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Development of a simulation-based sub-module in undergraduate medical education



It is well documented that medical students struggle to bridge the theory-practice gap. Competently integrating classroom-taught skills into the clinical setting is a challenge.


A survey of final year medical students identified a lack of confidence in managing common clinical emergencies that are experienced in the Intern role. The researchers devised a new sub-module to include high-fidelity simulation in the undergraduate medical curriculum. This development was underpinned by an educational curriculum model. Students attended small group teaching using high-fidelity simulation training (Sim-Man 3G ™) and practiced managing common emergencies. Training sessions were facilitated by clinical tutors and anaesthetic lecturers. Cases were supplied by clinical staff. An evidence-based format was utilised as an integrative teaching method.


A simulation-based sub-module based on Finks Taxonomy was planned, introduced and evaluated. Utilisation of a high-fidelity simulation-based approach to teaching had a marked effect on student’s confidence in their ability to manage clinical emergencies. Students reported very positive attitudes to this new method of teaching, specifically related to the integration of previously acquired knowledge and skills. A hands-on practical approach in a safe learning environment was valued by students.


The module descriptor devised can be used as a template for further curricular reform. Simulation-based teaching is feasible in the undergraduate setting and may ease the transition to postgraduate teaching modalities.

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  1. Fottrell Report (2006). Medical education in Ireland: a new direction. Report of the Working Group on Undergraduate Medical Education and Training. Department of Health

    Google Scholar 

  2. Irish Medical Council. (2010). Eight domains of good professional practice. IMC. Ireland

  3. Declaration B (1999) European ministers of education. European Higher Education Area

  4. The Tuning Project Medicine. (2004). Learning outcomes/competencies for undergraduate medical education in Europe. (

  5. Toohey S (1999) Designing courses for higher education. SRHE & Open University Press, Buckingham

    Google Scholar 

  6. Bloom BS (1956) Taxonomy of educational objectives, handbook I: the cognitive domain. David McKay Co Inc, New York

    Google Scholar 

  7. Aggarwal R, Darzi A (2009) From scalpel to simulator: a surgical journey. Surgery. 145(1):1–4

    Article  Google Scholar 

  8. O’Neill G. (2010) Programme design. Overview of curriculum models.

  9. O’Neill G (2015) Curriculum Design in Higher Education: theory to practice. E-Book

  10. Ornstein AC, Hunkins FP (2004) Curriculum foundations, principles and issues. (3rd ed). Allyn and Bacon, Boston

    Google Scholar 

  11. Ornstein AC, Hunkins FP (2009) Curriculum foundations, principles and issues. 5th edition. Allyn and Bacon, Boston

    Google Scholar 

  12. Wiggins G, McTighe J (2010) Understanding by design: a brief introduction. Centre for Technology & School Change at Teachers College, Columbia University

  13. Knight PT (2001) Complexity and curriculum: a process approach to curriculum-making. Teach High Educ 6(3):369–381.

    Article  Google Scholar 

  14. Hussey T, Smith S (2003) The uses of learning outcomes. Teach High Educ 8(3):357–368

    Article  Google Scholar 

  15. Fink LD. (2004). A self-directed guide to designing courses for significant learning,

  16. Knight PT. (2008). Assessment for learning in higher education. E-book. ISBN 9781136352751

    Google Scholar 

  17. Neary M. (2003). Curriculum concepts and research. In Curriculum studies in post compulsory and adult education: a teacher and student teacher’s study guide. (pp33–56). Cheltenham: Nelson Thornes Ltd.

  18. Biggs J (1999) Teaching for quality learning at university. Buckinghamshire, Society for Research into Higher Education and the Open University Press

  19. Diamond RM (1998) Designing and assessing courses and curricula: a practical guide. Jossey-Bass, San Francisco

    Google Scholar 

  20. ALERT (2003) Acute life – threatening events recognition and treatment (2003), 2nd edn. University of Portsmouth and NHS, Trust

    Google Scholar 

  21. Zepke N, Leach L (2010) Improving student engagement: ten proposals for action. Act Learn High Educ 11(3):167–177

    Article  Google Scholar 

  22. Rudolph JW, Simon R, Dufresne RL, Raemer DB (2006) There’s no such thing as “non-judgmental” debriefing: a theory and method for debriefing with good judgment. Concepts and Commentary. Simulation in Healthcare, Spring

    Google Scholar 

  23. Dreyfus H, Dreyfus S (1986) Mind over machine. Blackwell, Oxford

    Google Scholar 

  24. Bruner JS (1966) Toward a theory of instruction. Belkapp Press, Cambridge, Mass

    Google Scholar 

  25. Stenhouse L (1975) An introduction to curriculum research and development. Heinemann, London

    Google Scholar 

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The authors acknowledge the clinical skills tutors, anaesthetic lecturers and administrators who assisted in the planning, delivery and assessment of the simulation training sessions. The authors appreciate the participation of all medical students in the pre- and post-surveys, the simulation sessions and their comprehensive evaluations.


The upgrading of the simulation room was funded by The University of Dublin, Trinity College School of Medicine.

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Correspondence to Marie Catherine Morris.

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The authors declare that they have no competing interests.

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All procedures performed in this study were in accordance with the ethical standards of the Medical Schools Research Ethics Committee and with the 1964 Helsinki Declaration and its later amendments.

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Written informed consent was obtained from all individual students involved in this study by an independent gatekeeper. All pre- and post-surveys and free-text evaluation comments were completed anonymously.

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Morris, M.C., Conroy, P. Development of a simulation-based sub-module in undergraduate medical education. Ir J Med Sci 189, 389–394 (2020).

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