Simulation on a Budget - Building Low Cost Simulation into Your Training Program

Transcription

1 Simulation on a Budget - Building Low Cost Simulation into Your Training Program 2013 Osteopathic Medical Leadership Education Conference Scottsdale, AZ January 4-6, 2013 Tony Errichetti, PhD Chief of Virtual Medicine Director, ICC NYIT College of Osteopathic Medicine 1

2 What is Simulation? A strategy not a technology to mirror, anticipate, or amplify real situations with guided experiences in a fully interactive way. Interactive and immersive Agency for Healthcare Research & Quality

3 How realistic does it have to be? 3

4 How realistic does it have to be? L o w Novice e.g. MS 1-2 Lower Fidelity (lower cost) Expert e.g. Trauma Team Higher Fidelity (higher cost) 4

5 Engineering (physical) Fidelity The degree to which the training device or environment replicates the physical characteristics of the real task. Miller RB. Psychological considerations in the design of training equipment. Report no. WADC-TR , AD Wright Patterson Air Force Base, OH; Wright Air Development Center;

6 Engineering (physical) Fidelity High Fidelity (expensive) Sims 6

7 Engineering (physical) Fidelity High Fidelity (expensive) Sims 7

8 High- vs. Low-Fidelity Simulations Level of fidelity required depends on the type of task and stage of training Druckman D, Bjork R, eds. Learning, Remembering, Believing, Enhancing Human Performance. Washington, DC: National Academic Press;

9 High- vs. Low-Fidelity Simulations Level of fidelity required depends on the type of task and stage of training Druckman D, Bjork R, eds. Learning, Remembering, Believing, Enhancing Human Performance. Washington, DC: National Academic Press;

10 High skills transfer with simple simulators (including paper exercises or simple plastic models) when training cognitive tasks and procedures Patrick J. Training: Research & Practice, London, UK: Academic Press;

11 Low-Fidelity Sims 11

12 Low-Fidelity Sims 12

13 Low-Fidelity Sims 12-lead part task trainer 13

14 Low-Fidelity Sims Hybrid Injection Simulator 14

15 Low-Fidelity Sims Breast Vest Hybrid Simulator 15

16 Low-Fidelity Sims / Games Human Knot Focus: Teamwork Everyone stands in a circle and puts their right hand into the middle. They clasp hands with someone across the circle. Then, everyone puts their left hand into the middle of the circle and clasps the hand of a *different* person. The group is now in a knot. The object is for the group to untangle itself without releasing anyone s hand. 16

17 Low-Fidelity Sims / Games 60 Second Speeches Focus: Speaking Skills Have different topics pre-written on pieces of. One by one, participants will pick a topic and must give a 60 second speech however they would like. The only rule is that they must not stop talking or hesitate for the entire minute. 17

18 Low-Fidelity Sims / Games Malpractice 18

19 Low-Fidelity Sims / Games 19

20 Low-Tech / Low-High Fidelity 20

21 Low-Tech / Low-High Fidelity 21

22 Low-Tech / Low-High Fidelity 22

23 Psychological (functional) Fidelity Focus on the learners, and psychologically significant aspects of the situation Engaging the learner in the simulation 23

24 Fiction Contracting Brief the learners We know this is fake but act as if it s real Stressful, challenging simulation (distraction) Reality cues Which Reality Matters? Questions on the Path to High Engagement in Healthcare Simulation. (Editorial) Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2(3): , Fall 2007.Rudolph, Jenny W. PhD; Simon, Robert EdD; Raemer, Daniel B. PhD 24

25 The 5% rule Ultra concrete learners (5%) They just don t buy it 25

26 The 5% rule Ultra suggestible learners (5%) They ll buy anything 26

27 Evaluative Space Model: Inviting Engagement in Learning Anger Disgust Fear Tense Nervous Stressed Upset Activation CS Alert Excited Elated Happy Happiness Unpleasant Pleasant Sadness Sad Depressed Lethargic Fatigued L Deactivation Contented Serene Relaxed Calm (From Cacioppo & Berntson, 1994, Psychological Bulletin, 115, p. 842)

28 Best Evidence Medical Education (BEME) collaboration Conditions that facilitate simulation learning Feedback / debriefing Repetitive practice Simulation & didactic learning integrated Learners practice tasks with increasing difficulty Issenberg SB, McGahie WC, Petrusa ER, et al. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 2005; 27:

29 Thank you! 29