We at MSSC routinely conduct the sessions for clinical years in all disciplines i.e. Internal Medicine, General Surgery, Gynecology & Obstetrics and Pediatrics. Two sessions for each discipline are conduct daily and are called cycle. Each session lasts for one hour and has 6-10 students. In the whole rotation of each discipline, students attend 5-6 cycles. Two types of scenarios are presented in the sessions. One of them uses part-task trainer with focus to improve competence skills of a procedure or clinical examination. Other session is based on full clinical immersion which includes history taking, clinical examination, investigation and management of the patient. Components of simulated session are standardized patients, part-task trainers, high-fidelity simulators, and hybrid simulation where needed. Role of the facilitators in the sessions is passive which guides students to be on track. This endorses experiential learning in students where they establish knowledge with peer discussions, and enable them to perform more confidently and competently when they will enter in clinical practice.
Every time students of each clinical disciplines like Internal Medicine, General Surgery, Gynecology & Obstetrics and Pediatrics comes for Cycle has two simulation sessions, one hour each.
Types of Simulation Sessions:
Each Simulation Cycle has two Simulation Sessions. (One hr each)
- Full Clinical Immersion (History taking, Examination, investigations, Management/Rx)
- Part Task Trainer (Focused mainly on any Clinical Procedure OR Clinical Examination)
Parts of a Simulation Session:
Each simulation session has three parts:
- Pre- briefing
- Clinical Scenario/Immersion
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Debriefing
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Pre- briefing:
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Introduction & Information about the session
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Environment, available resources & time allocation
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Assure to the learners are psychologically safe during the session
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Learning Objectives. Should be achieve at the end of the session.
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Roles of Learner - will select in Pre-briefing (Everybody will have a chance to be active participants in each group)
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*Active Participants - 2 learners
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*Observers - Rest of the learners, but task giving to them.
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Ground Rules – maintain discipline, respect others, behave professionally
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Clinical Scenario/Immersion
- Plan of an expected and potential course of events for a simulated clinical experience.
*How to approach to the patient
*ABCDE -
Technical Skills
Focused & relevant (History taking, Examination, investigations, Management/Treatment)
*Communication with Patient/Colleagues/Consultant
*How to address the patient concerns
*Situation awareness, Decision making, Priorities, team work, Leadership skills, Time management
Only Active Participants can talk to each other, standardized patient/mannequin & colleagues/consultant
Observers not allowed talking, interrupting or giving any clue during immersion & not talking to each other.
Observers should note the points as they need to discuss during debriefing
Learning space/Videos/Cameras working for debriefing, assessment and quality measures
- Debriefing:
- An activity that follows a simulation experience led by a facilitator
- Learners are encouraged to explore emotions, questions, reflect and discuss the events (Strengths & Weaknesses) happened during the clinical immersion
- Observers give their opinion about the event
- Learner’s reflective thinking is encouraged
- Reflective Thinking - The engagement of learners’ self- monitoring that occurs during or after the simulation. It promotes the discovery of new knowledge with the intent of applying this knowledge to future situations
- Can take the help of videos/learning space for debriefing
