Journal of Educational Evaluation for Health Professions

Research articles

Comparison of virtual and in-person simulations for sepsis and trauma resuscitation training in Singapore: a randomized controlled trial: Matthew Jian Wen Low, Gene Wai Han Chan, Zisheng Li, Yiwen Koh, Chi Loong Jen, Zi Yao Lee, Lenard Tai Win Cheng; J Educ Eval Health Prof. 2024;21:33. Published online November 18, 2024; DOI: https://doi.org/10.3352/jeehp.2024.21.33

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Abstract PDF Supplementary Material: Purpose
This study aimed to compare cognitive, non-cognitive, and overall learning outcomes for sepsis and trauma resuscitation skills in novices with virtual patient simulation (VPS) versus in-person simulation (IPS).
Methods
A randomized controlled trial was conducted on junior doctors in 1 emergency department from January to December 2022, comparing 70 minutes of VPS (n=19) versus IPS (n=21) in sepsis and trauma resuscitation. Using the nominal group technique, we created skills assessment checklists and determined Bloom’s taxonomy domains for each checklist item. Two blinded raters observed participants leading 1 sepsis and 1 trauma resuscitation simulation. Satisfaction was measured using the Student Satisfaction with Learning Scale (SSLS). The SSLS and checklist scores were analyzed using the Wilcoxon rank sum test and 2-tailed t-test respectively.
Results
For sepsis, there was no significant difference between VPS and IPS in overall scores (2.0; 95% confidence interval [CI], -1.4 to 5.4; Cohen’s d=0.38), as well as in items that were cognitive (1.1; 95% CI, -1.5 to 3.7) and not only cognitive (0.9; 95% CI, -0.4 to 2.2). Likewise, for trauma, there was no significant difference in overall scores (-0.9; 95% CI, -4.1 to 2.3; Cohen’s d=0.19), as well as in items that were cognitive (-0.3; 95% CI, -2.8 to 2.1) and not only cognitive (-0.6; 95% CI, -2.4 to 1.3). The median SSLS scores were lower with VPS than with IPS (-3.0; 95% CI, -1.0 to -5.0).
Conclusion
For novices, there were no major differences in overall and non-cognitive learning outcomes for sepsis and trauma resuscitation between VPS and IPS. Learners were more satisfied with IPS than with VPS (clinicaltrials.gov identifier: NCT05201950).

Effect of an interprofessional simulation program on patient safety competencies of healthcare professionals in Switzerland: a before and after study: Sylvain Boloré, Thomas Fassier, Nicolas Guirimand; J Educ Eval Health Prof. 2023;20:25. Published online August 28, 2023; DOI: https://doi.org/10.3352/jeehp.2023.20.25

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Purpose
This study aimed to identify the effects of a 12-week interprofessional simulation program, operated between February 2020 and January 2021, on the patient safety competencies of healthcare professionals in Switzerland.
Methods
The simulation training was based on 2 scenarios of hospitalized patients with septic shock and respiratory failure, and trainees were expected to demonstrate patient safety competencies. A single-group before and after study was conducted after the intervention—simulation program, using a measurement tool (the Health Professional Education in Patient Safety Survey) to measure the perceived competencies of physicians, nurses, and nursing assistants. Out of 57 participants, 37 answered the questionnaire surveys 4 times: 48 hours before the training, followed by post-surveys at 24 hours, 6 weeks, and 12 weeks after the training. The linear mixed effect model was applied for the analysis.
Results
Four components out of 6 perceived patient safety competencies improved at 6 weeks but returned to a similar level before training at 12 weeks. Competencies of “communicating effectively,” “managing safety risks,” “understanding human and environmental factors that influence patient safety,” and “recognize and respond to remove immediate risks of harm” are statistically significant both overall and in the comparison between before the training and 6 weeks after the training.
Conclusion
Interprofessional simulation programs contributed to developing some areas of patient safety competencies of healthcare professionals, but only for a limited time. Interprofessional simulation programs should be repeated and combined with other forms of support, including case discussions and debriefings, to ensure lasting effects.

Citations

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Midwifery Students’ and Obstetricians’ Perception of Training in Non-Technical Skills
Coralie Fregonese, Paul Guerby, Gilles Vallade, Régis Fuzier
Simulation & Gaming.2025;[Epub] CrossRef
Interprofessional education interventions for healthcare professionals to improve patient safety: a scoping review
Yan Jiang, Yan Cai, Xue Zhang, Cong Wang
Medical Education Online.2024;[Epub] CrossRef

Content validity test of a safety checklist for simulated participants in simulation-based education in the United Kingdom: a methodological study: Matthew Bradley; J Educ Eval Health Prof. 2022;19:21. Published online August 25, 2022; DOI: https://doi.org/10.3352/jeehp.2022.19.21

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Abstract PDF Supplementary Material: Purpose
Simulation training is an ever-growing means of healthcare education and often involves simulated participants (SPs), commonly known as actors. Simulation-based education (SBE) can sometimes endanger SPs, and as such we have created a safety checklist for them to follow. This study describes how we developed the checklist through a quality improvement project, and then evaluated feedback responses to assess whether SPs felt our checklist was safe.
Methods
The checklist was provided to SPs working in an acute trust simulation service when delivering multidisciplinary SBE over 4 months. Using multiple plan–do–study–act cycles, the checklist was refined by reflecting on SP feedback to ensure that the standards of the safe simulation were met. We collected 21 responses from September to December 2021 after SPs completed an SBE event.
Results
The responses showed that 100% of SPs felt safe during SBE when using our checklist. The average “confidence in safety” rating before using the checklist was 6.8/10, which increased significantly to 9.2/10 after using the checklist (P<0.0005). The checklist was refined throughout the 4 months and implemented in adult and pediatric SBE as a standard operating procedure.
Conclusion
We recommend using our safety checklist as a standard operating procedure to improve the confidence and safety of SPs during safe and effective simulations.

Educational/faculty development material

Innovative digital tools for new trends in teaching and assessment methods in medical and dental education: Jung-Chul Park, Hyuk-Jae Edward Kwon, Chul Woon Chung; J Educ Eval Health Prof. 2021;18:13. Published online June 29, 2021; DOI: https://doi.org/10.3352/jeehp.2021.18.13

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631 Download
23 Web of Science
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Abstract PDF Supplementary Material

With the goal of providing optimal care to patients, student-centered active learning and the development of clinical competency have become vital components of the education of future physicians capable of sustainably coping with future challenges. However, the shape of future medicine is dramatically changing based on advances in information and communication technology, and the current classroom model seems to have difficulties in fully preparing students for the future of medicine. New trends in teaching and assessment methods include computer-aided instruction, virtual patients, augmented reality, human patient simulations, and virtual reality for the assessment of students’ competency. The digital technologies introduced in medical and dental education include Google Forms to collect students’ answers, YouTube livestreaming, Google Art & Culture (an online art museum), and choose-your-own-adventure as a story-telling technique. Innovations in digital technology will lead the way toward a revolution in medical and dental education, allowing learning to be individualized, interactive, and efficient.

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Developing and validating a knowledge-based AI assessment system for learning clinical core medical knowledge in otolaryngology
Jun-Ming Su, Su-Yi Hsu, Te-Yung Fang, Pa-Chun Wang
Computers in Biology and Medicine.2024; 178: 108765. CrossRef
Using a virtual patient system to improve medical students’ confidence in clinical diagnosis: a controlled study
Yew Kong Lee, Ping Yein Lee, Yee Ling Lau, Chirk Jenn Ng, Wei Leik Ng, Thiam Kian Chiew, Adina Abdullah, Jamuna Vadivelu, Amirah Amir, Christina Phoay Lay Tan, Caroline Kwong Leng Chin
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Large Language Models in Pediatric Education: Current Uses and Future Potential
Srinivasan Suresh, Sanghamitra M. Misra
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Facilitating Seamless Integration of Game-based Assessments in Medical Education
Saurabh RamBihariLal Shrivastava, Prateek Sudhakar Bobhate, Prithvi Brahmanand Petkar, Yugeshwari R Tiwade, Ankit K Badge
Contemporary Clinical Dentistry.2024; 15(3): 217. CrossRef
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Unlocking the potential: Evaluating the impact of online gamified and non-gamified assessment tools on academic performance, motivation, engagement and satisfaction in undergraduate medical education
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Incorporating Augmented Reality Patients Into Online Trauma Training to Support Mental Model Development
Lauren Mansour, Christen Sushereba, Christopher E. San Miguel, Laura G. Militello, Theodore T. Allen, Emily S. Patterson
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Perception of Remote Learning by Fixed Prosthodontic Students at a Romanian Faculty of Dentistry
Oana Tanculescu, Alina-Mihaela Apostu, Adrian Doloca, Sorina Mihaela Solomon, Diana Diaconu-Popa, Carmen Iulia Ciongradi, Raluca-Maria Vieriu, Ovidiu Aungurencei, Ana-Maria Fatu, Nicoleta Ioanid, Mihaela Scurtu, Catalina Iulia Saveanu
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The impact of coronavirus disease 2019 pandemic on dental school assessments – Current status and future perspectives
Neha Parikh, Amity Gardner, Alan L. Myers, Richard Halpin, Julian N. Holland, Dharini van der Hoeven
Journal of Dental Education.2023; 87(6): 825. CrossRef
Are Social Media Platforms Appropriate Sources of Information for Patients Regarding the Topic of Facial Trauma?
Sara Samur Erguven, Kubra Gulnur Topsakal
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The Digital Story Teaching Method for Master of Nursing Specialist Students
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The Role of E-Content Development in Medical Teaching: How Far Have We Come?
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Buzz Session as an Active Learning Method in Medical Undergraduate Physiology Teaching—An Institutional-Based Study
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The Implication of Virtual Reality Haptic Simulators on Cavity Preparation Proficiency in Dental Preclinical Education: A Systematic Review
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Application of computer-based testing in the Korean Medical Licensing Examination, the emergence of the metaverse in medical education, journal metrics and statistics, and appreciation to reviewers and volunteers
Sun Huh
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Metaverse, Crypto, and NFTs in Dentistry
Kelvin I. Afrashtehfar, Aiman S. H. Abu-Fanas
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An innovative approach to teaching depression and anxiety medication management: Virtual choose your own adventure, psychiatry edition
Nina Vadiei, Jeannie K. Lee
Mental Health Clinician.2022; 12(4): 225. CrossRef
Medical students’ self-assessed efficacy and satisfaction with training on endotracheal intubation and central venous catheterization with smart glasses in Taiwan: a non-equivalent control-group pre- and post-test study
Yu-Fan Lin, Chien-Ying Wang, Yen-Hsun Huang, Sheng-Min Lin, Ying-Ying Yang
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Research article

Comparison of the effects of simulated patient clinical skill training and student roleplay on objective structured clinical examination performance among medical students in Australia: Silas Taylor, Matthew Haywood, Boaz Shulruf; J Educ Eval Health Prof. 2019;16:3. Published online January 11, 2019; DOI: https://doi.org/10.3352/jeehp.2019.16.3

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436 Download
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12 Crossref

Abstract PDF Supplementary Material

Purpose
Optimal methods for communication skills training (CST) are an active research area, but the effects of CST on communication performance in objective structured clinical examinations (OSCEs) has not been closely studied. Student roleplay (RP) for CST is common, although volunteer simulated patient (SP) CST is cost-effective and provides authentic interactions. We assessed whether our volunteer SP CST program improved OSCE performance compared to our previous RP strategy.
Methods
We performed a retrospective, quasi-experimental study of 2 second-year medical student cohorts’ OSCE data in Australia. The 2014 cohort received RP-only CST (N=182) while the 2016 cohort received SP-only CST (N=148). The t-test and analysis of variance were used to compare the total scores in 3 assessment domains: generic communication, clinical communication, and physical examination/procedural skills.
Results
The baseline characteristics of groups (scores on the Australian Tertiary Admission Rank, Undergraduate Medicine and Health Sciences Admission Test, and medicine program interviews) showed no significant differences between groups. For each domain, the SP-only CST group demonstrated superior OSCE outcomes, and the difference between cohorts was significant (P<0.01). The superiority of volunteer SP CST over student RP CST in terms of OSCE performance outcomes was found for generic communication, clinical communication, and physical examination/procedural skills.
Conclusion
The better performance of the SP cohort in physical examination/procedural skills might be explained by the requirement for patient compliance and cooperation, facilitated by good generic communication skills. We recommend a volunteer SP program as an effective and efficient way to improve CST among junior medical students.

Citations

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Perceived authenticity across three forms of educational simulations—the role of interactant representation, task alignment, and continuity of simulation
Caroline Corves, Matthias Stadler, Martin R. Fischer
European Journal of Psychology of Education.2024; 39(4): 3253. CrossRef
Employing Simulated Participants to Develop Communication Skills in Medical Education
Ute Linder, Lilly Hartmann, Monika Schatz, Svetlana Hetjens, Ioanna Pechlivanidou, Jens J. Kaden
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A cost analysis of a 5-day simulation-based learning program for speech-language pathology student training
Elizabeth C. Ward, Emma Caird, Saval Khanal, Sanjeewa Kularatna, Joshua Byrnes, Adriana Penman, Sue Mcallister, Stacey Baldac, Elizabeth Cardell, Rachel Davenport, Bronwyn Davidson, Sally Hewat, Simone Howells, Patricia Mccabe, Alison Purcell, Joanne Walt
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Perception of simulation-based first-aid training by medical students: a qualitative descriptive study
Lukáš Plch, Daniel Barvík, Tereza Prokopová, Aneta Pilátová, Tereza Vafková, Jiří Zounek
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Application of objective structured clinical examination (OSCE) for the evaluation of Kampo medicine training
Marie Amitani, Haruka Amitani, Hajime Suzuki, Suguru Kawazu, Kimiko Mizuma, Kojiro Yamaguchi, Toshimichi Oki, Hideaki Nitta, Takuro Sonoda, Keiko Kawano, Yasuhiro Tanaka, Nanami Uto, Rie Ibusuki, Ryutaro Arita, Shin Takayama, Tadamichi Mitsuma, Toshiro Ta
BMC Medical Education.2022;[Epub] CrossRef
The Use of Simulated Patients Is more Effective than Student Role Playing in Fostering Patient‐Centred Attitudes during Communication Skills Training: A Mixed Method Study
Stanislaw Gorski, Anna Prokop-Dorner, Michal Pers, Agata Stalmach-Przygoda, Łukasz Malecki, Grzegorz Cebula, Katrien Bombeke, Mauro Henrique Nogueira Guimarães Abreu
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Improved detection of patient centeredness in objective structured clinical examinations through authentic scenario design
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Interventions for improving medical students' interpersonal communication in medical consultations
Conor Gilligan, Martine Powell, Marita C Lynagh, Bernadette M Ward, Chris Lonsdale, Pam Harvey, Erica L James, Dominique Rich, Sari P Dewi, Smriti Nepal, Hayley A Croft, Jonathan Silverman
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Empirical analysis comparing the tele-objective structured clinical examination and the in-person assessment in Australia
Jonathan Zachary Felthun, Silas Taylor, Boaz Shulruf, Digby Wigram Allen
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Raising rare disease awareness using red flags, role play simulation and patient educators: results of a novel educational workshop on Raynaud phenomenon and systemic sclerosis
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Case report

Authenticity, acceptability, and feasibility of a hybrid gynecology station for the Papanicolaou test as part of a clinical skills examination in Korea: Ji-Hyun Seo, Younglim Oh, Sunju Im, Do-Kyong Kim, Hyun-Hee Kong, HyeRin Roh; J Educ Eval Health Prof. 2018;15:4. Published online February 13, 2018; DOI: https://doi.org/10.3352/jeehp.2018.15.4

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319 Download
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Abstract PDF Supplementary Material

Purpose
The objective of this study was to evaluate the authenticity, acceptability, and feasibility of a hybrid station that combined a standardized patient encounter and a simulated Papanicolaou test.
Methods
We introduced a hybrid station in the routine clinical skills examination (CSE) for 335 third-year medical students at 4 universities in Korea from December 1 to December 3, 2014. After the tests, we conducted an anonymous survey on the authenticity, acceptability, and feasibility of the hybrid station.
Results
A total of 334 medical students and 17 professors completed the survey. A majority of the students (71.6%) and professors (82.4%) agreed that the hybrid station was more authentic than the standard CSE. Over 60 percent of the students and professors responded that the station was acceptable for assessing the students’ competence. Most of the students (75.2%) and professors (82.4%) assessed the required tasks as being feasible after reading the instructions.
Conclusion
Our results showed that the hybrid CSE station was a highly authentic, acceptable, and feasible way to assess medical students’ performance.

Citations

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From Research to Practice in OBGYN: How to Critically Interpret Studies in Implementation
Rebecca F. Hamm, Michelle H. Moniz
Clinical Obstetrics & Gynecology.2022; 65(2): 277. CrossRef
Clinical performance of medical students in Korea in a whole-task emergency station in the objective structured clinical examination with a standardized patient complaining of palpitations
Song Yi Park, Hyun-Hee Kong, Min-Jeong Kim, Yoo Sang Yoon, Sang-Hwa Lee, Sunju Im, Ji-Hyun Seo
Journal of Educational Evaluation for Health Professions.2020; 17: 42. CrossRef
To the Point: The expanding role of simulation in obstetrics and gynecology medical student education
Elise N. Everett, David A. Forstein, Susan Bliss, Samantha D. Buery-Joyner, LaTasha B. Craig, Scott C. Graziano, Brittany S. Hampton, Laura Hopkins, Margaret L. McKenzie, Helen Morgan, Archana Pradhan, Sarah M. Page-Ramsey
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Research Article

Patient Simulation: A Literary Synthesis of Assessment Tools in Anesthesiology: Alice A. Edler, Ruth G. Fanning, Michael. I. Chen, Rebecca Claure, Dondee Almazan, Brain Struyk, Samuel C. Seiden; J Educ Eval Health Prof. 2009;6:3. Published online December 20, 2009; DOI: https://doi.org/10.3352/jeehp.2009.6.3

40,311 View
178 Download
14 Crossref

Abstract PDF

High-fidelity patient simulation (HFPS) has been hypothesized as a modality for assessing competency of knowledge and skill in patient simulation, but uniform methods for HFPS performance assessment (PA) have not yet been completely achieved. Anesthesiology as a field founded the HFPS discipline and also leads in its PA. This project reviews the types, quality, and designated purpose of HFPS PA tools in anesthesiology. We used the systematic review method and systematically reviewed anesthesiology literature referenced in PubMed to assess the quality and reliability of available PA tools in HFPS. Of 412 articles identified, 50 met our inclusion criteria. Seventy seven percent of studies have been published since 2000; more recent studies demonstrated higher quality. Investigators reported a variety of test construction and validation methods. The most commonly reported test construction methods included ?占퐉odified Delphi Techniques??for item selection, reliability measurement using inter-rater agreement, and intra-class correlations between test items or subtests. Modern test theory, in particular generalizability theory, was used in nine (18%) of studies. Test score validity has been addressed in multiple investigations and shown a significant improvement in reporting accuracy. However the assessment of predicative has been low across the majority of studies. Usability and practicality of testing occasions and tools was only anecdotally reported. To more completely comply with the gold standards for PA design, both shared experience of experts and recognition of test construction standards, including reliability and validity measurements, instrument piloting, rater training, and explicit identification of the purpose and proposed use of the assessment tool, are required.

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John R. Boulet, David Murray
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Review article: Simulation in anesthesia: state of the science and looking forward
Vicki R. LeBlanc
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