Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-23T13:23:46.400Z Has data issue: false hasContentIssue false

Incorporating simulation into a residency curriculum

Published online by Cambridge University Press:  21 May 2015

James K. Takayesu*
Affiliation:
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Eric S. Nadel
Affiliation:
Harvard Affiliated Emergency Medicine Residency Program, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Kriti Bhatia
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Ron M. Walls
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
*
Massachusetts General Hospital, 5 Emerson Pl., Rm. 108, Boston MA 02114; [email protected]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The integration of simulation into a medical postgraduate curriculum requires informed implementation in ways that take advantage of simulation's unique ability to facilitate guided application of new knowledge. It requires review of all objectives of the training program to ensure that each of these is mapped to the best possible learning method. To take maximum advantage of the training enhancements made possible by medical simulation, it must be integrated into the learning environment, not simply added on. This requires extensive reorganization of the resident didactic schedule.

Simulation planning is supported by clear learning objectives that define the goals of the session, promote learner investment in active participation and allow for structured feedback for individual growth. Teaching to specific objectives using simulation requires an increased time commitment from teaching faculty and careful logistical planning to facilitate flow of learners through a series of simulations in ways that maximize learning. When applied appropriately, simulation offers a unique opportunity for learners to acquire and apply new knowledge under direct supervision in ways that complement the rest of the educational curriculum. In addition, simulation can improve the learning environment and morale of residents, provide additional methods of resident evaluation, and facilitate the introduction of new technologies and procedures into the clinical environment.

Type
Education • Enseignement
Copyright
Copyright © Canadian Association of Emergency Physicians 2010

References

REFERENCES

1.Thomas, HA, Beeson, MS, Binder, LS, et al.The 2005 model of the clinical practice of emergency medicine: the 2007 update. Ann EmergMed 2008;52:e1–17.Google ScholarPubMed
2.Armstrong, E, Parsa-Parsi, R. How can physician's learning styles drive educational planning? Acad Med 2005;80:680–4.CrossRefGoogle ScholarPubMed
3.Collins, J. Educational techniques for lifelong learning: principles of adult learning. Radiographics 2004;24:1483–9.Google Scholar
4.Binstadt, ES, Walls, RM, White, BA, et al.A comprehensive medical simulation education curriculum for emergency medicine residents. Ann Emerg Med 2007;49:495504.Google Scholar
5.Epstein, RM, Hundert, FM. Defining and assessing professional competence. JAMA 2002;287:226–35.CrossRefGoogle ScholarPubMed
6.Frank, JR, editor. The CanMEDS 2005 physician competency framework. Ottawa (ON): The Royal College of Physicians and Surgeons of Canada; 2005. Available: http://rcpsc.med ical.org/canmeds/CanMEDS2005/index.php (accessed 2010 Feb. 25).Google Scholar
7.Bond, W, Kuhn, G, Binstadt, E, et al.The use of simulation in the development of individual cognitive expertise in emergency medicine. Acad Emerg Med 2008;15:1037–45.Google Scholar
8.Bowen, JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med 2006;355:2217–25.CrossRefGoogle ScholarPubMed
9.Rudolph, JW, Simon, R, Raemer, DB, et al.Debriefing as formative assessment: closing performance gaps in medical education. Acad Emerg Med 2008;15:1010–6.CrossRefGoogle ScholarPubMed
10.Norman, G, Eva, K, Brooks, L, et al.Expertise in medicine and surgery. In: Ericsson, KA, Charness, N, Feltovich, PJ, et al., editors. The Cambridge handbook of expertise and expert performance. New York (NY): Cambridge University Press; 2006. p. 339–54.Google Scholar