Evaluation of simulation-based education in the management of medical emergencies

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dc.contributor.advisor Professor Iain Martin en
dc.contributor.author Weller, Jennifer Mary en
dc.date.accessioned 2006-11-30T01:20:25Z en
dc.date.available 2006-11-30T01:20:25Z en
dc.date.issued 2005 en
dc.identifier.citation Thesis (MD)--University of Auckland, 2005. en
dc.identifier.uri http://hdl.handle.net/2292/109 en
dc.description.abstract The traditional approach to medical education is changing and simulation is increasingly being incorporated into the curriculum, particularly in the context of emergency care. Simulation takes many forms, but this thesis refers only to whole patient simulators, where a computerised mannikin placed in a clinically appropriate environment is used to recreate a realistic clinical encounter. The focus of this work is the management of medical emergencies. Aim The overall aim of this body of work is to evaluate the effectiveness of simulationbased education across a range of different learners, and to investigate the properties of simulation-based assessment. In particular: To review the literature on the effectiveness of simulation, and its use in assessment. To evaluate the current status and effectiveness of CME interventions and the relative usefulness of simulation courses in this context. To determine if simulation-based courses in crisis management can lead to changes in physician behaviour. iii To evaluate student perceptions of learning in a simulator environment. To assess students' ability to manage simulated emergencies, and their opinion of simulation-based assessment. To define the psychometric properties and feasibility of simulation-based assessment in anaesthesia, the accuracy of self-assessment and the impact on learning. Methods and Results A number of different methods were used, which will be described in detail in the subsequent chapters. Overall, the results provide evidence for the effectiveness of simulation across a range of applications. Simulation-based assessment is acceptable, likely to have a positive impact on learning, and evidence support aspects of validity. Reliable scores can be generated but large numbers of cases are required. Conclusions There is sufficient evidence to recommend incorporating simulation-based courses into the acute care curriculum of medical undergraduates. Simulation is effective in CME in the context of anaesthesia crisis management and this is likely to apply to other acute care specialties. Like other clinically based assessments, extended testing time is required to generate reliable scores, limiting the feasibility of large scale, simulation-based exit examinations. en
dc.language.iso en en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof PhD Thesis - University of Auckland en
dc.relation.isreferencedby UoA1662418 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject.other Health Sciences, Medicine and Surgery (0564) en
dc.title Evaluation of simulation-based education in the management of medical emergencies en
dc.type Thesis en
thesis.degree.discipline Medicine en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Doctoral en
thesis.degree.name PhD en
dc.rights.holder Copyright: The author en
pubs.local.anzsrc 11 - Medical and Health Sciences en
pubs.org-id Faculty of Medical & Hlth Sci en

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