EVALUATION OF THE IMPLEMENTATION OF SIMULATION-BASED LEARNING IN FOURTH YEAR MEDICAL STUDENTS OF ATMA JAYA CATHOLIC UNIVERSITY OF INDONESIA

https://doi.org/10.22146/jpki.39103

Rhevensa Santoso(1*), Natalia Puspadewi(2), Tommy Tanumiharja(3)

(1) Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta - INDONESIA
(2) Departemen Medical Education Unit, Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta - INDONESIA
(3) Departemen Anastesi, Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta - INDONESIA
(*) Corresponding Author

Abstract


Background: Health care providers must achieve and maintainthe required competencyin providing services to patients; even more so in complex and stressful situations. Medical simulation is a method to facilitate training and assessment of clinical skills in medical students and physicians. This method has been implemented and recognized in many areas outside medicine, but because of various problems this method is relatively difficult to apply in the field of medicine.

Methods: The design of this study was cross-sectional with quantitative method. Study participants were the fourth year students of Atma Jaya Catholic University of Indonesia, School of Medicine. Simulation-based learning (SBL) was implemented by a 2-day workshop. Participants were given a pretest and posttest to assess the cognitive aspect of their clinical skills, and assessment of case simulation using Objective Structured Clinical Examination (OSCE) and Team Observed Structured Clinical Examination(TOSCE) for their clinical and soft skills.

Results: The difference of the knowledge before and after the intervention was not significant(p = 0,071). However, there was a significant difference of the clinical skills (p < 0,001) and soft skills (p < 0,001).

Conclusion: Using SBL as a learning method can increase clinical skills and soft skills of the students significantly. To a smaller extent, using simulation based learning as learning method can increase knowledge of the students about SBL and cognitive aspect of clinical skills although itis statistically insignificant.


Keywords


SBL, clinical skills, soft skills

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References

1. Bethea DP, Castillo DC, Harvison N. Use of simulation in occupational therapy education: way of the future? The American Journal of Occupational Therapy. 2014 Sep;68(2):S32-9.

2. Lateef F. Simulation-based learning: Just like the real thing. Journal of Emergencies, Trauma and Shock 2010 10;3(4):348-352.

3. Carroll JD, Messenger JC. MEDICAL SIMULATION: the new tool for training and skill assessment. Perspect Biol Med. 2008 Winter;51(1):47-60.

4. Bartfay WJ, Rombough R, Howse E, LeBlanc R. The OSCE approach in nursing education: Objective structured clinical examinations can be effective vehicles for nursing education and practice by promoting the mastery of clinical skills and decision-making in controlled and safe learning environments. Can Nurse, 2004;100(3):218-23.

5. Morris Gordon, Elaine Uppal, Kath Holt, Jeanne Lythgoe, Allison Mitchell, Caroline Hollins-Martin. Application of the team objective structured clinical encounter (TOSCE) for continuing professional development amongst postgraduate health professionals. J Interprofessional Care RIGHTSLINK; 2013.

6. Severson MA, Maxson PM, Wrobleski DS, Dozois EJ. Simulation-Based Team Training and Debriefing to Enhance Nursing and Physician Collaboration. The Journal of Continuing Education in Nursing 2014 Jul;45(7):297-303.

7. Cant, Robyn P, Cooper, Simon J. Simulation-based learning in nurse education: systematic review. Journal of Advanced Nursing. 2010.

8. Nevin M, Neill F, Mulkerrins J. Preparing the nursing student for internship in a pre-registration nursing program: Developing a problem based approach with the use of high fidelity simulation equipment. Nurse Education in Practice. 2014 Mar;14(2):154-9.

9. Paige JT, Arora S, Fernandez G, Seymour N. Debriefing 101: training faculty to promote learning in simulation-based training. The American Journal of Surgery 2015 Jan;209(1):126-31.

10. Stamper DH, Jones RS, Thompson, Jennifer CMC. Simulation in health care provider education at Brooke army medical center. Mil Med. 2008 Jun;173(6):583-7.

11. Lucas AN. Promoting continuing competence and confidence in nurses through high-fidelity simulation-based learning. The Journal of Continuing Education in Nursing. 2014 Aug;45(8):360-5.

12. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. Journal of General Internal Medicine 2008 Jan;23:46-9.

13. Bray, Brenda S, Schwartz CR, Odegard PS, Hammer DP, Seybert AL. Assessment of human patient simulation-based learning. Am J Pharm Educ. 2011;75(10):1-208.

14. Davis AH, Kimble LP, Gunby SS. Nursing faculty use of high-fidelity human patient simulation in undergraduate Nursing Education: A Mixed-Methods Study. J Nurs Educ. 2014 Mar;53(3):142-50.

15. Butter J, Mcgaghie WC, Cohen ER, Kaye M, Wayne DB. Simulation-based mastery learning improves cardiac auscultation skills in medical students. Journal of General Internal Medicine. 2010 Aug;25(8):780-5.

16. Reese CE, Jeffries PR, Engum SA. Learning together: using simulations to develop nursing and medical student collaboration. Nursing Education Perspectives. 2010 Jan;31(1):33-7.

17. Losby J, Wetmore A. CDC Coffee Break: Using likert scales in evaluation survey work; 2012. [cited 2015 Apr 15]. Available from: http://www.cdc.gov/dhdsp/pubs/docs/CB_February_14_2012.pdf.

18. Sastroasmoro S. Bab 5 - pemilihan subyek penelitian. Dasar-dasar metodologi penelitian klinis. 5th ed. Jakarta: CV. Sagung Seto; 2014.

19. Lavrakas P, editor. Nonprobability sampling. Encyclopedia of survey research methods. Thousand Oaks, CA: SAGE Publications; 2008, pp 523–6.

20. Salkind N, editor. Quota sampling. Encyclopedia of measurement and statistics. Thousand Oaks, CA: SAGE Reference; 2007, pp 812–4.

21. Yadolah D. The concise encyclopedia of statistics. New York: Springer; 2008, pp 443-4. 22. Lavrakas P, editor. Purposive sampling. Encyclopedia of survey research methods. Thousand Oaks, CA: SAGE Publications; 2008, p. 645.

23. Dahlan S. Langkah-langkah membuat proposal penelitian bidang kedokteran dan kesehatan. Jakarta: CV. Sagung Seto; 2014.

24. Dahlan S. Statistik untuk kedokteran dan kesehatan. Jakarta: Salemba Medika; 2012.

25. Suryawinata K. Buku saku mahasiswa. Jakarta: Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya; 2013, p 35.

26. How to Set Up Obstetric Emergency Team: Cipto Mangunkusumo Hospital Experience. Jakarta: National Public Central Hospital Dr. Cipto Mangunkusumo; 2015.

27. Aditianingsih D. Scenario Design. Jakarta: Cipto Mangunkusumo Hospital-Faculty of Medicine University of Indonesia; 2015.

28. Dachlan R. Simulation in medical education: integrating simulation into anesthesia and critical care curriculum. Jakarta: Cipto Mangunkusumo Hospital-Faculty of Medicine University of Indonesia; 2015.

29. TOSCE Checklist User Instructions. Canada: The McMaster; 2010.

30. McWilliam PL, Botwinski CA. Identifying strengths and weaknesses in the utilization of objective structured clinical examination (OSCE) in a Nursing Program. Nursing Education Perspectives. 2012 Jan;33(1):35-9.

31. Lestari YA, Pramesti F, Feby A, Sari IP, Astridianingrum F, Lestari MA, Halim MS, Riyanti BPD. Adaptasi Dundee ready education environtment measure (DREEM). Magister Psikologi Profesi Universitas Katolik Indonesia Atma Jaya. 2015.

32. Grady JL, Kehrer RG, Trusty CE, Entin EB, Entin, EE, Brunye TT. Learning nursing procedures: The influence of simulator fidelity and student gender on teaching effectiveness. Journal of Nursing Education, 2008;47(9):403-8. Retrieved from http://search.proquest.com/docview/203934679?accountid=48149

33. constructive_feedback_summary_feb_17_2014_-_final1.pdf [Internet]. [cited 2016 jan 22]. Available from: http://www.hr.gov.nt.ca/sites/default/files/constructive_feedback_summary_feb_17_2014_-_final1.pdf

34. Issenberg SB, Scalese RJ. Simulation In Health Care Education. Perspectives in biology and medicine, 2008;51(1):31-46. Retrieved from http://search.proquest.com/docview/233163102?accountid=48149

35. Harder BN. Use of simulation in teaching and learning in health sciences: A systematic review. Journal of Nursing Education, 2010;49(1):23-8. Retrieved from http://search.proquest.com/docview/203936016?accountid=48149

36. Goolsby CA, Goodwin TL, Vest RM. Hybrid simulation improves medical student procedural confidence during EM clerkship. Mil Med. 2014 Nov;179(11):1223-7. 37. McMillan JH. Educational research fundamentals for the consumer. 2nd edition; 1996. [cited 2016 Jan 19]. Available from: http://ww2.odu.edu/~jritz/attachments/edrefu.pdf



DOI: https://doi.org/10.22146/jpki.39103

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