[en] The place of simulation in medical education, particularly in anesthesia, appears to be more and more evident. However, the history of simulation in Belgium showed that the associated costs remain a barrier. The use of 'in situ' simulation, defined as the practice of simulation in the usual workplace, could solve the problem of providing access to this educational tool. Indeed, it allows reducing equipment and manpower costs: the needed equipment comes from the hospital, and supervision and organization are provided by staff members. It also provides access to simulation for a larger number of individuals on site. The environment is more realistic because the participants operate in their usual workplace, with their customary equipment and team. Furthermore, 'in situ' simulation allows participation of the paramedical staff. This allows developing skills related to teamwork and communication. Despite those numerous advantages, several difficulties persist. The associated logistic and organizational constraints can be cumbersome.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Pospiech, A.
Lois, Fernande ; Centre Hospitalier Universitaire de Liège - CHU > Service d'anesthésie - réanimation
Van Dyck, M.
Kahn, D.
De Kock, M.
Language :
English
Title :
Should the "in situ" simulation become the new way in Belgium? Experience of an academic hospital.
Okuda Y., Bryson E. O., DeMaria S. Jr, Jacobson L., Quinones J., Shen B., Levine A. I., The utility of simulation in medical education : what is the evidence ?, MT. SINAI J. MED., 76, 330-343, 2009.
McGaghie W. C., Issenberg S. B., Cohen E. R., Barsuk J. H., Wayne D. B., Does simulation-based medical education with deliberate practice yield better results than traditional clinical education ? A meta-analytic comparative review of the evidence, ACAD. MED., 86, 706-711, 2011.
Issenberg S. B., McGaghie W. C., Petrusa E. R., Gordon D.L., Scalese R. J., Features and uses of high-fidelity medical simulations that lead to effective learning : a BEME systematic review, MED. TECH., 27, 10-28, 2005. (Pubitemid 40514851)
Cook D. A., Hatala R., Brydges R., Zendejas B., Szostek J. H., Wang. T., Erwin P. J., Hamstra S. J., Technology-enhanced simulation for health professions education, JAMA, 306, 978-988, 2011.
Denson J. S., Abrahamson S., A computer-controlled patient simulator, JAMA, 208 (3), 504-508, 1969.
Abrahamson S., Denson J. S., Wolf R. M., Effectiveness of a simulator in training anesthesiology residents, J. MED. EDUC., 44, 515-519, 1969.
Schwid H.A., A flight simulator for general anesthesia training, COMPUT. BIOMED. RES., 20 (1), 64-75, 1987. (Pubitemid 17030825)
Gaba D. M., DeAnda A., A comprehensive anesthesia simulation environment : re-creating the operating room for research and training, ANESTHESIOLOGY, 69, 387-394, 1988.
Gaba D. M., DeAnda A., The response of anesthesia trainees to simulated critical incidents, ANESTH. ANALG., 68, 444-451, 1989. (Pubitemid 19102656)
Good M. L., Gravenstein J. S., Mahla M. E., White S. E., Banner M. J., Carovano R. G., Lampotang S., Can simulation accelerate the learning of basic anesthesia skills by beginning anesthesia residents ?, ANESTHESIOLOGY, 77 (3A), A1133, 1992.
Gouvitsos F., Vallet B., Scherpereel P., Anesthesia simulators : benefits and limits of experience gained at several European university hospitals, ANN. FR. ANESTH. REANIM., 18, 787-795, 1999.
Larbuisson R., Pendeville P., Nyssen A. S., Janssens M., Mayné A., Use of Anesthesia Simulator: initial impressions of its use in two Belgian University Centers, ACTA ANAESTHESIOL. BELG., 50 (2), 87-93, 1999. (Pubitemid 29320933)
Weinstock P. H.,Kappus L. J., Kleinman M. E., Grenier B., Hickey P., Burns J. P., Toward a new paradigm in hospital-based pediatric education : the development of an onsite simulator program, PEDIATR. CRIT. CARE MED., 6, 635-641, 2005.
Weinstock P. H., Kappus L. J., Garden A., Burns J.P., Simulation at the point of care: Reduced-cost, in situ training via a mobile cart, PEDIATR. CRIT. CARE MED., 10, 176-181, 2009.
Calhoun A. W., Boone M. C., Peterson E. B., Boland K. A., Montgomery V. L., Integrated in-situ simulation using re-directed faculty educational time to minimize costs, SIMUL. HEALTHC., 6 (6), 337-344, 2011.
Kurrek M. M., Devitt J. H., The cost for construction and operation of a simulation centre, CAN. J. ANAESTH., 44, 1191-1195, 1997. (Pubitemid 28052843)
Mercer S. J., Moneypenny M. J., fredy O., Guha A., What should be included in a simulation course for anesthetists ? The Merseyside trainee perspective, EUR. J. ANAESTHESIOL., 29, 137-142, 2012.
Kobayashi L., Shapiro M.J., Sucov A., Woolard R., Boss R.M. 3rd, Dunbar J., Sciamacco R., Karpik K., Jay G., Portable advanced medical simulation for new emergency department testing and orientation, ACAD. EMERG. MED., 13, 691-695, 2006. (Pubitemid 43744549)
Geis G.L., Pendergrass T. L., Moyer M.R., Patterson M. D., Simulation to assess of new healthcare teams and new facilities, SIMUL. HEALTHC., 6, 125-133, 2011.
Patterson M.D., Blike G.T., Nadkarmi V.M., In Situ Simulation : Challenges and Results. In : Advances in patient safety : new directions and alternative approaches, Vol. 3 : Performance and tools. Henriksen K., Battles J. B., Keyes M. A., Grady M. L., eds. Rockville (MD): Agency for healthcare research and quality (US), 2008.
