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The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project

James Ainsworth Orcid Logo, Sounder Perumal, Suresh Gopala Pillai Orcid Logo

MedEdPublish, Volume: 13, Start page: 66

Swansea University Author: Suresh Gopala Pillai Orcid Logo

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DOI (Published version): 10.12688/mep.19719.2

Abstract

IntroductionSimulation is an effective teaching method with increasing growth and recognition and refers to the artificial representation of a real-life scenario. The aim of this study was to compare simulation with and without the use of a simulated observations monitor and to investigate differenc...

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Published in: MedEdPublish
ISSN: 2312-7996
Published: F1000 Research Ltd 2024
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URI: https://cronfa.swan.ac.uk/Record/cronfa70778
Abstract: IntroductionSimulation is an effective teaching method with increasing growth and recognition and refers to the artificial representation of a real-life scenario. The aim of this study was to compare simulation with and without the use of a simulated observations monitor and to investigate differences in students’ impression of realism, engagement, learning, and enjoyment.MethodsSimulation sessions were delivered to second and third-year Swansea University Medical Students, and a total of 15 students were included. Students carried out 2–3 scenarios each with and without the use of a simulated observations monitor. Data collection was conducted via student surveys and a joint interview.ResultsAll students had an increased sense of realism with the use of the simulated observations monitor, feeling a closer resemblance to what would be experienced in clinical practice. They felt this improved their learning, making them more prepared for the real-life scenario. The monitor was more dynamic, responding to their interventions, helping them maintain focus and engagement throughout. A key theme was the reduction of interruptions or deviations from the scenario to communicate with the examiner or ask for observations. The visual and audible affects provided additional stimuli, adding to the realistic nature of the simulation.DiscussionSimulation has been shown to be a useful education tool, but there is less evidence to support the use of higher fidelity over lower fidelity simulation. The terms are often used inconsistently, and many factors affect the students’ perceived sense of realism. This study shows that the addition of a simple device such as the simulated observations monitor can produce a higher level of fidelity, particularly in terms of the stimuli provided and student perceptions of realism, which may be effective in improving engagement with the simulation, learning, and aid recall when presented with similar scenarios in a real-life situation.
Keywords: Simulation, medical simulation, medical education, simulation fidelity, perceived realism
College: Faculty of Medicine, Health and Life Sciences
Start Page: 66