Use of interactive education in undergraduate teaching of acute medicine: the virtual and standardised patient, operating theatre broadcasting

Czech version

Authors: H. Harazim ¹; P. Štourač ²; M. Kosinová ¹; O. Smékalová ¹; R. Štoudek ²; D. Schwarz ³; V. Rusňák ⁴; M. Liška ⁵
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta Masarykovy univerzity, Fakultní nemocnice Brno, Brno ¹; Klinika dětské anesteziologie a resuscitace, Lékařská fakulta Masarykovy univerzity, Fakultní nemocnice Brno, Brno ²; Institut biostatistiky a analýz, Lékařská fakulta Masarykovy univerzity, Brno ³; Ústav výpočetní techniky, Masarykova univerzita, Brno ⁴; CESNET, z. s. p. o., Praha ⁵
Published in: Anest. intenziv. Med., 26, 2015, č. 4, s. 202-212
Category: Anaesthesiology - Original Paper

Overview

Management of the critical patient in the undergraduate teaching of medicine is an important part of first aid, intensive care medicine and anaesthesiology. The aim of this paper is to present an overview of the interactive learning opportunities which are offered to students at the Medical Faculty of Masaryk University (MF MU): the use of the virtual patient (interactive algorithms, clinical scenarios), the standardised patient, skills training on patient models, simulators with an embedded computer model or videoconference streaming from operating theatres. These teaching methods have become part of undergraduate teaching of medicine, dentistry and nursing.

Since the year 2007, 43 interactive learning algorithms have been created at MF MU in the Czech-English version. The process of creation takes two semesters and is performed by groups of 2–3 students of medicine under the supervision of a physician. The created algorithm is in the form of a Flash object freely accessible online through the AKUTNE.CZ portal (www.akutne.eu). The clinical scenarios represent real cases of patients with severe sepsis hospitalized on ICUs participating in EPOSS (eposs.registry.cz; Data-based evaluation and prediction of outcome in severe sepsis). Videoconference streaming from operating theatres to teaching rooms enables a large number of students to watch a rare surgical procedure without entering the operating theatre. Advanced patient simulator by CAE Healthcare^® has been used for four years at MF MU to practice team leadership and communication skills in the subjects of first aid, intensive care medicine and emergency medicine.

We present an overview of methods that can enrich undergraduate education of acute medicine, along with instructions for their implementation into the curriculum.

Keywords:
e-learning – high fidelity simulation – live streaming – Team Based Learning (TBL) – Problem Based Learning (PBL) – Case Based Learning (CBL) – www.akutne.eu, www.sepsis-q.cz

Sources

1. Conradi, E. et al. PREVIEW: Problem-based learning in virtual worlds. The Newsletter of the Higher Education Academy Subject Centre for Medicine, Dentistry and Veterinary Medicine, 2009 [cit. 2014-10-20], 18, p. 20–22. Dostupný na www:<http://www.medev.ac.uk/newsletter/article/250/>

2. Holzinger, A. et al. Learning performance with interactive simulations in medical education: Lessons learned from results of learning complex physiological models with the HAEMOdynamics SIMulator. Comput Educ, 2009, 52, p. 292–301.

3. Wong, R.W., Lochnan, H. A. A web-based simulation of a longitudinal clinic used in a 4-week ambulatory rotation: a cohort study. BMC Med Educ, 2009,9 [cit. 2014-10-20]. Dostupný na www: http://doi: 10.1186/1472-6920-9-8.

4. Subramanian, A. et al. Novel educational approach for medical students: improved retention rates using interactive medical software compared with traditional lecture-based format. J Surg Educ, 2012, 69, p. 449–452.

5. Štourač, P., Harazim, H., Schwarz, D., Křikava, I., Komenda, M.,Štoudek, R., Smékalová, O., Kosinová, M., Hůlek, R., Maláska, J.,Šustr, R., Šnábl, I., Dušek, L., Gál, R. AKUTNE.CZ algorithms and SEPSIS-Q scenarios as interactive tools for problem based learning sessions in medical education. MEFANET Journal, 2013, 2, p. 61–73. [cit. 2014-10-20] Dostupný na www:http://mj.mefanet.cz/mj-02130330.

6. Štourač, P., Kosinová, M., Harazim, H., Smékalová, O., Štoudek, R., Gál, R. Experience-based teaching of acute medicine for extra motivated medical students and young physicians – 4th Emergency Medicine Course and 6th. AKUTNĚ.CZ Congress. MEFANET Journal, 2014, 2, p. 79–82. [cit. 2014-12-12]. Dostupný na www: http://mj.mefanet.cz/mj-04141205.

7. Pothiawala, S., Lateef, F. Simulation training in emergency medicine (STEM): an integral component of residency curriculum. Hong Kong J Emerg Med, 2012, 19, p. 41–45.

8. Štourač, P. et al. AKUTNE.CZ projects – How to join medical students to e-learning content developing. In Schwarz, D., Komenda, M., Štípek, S., Mihál, V., Dušek, L. (eds). MEFANET Report 03. Brno: Masaryk University, 2010, s. 101–103. ISBN 978-80-210-5302-1.

9. Schwarz, D., Štourač, P., Komenda, M., Harazim, H., Kosino-vá, M., Gregor, J., Hůlek, R., Smékalová, O., Křikava, I., Štoudek, R.,Dušek, L. Interactive Algorithms for Teaching and Learning Acute Medicine in the Network of Medical Faculties MEFANET. J Med Internet Res, 2013, 15 [cit. 2014-10-20]. Dostupný na www: < 10.2196/jmir.2590 >

10. Maláska, J., Slezák, M., Schwarz, D., Jarkovský, J., Adamus, M.,Cvachovec, K., Černý, V., Dostál, P., Fořtová, M., Havel, E., Herold, I., Kasal, E., Kula, R., Maňák, J., Matějovič, M., Nalos, D.,Pařízková, R., Šobáňová, A., Šrámek, V., Tichý, J., Turek, R., Zýková, I., Dušek, L., Ševčík, P. Léčba těžké sepse na pracovištích intenzivní péče v České republice – pilotní výsledky projektu EPOSS. Vnitř Lék, 2013, 59, p. 962–970.

11. Schwarz, D. et al. Advanced clinical case player for data-driven education based on real severe sepsis cases. In Schwarz, D., Komenda, M., Štípek, S., Mihál, V., Dušek, L. (eds). MEFANET Report 05. Brno : Facta Medica, 2012, s. 72–78. ISBN 978-80-904731-3-3.

12. Maran, N. J., Glavin, R. J. Low- to high-fidelity simulation – a continuum of medical education? Medical Education, 2003, 37, p. 22–28.

13. Kofránek, J., Vu, L. D., Snášelová, H., Kerekes, R., Velan, T.GOLEM – multimedia simulator for medical education. Stud Health Technol Inform, 2001, 84, p. 1042–1046.

14. Davids, M. R., Chikte, U. M., Halperin, M. L. Development and evaluation of a multimedia e-learning resource for electrolyte and acid-base disorders. Adv Physiol Educ, 2011, 35, p. 295–306.

15. CAE Healthcare – Patient Simulator Műse [online]. 2013 [cit. 2014-01-20]. Dostupný na www: <http://caehealthcare.com/eng/patient-simulators/muse?utm_source=mm&utm_medium=quicklink&utm_campaign=patient+to+muse>

16. Holub, P., Liška, M. High-Definition Video Transmissions for Medical Applications and Education. Technology and Health Care, 2005, 13, p. 398–400.

17. Kononowicz, A. A. et al. A Framework for Different Levels of Integration of Computational Models Into Web-Based Virtual Patients. J. Med. Internet Res., 2014, 16. [cit. 2015-01-20]. Dostupný na www: <10.2196/jmir.2593>

18. Nordquist, J., Laing, A. Spaces for learning – A neglected area in curriculum change and strategic educational leadership. Medical Teacher, 2014, 36, p. 555–556.

19. Jin, J., Bridges, S. M. Educational Technologies in Problem--Based Learning in Health Sciences Education: A Systematic Review. J. Med. Internet Res., 2014, 16. [cit. 2015-01-20]. Dostupný na www: < 10.2196/jmir.3240 >.

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Article was published in

Anaesthesiology and Intensive Care Medicine

2015 Issue 4