The minimal relationship between simulation fidelity and transfer of learning.
Medical Education 2012 Context High-fidelity simulators have enjoyed increasing popularity despite costs that may approach six figures. This is justified on the basis that simulators have been shown to result in large learning gains that may transfer to actual patient care situations. However, most...
| Publicado en: | Medical Education Vol. 46; no. 7; pp. 636 - 648 |
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| Autores principales: | , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104460909&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104460909 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Jul2012 vid: 46 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104460909 76486538 10.1111/j.1365-2923.2012.04243.x NLM22616789 104460909 ppf: 636 ppct: 12 formats: fmt: @attributes: type: P tig: atl: The minimal relationship between simulation fidelity and transfer of learning. aug: au: Norman, Geoff Dore, Kelly Grierson, Lawrence affil: Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada sug: subj: Simulations Statistics and Numerical Data Student Performance Appraisal Learning Environment, Clinical Competency Assessment Transfer (Psychology) Evaluation Students, Medical Videorecording Heart Sounds Auscultation Crisis Intervention Motor Skills Outcomes of Education Skill Acquisition Costs and Cost Analysis ab: Medical Education 2012 Context High-fidelity simulators have enjoyed increasing popularity despite costs that may approach six figures. This is justified on the basis that simulators have been shown to result in large learning gains that may transfer to actual patient care situations. However, most commonly, learning from a simulator is compared with learning in a 'no-intervention' control group. This fails to clarify the relationship between simulator fidelity and learning, and whether comparable gains might be achieved at substantially lower cost. Objectives This analysis was conducted to review studies that compare learning from high-fidelity simulation (HFS) with learning from low-fidelity simulation (LFS) based on measures of clinical performance. Methods Using a variety of search strategies, a total of 24 studies contrasting HFS and LFS and including some measure of performance were located. These studies referred to learning in three areas: auscultation skills; surgical techniques, and complex management skills such as cardiac resuscitation. Results Both HFS and LFS learning resulted in consistent improvements in performance in comparisons with no-intervention control groups. However, nearly all the studies showed no significant advantage of HFS over LFS, with average differences ranging from 1% to 2%. Discussion The factors influencing learning, and the reasons for this surprising finding, are discussed. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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