Cureus. 2015 Dec 17;7(12):e412. doi: 10.7759/cureus.412.
Exploring Mechanisms for Effective Technology-Enhanced Simulation-based Education in Wilderness Medicine: A Systematic Review.
Cureus
Ralph MacKinnon, Deborah Aitken, Christopher Humphries
Affiliations
Affiliations
- Department of Paediatric Anaesthesia & North West and North Wales Paediatric Transport Service, Royal Manchester Children's Hospital, UK.
- Research and Innovation, Royal Manchester Children's Hospital, UK.
- Royal Preston Hospital, Preston, UK.
PMID: 26824012
PMCID: PMC4725672 DOI: 10.7759/cureus.412
Abstract
BACKGROUND: Technology-enhanced simulation is well-established in healthcare teaching curricula, including those regarding wilderness medicine. Compellingly, the evidence base for the value of this educational modality to improve learner competencies and patient outcomes are increasing.
AIMS: The aim was to systematically review the characteristics of technology-enhanced simulation presented in the wilderness medicine literature to date. Then, the secondary aim was to explore how this technology has been used and if the use of this technology has been associated with improved learner or patient outcomes.
METHODS: EMBASE and MEDLINE were systematically searched from 1946 to 2014, for articles on the provision of technology-enhanced simulation to teach wilderness medicine. Working independently, the team evaluated the information on the criteria of learners, setting, instructional design, content, and outcomes.
RESULTS: From a pool of 37 articles, 11 publications were eligible for systematic review. The majority of learners in the included publications were medical students, settings included both indoors and outdoors, and the main focus clinical content was initial trauma management with some including leadership skills. The most prevalent instructional design components were clinical variation and cognitive interactivity, with learner satisfaction as the main outcome.
CONCLUSIONS: The results confirm that the current provision of wilderness medicine utilizing technology-enhanced simulation is aligned with instructional design characteristics that have been used to achieve effective learning. Future research should aim to demonstrate the translation of learning into the clinical field to produce improved learner outcomes and create improved patient outcomes.
Keywords: education; learner outcomes; medical simulation; systematic review; technology; wilderness medicine
References
- Med Teach. 2012;34(6):e349-85 - PubMed
- Clin Teach. 2013 Dec;10(6):389-93 - PubMed
- Med Teach. 2007 Jun;29(5):472-6 - PubMed
- JAMA. 2010 Oct 20;304(15):1693-700 - PubMed
- JAMA. 2008 Sep 10;300(10):1181-96 - PubMed
- Acad Med. 2011 Jun;86(6):706-11 - PubMed
- BMJ Qual Saf. 2013 Jun;22(6):468-77 - PubMed
- Wilderness Environ Med. 2004 Summer;15(2):136-45; discussion 135 - PubMed
- Toxicon. 2013 Jul;69:126-30 - PubMed
- Wilderness Environ Med. 2011 Mar;22(1):91-3 - PubMed
- Wilderness Environ Med. 2010 Jun;21(2):137-40 - PubMed
- Pediatr Emerg Care. 2007 Jan;23(1):11-5 - PubMed
- Wilderness Environ Med. 1997 May;8(2):127-8 - PubMed
- Med Teach. 2005 Jan;27(1):10-28 - PubMed
- Acad Emerg Med. 2008 Nov;15(11):988-94 - PubMed
- Pediatrics. 2008 Mar;121(3):e597-603 - PubMed
- Arch Intern Med. 2009 Aug 10;169(15):1420-3 - PubMed
- Wilderness Environ Med. 2011 Sep;22(3):277-80 - PubMed
- Simul Healthc. 2008 Summer;3(2):119-27 - PubMed
- Wilderness Environ Med. 2010 Jun;21(2):166-170.e2 - PubMed
- Wilderness Environ Med. 2014 Mar;25(1):50-5 - PubMed
- Resuscitation. 2014 Jul;85(7):945-51 - PubMed
- BMJ. 1999 Jul 17;319(7203):136-7 - PubMed
- Anesthesiology. 1988 Sep;69(3):387-94 - PubMed
- Acad Med. 2010 May;85(5):909-22 - PubMed
- Acad Emerg Med. 2008 Nov;15(11):1010-6 - PubMed
- J Crit Care. 2008 Jun;23(2):157-66 - PubMed
- Med Teach. 2013;35(1):e867-98 - PubMed
- JAMA. 2011 Sep 7;306(9):978-88 - PubMed
- Wilderness Environ Med. 2000 Spring;11(1):52-5 - PubMed
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