the impact of tele-simulation on learner satisfaction• students disagreedwhen asked i “tele...
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The impact of Tele-Simulation on Learner SatisfactionEric Schrandt, MD, Ben Whitaker BS, Tyler Burk BS, Todd Peterson, MD
Department of Emergency Medicine, Office of Interprofessional Simulation - University of Alabama at Birmingham
Introduction• The use of simulation for medical education is a widespread and
effective teaching modality. • Lack of educators trained and experienced in facilitating and
debriefing simulation sessions has impacted its adoption.• UASOM currently has 4 Regional Campuses, with widespread
use of simulation at only 1 Campus• “Telesimulation” is method to use videoconferencing to have
students at remote campuses participate in simulation cases run by a faculty member at a centralized location.
• This could improved both the quality and standardization of clinical curriculum
• This Proof of Concept Pilot Study was designed to test feasibility and learner satisfaction
Methods• Eight medical students completed four case-based simulated
patient encounters in two groups.• 2 Cases were debriefed via the standard method with a faculty
member in the room• 2 Cases were debriefed remotely by a faculty member over a
video feed who watched the event over a “Google Chat” live video
• Learners were then surveyed regarding their satisfaction with the two debriefing modalities
Results• There was no difference in learner satisfaction between the
standard and telesim debriefing scenarios, with each receiving a (5/5) “Strongly agree” score on the likert scale
• Students agreed that they would prefer “TeleSimulation” to to the option of not having simulation as an educational tool (4.75/5) on the likert scale
• Students disagreedwhen asked i “Tele Debriefing” negatively affected the educational session (1.71/5)
Conclusions• This was a pilot study investigated the basic feasibility of using
tele-debriefing during education simulation sessions with medical students.
• Google Chat proved to be an effective, easily replicable tool for TeleSimulation
• Learner satisfaction with the debriefing with TeleSimulation was identical to standard, in person modalities
• This appears to be a viable option for bringing simulation to learners who are not in the same physical location as faculty who are trained in debriefing techniques
• More data is needed to confirm the results of this pilot with larger groups of learners.
Students engaged in simulated patient encounter being observed remotely through video-conferencing. Students involved in debriefing session through video-conferencing.
Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Salese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 2005; 27(1):10-28.
Strongly Disagree
Disagree Neutral Agree Strongly
Agree
The debriefing session for the ACS/code room was effective (standard debriefing) 100%
The debriefing session for the DKA/sepsis room was effective (tele-debriefing) 100%
The use of “tele-debriefing” negatively affected the debriefing session 37.5% 37.5% 25%
I would prefer simulation with “tele-debriefing” to no simulation at all 25% 75%
Table 1: Results of survey of participants
0
1
2
3
4
5
Standard Sim EffectiveDebriefing
Tele Sim EffectiveDebriefing
Tele Sim NegativelyAffected the Debriefing
Session
I Would Prefer "Tele Sim"to no Sim at all
Stro
ngly
Dis
agre
e (1
)
Str
ongl
y A
gree
(5)
Learner Satisfaction with TeleSim