Theme
Simulation and Simulated Patients
Category
Simulation
INSTITUTION
Universidad Autónoma de Nuevo León. Facultad de Medicina.
Clinical simulation is a teaching technique and a way to learn from mistake without the risk of damaging a real patient. This tool's success depends on the experience it presents, since, as Kolb (1984), Jarvis (1987) and Dewey (1938) state, learning depends on experience and the interaction created between people and environment. In this line of work, we have selected some emotional aspects which promote learning and pertain to a former study of student characterization in the Medicine School at the UANL.
In our experience, including the clinical simulations models of the program has been an advantage in the student's personal learning process, promoting competencies like knowledge retentivity and recovery, patient safety and team-work, among many others.
Feedback in individual tutorships has been enriched through the student's analysis of mistakes made in his practice at CEVAM, increasing his self-confidence and self-esteem at the time of asking for help.
Finally, the student has found himself immersed in an ongoing evaluation process, which today, has become a part of every scheme for professional exercise in the community where he/she will practice.
It is an exploratory study where simulation, as a method of intensifying the learning of ATLS, ACLS, BLS and Via Aérea Dífícil, is evaluated from a qualitative point of view, in order to be used in decision making regarding individual tutorships for students in the 6th year of *licenciatura and 1st year of postgraduate school, in rotating internships in critical and emergency situations.
All the revised items, and data gathering instruments, were considered within the first months, after the basic training and courses given in the CEVAM at the UANL Medicine School;
As subjects of constant change through learning, the students, who, in some way, have been immersed in simulation models, as opposed to traditional models, can be in charge of their own cognitive structure and conduct, as well as the constant interaction of motivation, attention, assimilation, organization, recovery and transference inside that internal structure, and are able to respond to the semantic content of any exchange in the exercise of this profession and the meaning, interest networks, needs and aims of the culture of the Medicine School and the University Hospital.
A higher personal safety level; elimination of fear; detailed analysis of mistakes and better knowledge of personal learning styles are four of the results found after acquiring those learning related advantages and conveniences considered necessary to make that learning effective.
These aspects form a wide range of results in which the students are satisfied with their personal process in their transit through CEVAM, center which, since 2005, has been the stage for courses, surgical simulations and the development of abilities in students of surgery, trauma, gastroenterology, and anesthesiology, and has been documented with data from more than 3,500 participants for analysis in a process of educational evaluation.
Dr. med Santos Guzman Lopez
Dr. Martin Jesus Alvarez Ovalle
Dra. Luz Maria Perez Gorostieta
Dr. Carlos Augusto Lopez Acevo