the impact of tele-simulation on learner satisfaction• students disagreedwhen asked i “tele...

The impact of Tele-Simulation on Learner SatisfactionEric Schrandt, MD, Ben Whitaker BS, Tyler Burk BS, Todd Peterson, MD

Department of Emergency Medicine, Office of Interprofessional Simulation - University of Alabama at Birmingham

Introduction• The use of simulation for medical education is a widespread and

effective teaching modality. • Lack of educators trained and experienced in facilitating and

debriefing simulation sessions has impacted its adoption.• UASOM currently has 4 Regional Campuses, with widespread

use of simulation at only 1 Campus• “Telesimulation” is method to use videoconferencing to have

students at remote campuses participate in simulation cases run by a faculty member at a centralized location.

• This could improved both the quality and standardization of clinical curriculum

• This Proof of Concept Pilot Study was designed to test feasibility and learner satisfaction

Methods• Eight medical students completed four case-based simulated

patient encounters in two groups.• 2 Cases were debriefed via the standard method with a faculty

member in the room• 2 Cases were debriefed remotely by a faculty member over a

video feed who watched the event over a “Google Chat” live video

• Learners were then surveyed regarding their satisfaction with the two debriefing modalities

Results• There was no difference in learner satisfaction between the

standard and telesim debriefing scenarios, with each receiving a (5/5) “Strongly agree” score on the likert scale

• Students agreed that they would prefer “TeleSimulation” to to the option of not having simulation as an educational tool (4.75/5) on the likert scale

• Students disagreedwhen asked i “Tele Debriefing” negatively affected the educational session (1.71/5)

Conclusions• This was a pilot study investigated the basic feasibility of using

tele-debriefing during education simulation sessions with medical students.

• Google Chat proved to be an effective, easily replicable tool for TeleSimulation

• Learner satisfaction with the debriefing with TeleSimulation was identical to standard, in person modalities

• This appears to be a viable option for bringing simulation to learners who are not in the same physical location as faculty who are trained in debriefing techniques

• More data is needed to confirm the results of this pilot with larger groups of learners.

Students engaged in simulated patient encounter being observed remotely through video-conferencing. Students involved in debriefing session through video-conferencing.

Issenberg SB, McGaghie WC, Petrusa ER, Lee Gordon D, Salese RJ. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 2005; 27(1):10-28.

Strongly Disagree

Disagree Neutral Agree Strongly

Agree

The debriefing session for the ACS/code room was effective (standard debriefing) 100%

The debriefing session for the DKA/sepsis room was effective (tele-debriefing) 100%

The use of “tele-debriefing” negatively affected the debriefing session 37.5% 37.5% 25%

I would prefer simulation with “tele-debriefing” to no simulation at all 25% 75%

Table 1: Results of survey of participants

0

1

2

3

4

5

Standard Sim EffectiveDebriefing

Tele Sim EffectiveDebriefing

Tele Sim NegativelyAffected the Debriefing

Session

I Would Prefer "Tele Sim"to no Sim at all

Stro

ngly

Dis

agre

e (1

)

Str

ongl

y A

gree

(5)

Learner Satisfaction with TeleSim