2021, Number 40
<< Back Next >>
Inv Ed Med 2021; 10 (40)
Telesimulation: a strategy to develop clinical skills in medical students
Mercado-Cruz E, Morales-Acevedo JA, Lugo-Reyes G, Quintos-Romero AP, Esperón-Hernándeze RI
Language: Spanish
References: 21
Page: 19-28
PDF size: 687.40 Kb.
ABSTRACT
Background: SARS-CoV2 pandemic generated important
changes in educational environment and, derived
from social distancing for containment COVID-19, faceto-
face activities in undergraduate students were suspended.
Telesimulation is an educational strategy that
uses telecommunications and simulation for to train and
evaluate students outside a simulation center.
Method: This study aimed to explore teacher’s percep
clítion
during planning, development and implementation
of a strategy telesimulation to develop clinical skills in
undergraduate students. For this purpose, we conducted
a qualitative study through semi-structured interviews.
Results: A total of 7 teachers were interviewed. Participants
believed during SARS-CoV2 pandemic, telesimulation
is a valuable tool to develop critical thinking, decisionmaking,
information management and professionalism;
however, they recognized its usefulness may be limited
in developing procedural skills. During development and
implementation, they faced lack of time, technological difficulties
and uncertainty and mistrust of students before
a new educational strategy.
Conclusions: Telesimulation is a useful tool for development
of clinical skills. The implementation of this strategy
faces difficulties similar to those that arise during any
educational innovation.
REFERENCES
Tsang ACO, Shih KC, Chen JY. Clinical skills education at the bed-side, web-side and lab-side. Med Educ. 2021;55(1): 112-4.
Mikrogianakis A, Kam A, Silver S, Bakanisi B, Henao O, Okrainec A, et al. Telesimulation: An innovative and effective tool for teaching novel intraosseous insertion techniques in developing countries. Acad Emerg Med. 2011; 18(4):420-7.
Ramani S, Leinster S. AMEE Guide no. 34: teaching in the clinical environment. Med Teach [Internet]. 2008;30(4):347-64. Disponible en: http://www.tandfonline.com/doi/full/10.1080/01421590802061613
Green GM, Chen EH. Top 10 ideas to improve your bedside teaching in a busy emergency department. Emerg Med J. 2015;39:518.
Gutiérrez-Cirlos C, Naveja JJ, Sánchez-Mendiola M. Modelos de educación médica en escenarios clínicos. Investig en Educ Médica. 2020;(35):96-105.
Tavakol M, Sandars J. Quantitative and qualitative methods in medical education research: AMEE Guide No 90: Part i. Med Teach. 2014;36(9):746-56.
Tavakol M, Sandars J. Quantitative and qualitative methods in medical education research: AMEE Guide No 90: Part II. Med Teach. 2014;36(10):838-48.
Facultad de Medicina de la Universidad Nacional Autónoma de México. [Internet]. [cited 2021 Jan 23]. Disponible en: http://www.facmed.unam.mx/fm/pa/
Tecnológico de Monterrey. [Internet]. [cited 2021 Jan 23]. Disponible en: https://tec.mx/es/salud/medico-cirujano
Universidad Anahuac. [Internet]. [cited 2021 Jan 23]. Disponible en: https://www.anahuac.mx/mexico/2016/Lic/ MapasCurriculares/csal_mci.pdf
Escuela Superior de Medicina del Instituto Politécnico Nacional. [Internet]. [cited 2021 Jan 23]. Disponible en: https:// www.esm.ipn.mx/assets/files/esm/docs/estudiantes/tramitesescolares/ gestionescolar/mapa-curricular.pdf
Universidad Autónoma Metropolitana. Unidad Xochimilco. [Internet]. [cited 2021 Jan 23]. Disponible en: http://www2. xoc.uam.mx/oferta-educativa/divisiones/cbs/licenciaturasposgrados/ pplic/medicina/plan/
McCoy CE, Sayegh J, Alrabah R, Yarris LM. Telesimulation: An Innovative Tool for Health Professions Education. AEM Educ Train. 2017;1(2):132-6.
Dumford AD, Miller AL. Online learning in higher education: exploring advantages and disadvantages for engagement. J Comput High Educ [Internet]. 2018;30(3):452-65. Disponible en: https://doi.org/10.1007/s12528-018-9179-z
Sima A, Maryam M. Telemedicine against CoVID-19 crisis. Heal Policy Technol. 2020;9:277-8.
McCoy CE, Sayegh J, Rahman A, Landgorf M, Anderson C, Lotfipour S. Prospective Randomized Crossover Study of Telesimulation Versus Standard Simulation for Teaching Medical Students the Management of Critically Ill Patients. AEM Educ Train. 2017;1(4):287-92.
Sartori DJ, Olsen S, Weinshel E, Zabar SR. Preparing trainees for telemedicine: a virtual OSCE pilot. Med Educ. 2019; 53(5):517-8.
Okrainec A, Henao O, Azzie G. Telesimulation: An effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries. Surg Endosc. 2010; 24(2):417-22.
Sánchez M, Escamilla J. Perspectivas de la innovación educativa en universidades de México: experiencias y reflexiones de la RIE 360. Red de Innovación Educativa. 2018. 368 p.
Jewer J, Parsons MH, Dunne C, Smith A, Dubrowski A. Evaluation of a mobile telesimulation unit to train rural and remote practitioners on high-acuity low-occurrence procedures: Pilot randomized controlled trial. J Med Internet Res. 2019;21(8):1-17.
Valdez-García JE, López Cabrera MV, Jiménez Martínez M de los Á, Díaz Elizondo JA, Dávila Rivas JAG, Olivares Olivares SL. Me preparo para ayudar: respuesta de escuelas de medicina y ciencias de la salud ante COVID-19. Investig en Educ Médica. 2020;9(35):85-95.