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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
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spelling 2025-11-13T12:46:21.4672060 v2 70778 2025-10-28 The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project f567f8d5db61d62ef08e811676fd8430 0000-0002-9753-6949 Suresh Gopala Pillai Suresh Gopala Pillai true false 2025-10-28 MEDS 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. Journal Article MedEdPublish 13 66 F1000 Research Ltd 2312-7996 Simulation, medical simulation, medical education, simulation fidelity, perceived realism 5 6 2024 2024-06-05 10.12688/mep.19719.2 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University 2025-11-13T12:46:21.4672060 2025-10-28T09:38:55.3673273 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Biomedical Science James Ainsworth 0000-0001-5571-1983 1 Sounder Perumal 2 Suresh Gopala Pillai 0000-0002-9753-6949 3 70778__35618__b73706aa494e4bc49ed483110c195846.pdf 70778.VoR.pdf 2025-11-13T12:43:32.9024182 Output 1856754 application/pdf Version of Record true © 2024 Ainsworth J et al. This is an open access article distributed under the terms of the Creative Commons Attribution License. true eng https://creativecommons.org/licenses/by/4.0/
title The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project
spellingShingle The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project
Suresh Gopala Pillai
title_short The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project
title_full The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project
title_fullStr The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project
title_full_unstemmed The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project
title_sort The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project
author_id_str_mv f567f8d5db61d62ef08e811676fd8430
author_id_fullname_str_mv f567f8d5db61d62ef08e811676fd8430_***_Suresh Gopala Pillai
author Suresh Gopala Pillai
author2 James Ainsworth
Sounder Perumal
Suresh Gopala Pillai
format Journal article
container_title MedEdPublish
container_volume 13
container_start_page 66
publishDate 2024
institution Swansea University
issn 2312-7996
doi_str_mv 10.12688/mep.19719.2
publisher F1000 Research Ltd
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Biomedical Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Biomedical Science
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description 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.
published_date 2024-06-05T05:32:20Z
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