Focus on Professional Expertise Acquisition: Simulation Training
Simulation-based medical education and simulation-based validation of training are growing tools to allow for skill development in an environment where mistakes can result in harm to patients and physicians or staff. While the method has been slow to be adopted by subspecialties, medical schools and residencies are developing robust programs as a response to a changing paradigm in healthcare where hours are restricted but efficiency and quality are expected. To accommodate the growing demands of learners and create a high-yield teaching environment, simulation-based medical education is being developed for many cardiac procedures. Unfortunately, simulators are often used solely as a method to familiarize a learner with the device. However, when used properly and within a planned curriculum, a comprehensive simulation-based medical education program can be an effective tool, enhancing the learner’s engagement, and can be developed with the goal of improving measured healthcare outcomes. Lastly, simulation-based medical education and training may be used to validate particular skill sets and define proficiency, and may even have a future role in accreditation.
I would like to acknowledge Drs. Diane Wayne, Jeffrey Barsuk, and William McGaghie for their mentorship and contributions to the field of simulation-based medical education.
- 14.Zarifsanaiey N, Amini M, Saadat F. A comparison of educational strategies for the acquisition of nursing student’s performance and critical thinking: simulation-based training vs. integrated training (simulation and critical thinking strategies). BMC Med Educ. 2016;16:294.CrossRefPubMedPubMedCentralGoogle Scholar
- 21.Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington (DC): National Academies Press (US); 2000.Google Scholar
- 23.Riley W, Begun JW, Meredith L, Miller KK, Connolly K, Price R, Muri JH, McCullough M, Davis S. Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. Health Serv Res. 2016;51(Suppl 3):2431–52.CrossRefPubMedPubMedCentralGoogle Scholar
- 25.Prakash V, Koczmara C, Savage P, Trip K, Stewart J, McCurdie T, Cafazzo JA, Trbovich P. Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. BMJ Qual Saf. 2014;23:884–92.CrossRefPubMedPubMedCentralGoogle Scholar
- 28.Stufflebeam DL. Guidelines for developing evaluation checklists: the Checklists Development Checklist (CDC). Kalamazoo: Western Michigan University; 2000.Google Scholar
- 31.WC MG, Siddall VJ, Mazmanian PE, Myers J, American College of Chest Physicians Health and Science Policy Committee. Lessons for continuing medical education from simulation research in undergraduate and graduate medical education: effectiveness of continuing medical education: American College of Chest Physicians evidence-based educational guidelines. Chest. 2009;135:62S–8S.CrossRefGoogle Scholar
- 42.Prenner SB, Wayne DB, Sweis RN, Cohen ER, Feinglass JM, Schimmel DR. Simulation-based education leads to decreased use of fluoroscopy in diagnostic coronary angiography. Catheter Cardiovasc Interv. Aug 2017; https://doi.org/10.1002/ccd.27203. [Epub ahead of print]
- 44.Green S, Klein AJ, Pancholy S, Rao SV, Steinberg D, Lipner R, Marshall J, Messenger JC. The current state of medical simulation in interventional cardiology: a clinical document from the Society for Cardiovascular Angiography and Intervention’s (SCAI) Simulation Committee. Catheter Cardiovasc Interv. 2014;83:37–46.CrossRefPubMedGoogle Scholar