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Simulation in medical education : a case study evaluating the efficacy of high-fidelity patient simulationKlein, Barbie Ann 22 May 2018 (has links)
Indiana University-Purdue University Indianapolis (IUPUI) / High-fidelity patient simulation (HFPS) recreates clinical scenarios by combining
mock patients and realistic environments to prepare learners with practical experience to
meet the demands of modern clinical practice while ensuring patient safety. This research
investigated the efficacy of HFPS in medical education through a case study of the
Indiana University Bloomington Interprofessional Simulation Center. The goal of this
research was to understand the role of simulated learning for attaining clinical selfefficacy
and how HFPS training impacts performance. Three research questions were
addressed to investigate HFPS in medical education using a mixed methods study design.
Clinical competence and self-efficacy were quantified among medical students at IUSMBloomington
utilizing HFPS compared to two IUSM campuses that did not incorporate
this instructional intervention. Clinical competence was measured as performance on the
Objective Structured Clinical Examination (OSCE), while self-efficacy of medical
students was measured through a validated questionnaire. Although the effect of HFPS
on quantitative results was not definitive, general trends allude to the ability of HFPS to
recalibrate learners’ perceived and actual performance. Additionally, perceptual data
regarding HFPS from both medical students and medical residents was analyzed.
Qualitative results discovered the utility of HFPS for obtaining the clinical mental
framework of a physician, fundamental psychomotor skills, and essential practice
communicating and functioning as a healthcare team during interprofessional education simulations. Continued studies of HFPS are necessary to fully elucidate the value of this
instructional adjunct, however positive outcomes of simulated learning on both medical
students and medical residents were discovered in this study contributing to the existing
HFPS literature.
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