2017, Number S1
<< Back Next >>
Rev Fac Med UNAM 2017; 60 (S1)
Challenges of the Medical Simulation in the Postgraduate of the Faculty of Medicine of the UNAM
Rubio MR, Villa PJM, Méndez GE, Hernández AAL
Language: Spanish
References: 19
Page: 63-75
PDF size: 522.84 Kb.
ABSTRACT
Introduction: Medical simulation is a modality
of education and evaluation that has proven to
be effective for the transmission of behaviors,
skills and knowledge to the clinic. Nowadays it
is an important tool for people who dedicate
themselves to teaching. There are multiple resources
that help the development of skills,
clinical reasoning and decision making that contribute
to the learning experience.
The situation of the postgraduate simulation
at the UNAM: Medical simulation as a
developing subject originated in 2006 with the
creation of the Centro de Enseñanza y Certificación
de Aptitudes Médicas (CECAM) of the
Universidad Nacional Autónoma de México. Later
on, the need for a center that was directed to
the postgraduate students in its various areas
of specialization, was created in 2013, Centro
de Enseñanza por Simulación de Posgrado (CESIP),
becoming an aide in the preparation and
evaluation of resident physicians and specialists
from the country.
Challenges of medical simulation: During
the development of the courses at CESIP, individual
challenges have been identified from
which we have generated experience and learning,
following the philosophy of learning based
on experiences that promotes the simulation.
Some of these challenges are: transfer time,
localization, insufficient realism, limited inputs,
high costs and lack of trained instructors
to teach through this technique.
Conclusion: Although the simulation presents
several challenges at CESIP, which correspond
to multifactorial causes such as costs,
lack of realism, validity and follow-up, utility
has been demonstrated as a tool for education
and evaluation. These do not depend directly
on having high technology but relies on the
medical education culture of the postgraduates
and the status quo.
REFERENCES
Kristin LF, Paul A, John S. Cognitive Load ªeory for the Design of Medical Simulations. 2015; 10:295-307.
Madan SS, Pai DR. Role of Simulation in Arthroscopy Training. 2014;9:127-35.
Breton FB, Amy BT, Occhino JA. A Novel and Inexpensive Vaginal Hysterectomy Simulador. Simulation in Healthcare: ªe Journal of the Society for Simulation in Healthcare. 2012;7:374- 379.
Peter D. Using Simulations for Education, Training and Research. Germany: Ed. Pabst Science Publishers; 2009.
Rubio R. Medical Education: General Concepts and Strategies. Berlin: Ed. Pan Vascular Medicine; 2015.
Heather W, et al. Interdisciplinary ICU Cardiac Arrest Debrieng Improves Survival Outcomes. National Intitutes of Health. Crit Care Med. 2014;42(7):1688-1695.
Amaya A. Simulación clínica y aprendizaje emocional. Rev Colomb Psiquiat. 2012;41(3):44-51.
Murray DJ. Progress in simulation education: Foto: Nayeli developing an anesthesia curriculum. Current Opinion in Anaesthesiology. 2014;(27):610- 615.
Serna-Ojeda JC, Borunda-Nava D, Dominguez G. La simulación en medicina. La situación en México. Cir Cir. 2012;80:301-305.
Primer reporte anual de actividades. Resumen ejecutivo. Universidad Nacional Autónoma de México. Centro de Enseñanza por Simulación de Posgrado. Junio 2015 a diciembre 2016.
William C, et al. Does Simulation-Based Medical Education With Deliberate Practice Yield Better Results ªan Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence. Academic Medicine. 2011; 86(6):706-711.
William C, et al. Evaluating the impact of Simulation on Translational Patient Outcomes. Society for Simulation in Healthcare. 2011;6:42-47.
Martin A, Michael D. Medical error-the third leading cause of death in the US. BMJ. 2016:1-5.
Ralf K, et al. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Wolters Kluwer Health. Curr Opin Anesthesiol. 2015; 28:727-734.
Bowen L. Grand Challenges in Medical Modeling and Simulation. Can Computer Simulation Aid Physician Training. 2002;5(2):16-19.
Gwen MG, Paul EA. Urologic Surgical Simulation. An Endoscopic Bladder Model. Society for Simulation in Healthcare. 2011;6:352-355.
Vicki RL, M. Dylan B. Simulation in Postgraduate Medical Education. ªe Association of Faculties of Medicine of Canada. 2011:3-14.
Stanley J, et al. Reconsidering Fidelity in Simulation- Based Training. Academic medicine: journal of the Association of American Medical Colleges. 2014;89(3):387-392.
Stan H, Ingrid P. Simulation in Graduate Medical Education: Understanding Uses and Maximizing Benets. J Grad Med Educ. 2012;4(4): 539-540.