The Hindu (Erode)

Valuable learning tool

Simulation­based training in healthcare offers a safe, effective way to hone skills, bridging the gap between theory and practice

- K. Narayanasa­my pushkala.s@tnmgrmu.ac.in (The author is Vice-Chancellor, The Tamilnadu Dr MGR Medical University)

Simulation, in simple terms, involves artificial­ly recreating real events and processes in controlled conditions. It has opened a new avenue of teaching critical medical practices while giving the space to students to safely make mistakes.

Simulation recreates a realtime experience to attain educationa­l objectives through experienti­al handson learning. This is helping in reducing the dependence on traditiona­l bedside learning from patients.

Concerns of patient safety, growing patient awareness and litigation, busier hospitals, shortage of resources, bigger training groups, and lack of handson learning opportunit­ies have all been compelling reasons to look for better alternativ­es to bedside learning. The pandemic has also forced us to reduce dependence on real patients to pick up skills.

Historical­ly, teaching and trial of new techniques happened directly on real patients. Today, recreating scenarios in a simulated environmen­t offers an opportunit­y for students and clinicians to acquire, adjust, and master expertise in the field until the desired outcome is achieved. Recreation of reallife patient experience­s in a simulated environmen­t is now offering a great alternativ­e to convention­al methodolog­ies. The solutions in simulation training start with simple skill training models and go up to super speciality simulators.

Learning the skills on a training model bridges the gap between theory and practice. These training models offer the liberty of repeated practice and assessment in a safe and effective manner.

Simulation brings alive the knowledge acquired from books and lectures before experienci­ng it with a real patient.

Technologi­cal advancemen­t has broadened the training possibilit­ies of simulation in super speciality courses like arthroscop­y, endovascul­ar surgery, urology, gynaecolog­y, robotic surgery, endoscopy, ultrasonog­raphy, and many more.

The order and complexity of clinical procedures are often presented to the trainee in a random manner, which gives suboptimal and inefficien­t learning opportunit­ies. Virtual reality offers potential for training, assessment, and rehearsal of such procedures outside the operating room in a safe environmen­t.

Procedures can either be simulated using cases on the simulator, or by using real anatomy derived from imaging methods such as computed tomography angiograph­y (CTA) or magnetic resonance angiograph­y (MRA). Such training will now play a very crucial role in education settings and in certificat­ions. Similarly, profession­als can now be trained on a simulator on the various complicati­ons they may encounter in an intensive care unit (ICU) or an operation theatre.

This is changing the way healthcare is taught and how students and profession­als acquire and enhance their skill. Learning on simulators or in a simulated environmen­t also offers an opportunit­y to enhance decision making, communicat­ion, leadership, and teamwork. It also helps in addressing a key challenge of medical errors causing harm to real patients because of various factors during the caregiving process.

Simulation centres, equipped with these training models and simulators, offer a real hospitalli­ke atmosphere.

They provide an opportunit­y to experience rare situations that students may not encounter during the tenure of their programme.

The centres also provide multidisci­plinary team training, which is a rarity in convention­al healthcare curriculum. This addresses the challenges of healthcare providers from different discipline­s working as a team.

Profession­als and students in medical, dental, nursing, and allied science programmes are all going to benefit through this simulation experience. The growing acceptance of simulation in healthcare is now driving the incorporat­ion of advanced technologi­es like artificial intelligen­ce and virtual reality into the field. This will help to provide the trainees with the most lifelike simulation products and solutions.

Simulation­based training has become an indispensa­ble component of healthcare education, offering a safe and effective way to train and assess healthcare profession­als across various discipline­s. The emphasis on practical skills, patient safety, and multidisci­plinary collaborat­ion positions simulation as a cornerston­e in modern healthcare education.

 ?? ILLUSTRATI­ON: SATHEESH VELLINEZHI ??
ILLUSTRATI­ON: SATHEESH VELLINEZHI

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