COVID-19; Distance; Education; Learning; Pandemics; Simulation; Surveys and questionnaires; Technology; General Earth and Planetary Sciences; General Environmental Science
Abstract :
[en] [en] BACKGROUND: The coronavirus pandemic continues to shake the embedded structures of traditional in-person education across all learning levels and across the globe. In healthcare simulation, the pandemic tested the innovative and technological capabilities of simulation programs, educators, operations staff, and administration. This study aimed to answer the question: What is the state of distance simulation practice in 2021?
METHODS: This was an IRB-approved, 34-item open survey for any profession involved in healthcare simulation disseminated widely and internationally in seven languages from January 14, 2021, to March 3, 2021. Development followed a multistep process of expert design, testing, piloting, translation, and recruitment. The survey asked questions to understand: Who was using distance simulation? What driving factors motivated programs to initiate distance sim? For what purposes was distance sim being used? What specific types or modalities of distance simulation were occurring? How was it being used (i.e., modalities, blending of technology and resources and location)? How did the early part of the pandemic differ from the latter half of 2020 and early 2021? What information would best support future distance simulation education? Data were cleaned, compiled, and analyzed for dichotomized responses, reporting frequencies, proportions, as well as a comparison of response proportions.
RESULTS: From 32 countries, 618 respondents were included in the analysis. The findings included insights into the prevalence of distance simulation before, during, and after the pandemic; drivers for using distance simulation; methods and modalities of distance simulation; and staff training. The majority of respondents (70%) reported that their simulation center was conducting distance simulation. Significantly more respondents indicated long-term plans for maintaining a hybrid format (82%), relative to going back to in-person simulation (11%, p < 0.001).
CONCLUSION: This study gives a perspective into the rapid adaptation of the healthcare simulation community towards distance teaching and learning in reaction to a radical and quick change in education conditions and environment caused by COVID-19, as well as future directions to pursue understanding and support of distance simulation.
Disciplines :
Education & instruction
Author, co-author :
BULEON, Clément ; Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences ; Department of Anesthesiology, Intensive Care and Perioperative Medicine, Caen Normandy University Hospital, Caen, France ; Medical School, University of Caen Normandy, Caen, France ; Center for Medical Simulation, Boston, MA, USA
Caton, J; Division of Hospital Medicine, Stanford University School of Medicine, Standford, CA, USA
Park, Y S; Department of Anesthesia, Critical Care, & Pain Medicine, Harvard Medical School, 36 1st Avenue, Boston, MA, 02129-4557, USA
Eller, S; Department of Immersive Learning and Learning Spaces, Stanford University School of Medicine, Standford, CA, USA
Buyck, M; Department of Pediatric Emergency, Sainte-Justine Hospital University Center, Montreal, Canada
Kardong-Edgren, S; Center for Medical Simulation, Boston, MA, USA ; MGH Institute of Health Professions, Boston, MA, USA ; College of Health Professions, Boston, MA, USA
Walsh, B M; Department of Pediatric Emergency Medicine, Boston University School of Medicine, Boston, MA, USA
Gross, I T; Department of Pediatrics, Yale University School of Medicine, New Heaven, CT, USA
Maxworthy, J; School of Nursing and Health Professions, University of San Francisco, San Francisco, CA, USA
Reedy, G; Center for Medical Simulation, Boston, MA, USA ; Faculty of Life Sciences and Medicine, King's College London, London, UK
Palaganas, J C ; Center for Medical Simulation, Boston, MA, USA. jpalaganas@mgh.harvard.edu ; Department of Anesthesia, Critical Care, & Pain Medicine, Harvard Medical School, 36 1st Avenue, Boston, MA, 02129-4557, USA. jpalaganas@mgh.harvard.edu ; MGH Institute of Health Professions, Boston, MA, USA. jpalaganas@mgh.harvard.edu
Language :
English
Title :
The state of distance healthcare simulation during the COVID-19 pandemic: results of an international survey.
Ip G. Covid-19 Propelled Businesses Into the Future. Ready or Not. Wall Street Journal [Internet]. 2020 Dec 26 [cited 2021 Mar 29]; Available from: https://www.wsj.com/articles/covid-19-propelled-businesses-into-the-future-ready-or-not-11608958806.
Dhawan S. Online Learning: A panacea in the time of COVID-19 crisis. Journal of Educational Technology Systems. SAGE Publications Inc. 2020;49(1):5–22. 10.1177/0047239520934018. DOI: 10.1177/0047239520934018
The Lancet. COVID-19: protecting health-care workers. Lancet. 2020;395:922.
Eysenbach G. Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004;6(3):e34. 10.2196/jmir.6.3.e34. DOI: 10.2196/jmir.6.3.e34
Artino AR, La Rochelle JS, Dezee KJ, Gehlbach H. Developing questionnaires for educational research: AMEE Guide No. 87. Med Teach. 2014;36(6):463–74. 10.3109/0142159X.2014.889814. DOI: 10.3109/0142159X.2014.889814
Duff J, Kardong-Edgren S, Chang TP, Elkin RL, Ramachandra G, Stapleton S, et al. Closing the gap: a call for a common blueprint for remote distance telesimulation. BMJ Simul Technol Enhanc Learn; 2021;bmjstel.
Cheng A, Kessler D, Mackinnon R, Chang TP, Nadkarni VM, Hunt EA, et al. Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements. Adv Simul (Lond). 2016;1:25. DOI: 10.1186/s41077-016-0025-y
Zhao L, Hwang W-Y, Shih TK. Investigation of the physical learning environment of distance learning under COVID-19 and its influence on students’ health and learning satisfaction. Int J Dist Educ Technol. 2021;19:77–98. DOI: 10.4018/IJDET.20210401.oa4
Tuma F, Kamel MK, Shebrain S, Ghanem M, Blebea J. Alternatives surgical training approaches during COVID-19 pandemic. Ann Med Surg (Lond). 2021;62:253–7. DOI: 10.1016/j.amsu.2021.01.057
Bradford HM, Farley CL, Escobar M, Heitzler ET, Tringali T, Walker KC. Rapid curricular innovations during COVID-19 clinical suspension: maintaining student engagement with simulation experiences. J Midwifery Womens Health. 2021;66(3):366–71. 10.1111/jmwh.13246. DOI: 10.1111/jmwh.13246
Hayden EM, Khatri A, Kelly HR, Yager PH, Salazar GM. Mannequin-based telesimulation: increasing access to simulation-based education. Fernandez R, editor. Acad Emerg Med. 2018;25(2):144–7. 10.1111/acem.13299. DOI: 10.1111/acem.13299
Wyres M, Taylor N. COVID-19: using simulation and technology-enhanced learning to negotiate and adapt to the ongoing challenges in UK healthcare education. BMJ Simul Technol Enhanc Learn. 2020;6(6):317–9. 10.1136/bmjstel-2020-000642. DOI: 10.1136/bmjstel-2020-000642
Li L, Lin M, Wang X, Bao P, Li Y. Preparing and responding to 2019 novel coronavirus with simulation and technology-enhanced learning for healthcare professionals: challenges and opportunities in China. BMJ Simul Technol Enhanc Learn. 2020;6(4):196–8. 10.1136/bmjstel-2020-000609. DOI: 10.1136/bmjstel-2020-000609
Alcocer Alkureishi M, Lenti G, Choo Z-Y, Castaneda J, Weyer G, Oyler J, et al. Teaching telemedicine: the next frontier for medical educators. JMIR Med Educ. 2021;7(2):e29099. 10.2196/29099. DOI: 10.2196/29099
Thibault GE. The future of health professions education: emerging trends in the United States. FASEB Bioadv. 2020;2(12):685–94. 10.1096/fba.2020-00061. DOI: 10.1096/fba.2020-00061
Bahaziq W, Tayeb B, Alzoraigi U, Boker A. Gaps identification in Saudi anesthesia residency training during early time of pandemic: Trainee view. Saudi J Anaesth. 2021;15(2):155–60. 10.4103/sja.sja_1195_20. DOI: 10.4103/sja.sja_1195_20