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Medical Simulation. Pro Con - A Discussion Dr Agnes Ng KK Women’s and Children’s Hospital. First Impressions. Set-up Manniquin “Actors” Debriefing. KKH PSTC. Medical Simulation. Pro Con - A Discussion (Debate). Medical Simulation. - PowerPoint PPT Presentation
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Medical Simulation
Pro Con - A Discussion
Dr Agnes Ng
KK Women’s and Children’s Hospital
First Impressions
Set-upManniquin
“Actors”Debriefing
KKH PSTC
Medical Simulation
Pro Con - A Discussion
(Debate)
Doctors Trained On Patient Simulators exhibit Superior SkillsBeth Israel Medical Centre
New Virtual Reality Surgery Simulator hones Surgeons' Skills, Improves Patient SafetyOregon Health & Science University School of Medicine
Clinical Simulation Technology Used To Improve Communication Of Medical TeamsWashington University School of Medicine
Science Daily
Medical Simulation
Medical Simulation
Pro Con - A Discussion(perhaps a debate)
Medical Stimulation
Simulation is a technique, not technology, to replace or amplify real
experiences with guided experiences……. in an interactive
fashion
Gaba Qual Saf Health Care 2004; 13
Medical Simulation
Role Playing
Task trainers
Computer patient
Manniquin simulators
Medical Simulation
Limitations
Over-expectations
Individuals or Teams
Medical Simulation
Hardware & Infrastructure
Medical Simulation
Manpower and Training
Manpower
Teacher……. Trainer, Medical Educator
Medical Educator
“SODOTO” See One Do One Teach One
Medical Stimulation
Standards & Commitment
Medical Educator
“In the Hot-Seat”
Medical simulation
Communications
Medical Educators
Clinical skills
Psychological skills
(Situation awareness)
Simulation Based Medical Education: an opportunity to learn from errors
Provide professionals with the correct attitude and skills to cope competently with those mistakes that could not be prevented
Reduce occurrences of errors in real life
Medical Teacher Vol 27, Issue 3 May 2005
Medical Simulation in professionals
Balance between the emotional load associated with the experience and the
professional lessons that can be learned.
Medical Simulation
“Sharing the Load”
Medical Simulation
Trainees
“Suspension of Disbelief”
Blurring the boundaries: scenario-based simulation in a clinical setting
quasi-clinical scenarios, where inanimate models attached to
simulated patients
Med Education Vol 39:6, 2005
Looking at the monitors to prompt next move
Monitor focused
Looking at the monitor to prompt the next move!
Medical simulation
Crises Driven Crises after Crises Preventing a Crises
Medical Simulation
Resource Intensive and Time consuming
Trainers & Trainees
Medical Simulation
Initial exposure raises awareness
Repeated exposure to simulation improves performance
Medical Simulation
High Impact
But does it translate into improved clinical outcomes?
Medical Simulation
Assessment of Medical Competency
Medical Simulation Competency Assessment
Reliability
Validity
Predictive validity
Defining Systems Expertise: Effective Simulation at the Organisational Level- Implications for Patient Safety, Disaster Surge Capacity, and Facilitating the Systems Interface
2008 Academic Emergency Medicine Consensus Conference on the Science of
Simulation
2008 Academic Emergency Medicine Consensus Conference on the Science of Simulation
Objective methods and measures to demonstrate simulator training actually improves patient safety
Effective feedback of information from error reporting systems into simulation training to improve patient safety
Methods and outcome measures to demonstrate teamwork improves disaster response
……………..
No official instruction manual with the human body
PhysicalPsycheBehaviouralEnvirons
The Patient is complex organism
PhysicalPsycheBehaviouralEnvirons
The Health Care Professional
Reduction of Human errors
Patient safety
Medical Competence
Medical Simulation
A tool, powerful teaching tool
We should wield this tool and not the industry !
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