Sandy.Robinson@Tri-C.edu Daniel McDermott, M.S., PA-C Program Manager Physician Assistant Program

Daniel.McDermott@Tri-C.edu Yvonne George, B.B.A., RRT, RCP Preceptor, Health Careers Yvonne.George@Tri-C.edu