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Simulation in Practice

Simulation in Medical Education

Prepare for participation in simulation, an exciting active-learning environment. Learn about student and facilitator roles, patient scenarios, and debriefing.

NOTE: The photo’s and video’s were taken prior to COVID-19 pandemic. You will continue to follow all current safety measures when participating in simulation sessions. Please check with your facilitator if you have any questions or are ill and cannot participate in simulation. We appreciate everyone’s efforts to maintain a safe learning environment. Mahalo!

Welcome to SimTiki Simulation Center! Scenarios are opportunities for students to practice medicine in a safe environment. It is a good opportunity to try out your skills at the bedside. Simulation is a safe space to make mistakes! Unlike standardized patients, manikins can be programmed to have different cardiac rhythms, airway events and presentations like cyanosis or pupil changes. We encourage you to have fun in the challenge, engaging in the medical environment, and suspending your disbelief to practice what you learned in your tutorial group.

Most scenarios are not graded. The facilitator will inform students if the scenario is a test.

  • There are three parts to a simulation:
    • Orientation: Goal and objectives of the day’s activities
    • Scenario: Interaction with the manikin patient and medical environment
    • Debrief: The facilitator asks reflective questions to allow the students to think about and reflect on the scenario to discover new ways to improve as medical professionals

What to Expect on Simulation Day

orientation students
Gather in 2nd Floor Telehealth Lobby

  • Wear your personal mask into the MEB building. We will give you a surgical mask prior to the simulation session.
  • Gather as assigned in the 2nd floor Telehealth lobby of the medical education building.
  • Your facilitator will bring your group into the simulation room and orient you to the day’s activity.
  • Once your simulation time is over, you’ll take a post course survey in room 201, a computer lab located in the 2nd floor lobby.
  • We ask that you NOT share particular information about the simulation with others. This will allow them to have a fresh learning experience.

Overview

The facilitator will guide student learning through 1) scenario participation; 2) skill development and practice; 3) reflection to recognize gaps and opportunities to improve clinical problem solving; 4) apply new knowledge.

The student is expected to 1) suspend disbelief and embrace the simulated environment as an imperfect clinical representation with great opportunity for learning; 2) actively participate in scenarios; 3) engage in discussion and ask questions; and 4) complete post course surveys.

Orientation

Simulation begins with an orientation to the day’s activities

During orientation before the scenario, students receive an introduction to the manikin, simulation environment and how simulation scenarios work.

Facilitator:

  • Presents the day’s goal and objectives
  • Orients students to the simulation environment
  • Describes how to call for help or order tests
  • Describes the Facilitator role: e.g. “I will also be the patient’s voice and nurse”
  • Addresses student roles: e.g. team leader, intern, medical student
  • Starts and ends the scenario
  • Provides case details: description of the clinical environment and available patient history

Student:

  • Receives a description of the clinical environment and available patient history from the facilitator
  • Asks clarifying questions
  • Familiarizes self with the manikin and simulation equipment

Scenario

Participants actively role play during the scenario

Facilitator:

  • Provides prompts or hints to help students reach learning objectives
  • Often is the voice of the patient and may play the role of nurse or medical consultant
  • Provides test results when available
  • Provides a clear notice that the scenario has ended

Student:

  • Considers the medical environment and patient condition
  • Applies tutorial learning to bedside patient care
  • Asks clarifying questions
  • Assesses the patient
  • Actions often include: monitoring, IV, oxygen, call for help
  • Orders tests
  • Forms a differential
  • Generates a treatment plan
  • Applies treatment plan – e.g. medication, orders interventions
  • Supports teammates

Debrief

The Debrief Allows Reflection and Learning to Occur

Facilitator:

  • Asks general questions like, “how did that go?” to help the group get comfortable
  • Asks open-ended reflection questions to help students share their perspective and thought process
  • Helps students discover knowledge and performance gaps and problem solve them
  • Helps clarify and correct medical knowledge
  • Helps you meet the scenario learning objectives
  • Ends the debrief and directs students to prepare for the next scenario or to complete post course surveys

Student:

  • Asks clarifying questions
  • Openly shares perspectives and thought process used during the scenario
  • Considers gaps in knowledge and performance
  • Considers changes to practice patterns to improve patient care and professional skills

Post Course Survey

Students complete post course surveys

After the course, students log in to Simtiki login and complete the post course survey and facilitator evaluation. This helps to improve the simulation center.

Mahalo!