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Monday, 31 October 2011
Learning Objective 1: The learner will be able to identify the salient characteristics of clinical reasoning.
Learning Objective 2: The learner will be able to discuss the linkage between laboratory simulation education and clinical practice as mediated by clinical reasoning.
The purpose of this presentation is to share a program evaluation and how it was used to assess simulation’s effect in the clinical reasoning of students in a clinical setting. Simulation experiences have emerged as a way to assist and augment clinical experiences. The confidence required for successful clinical performance has significant impact on a student's perception of overall success. A number of studies published in the past few years support the student’s satisfaction with simulation experiences but little has been validated related to the ability of clinical simulation to enable the student to advance their clinical reasoning. The program developed was two-fold. First, the simulation program was developed to support the region using a three day Summer Institute to facilitate faculty learning and involvement in the program by teaching the essentials of simulation teaching and debriefing. Next, faculty were assigned time in the simulation lab to develop the integration of simulation experiences into their courses. Implementation of simulation experiences were established and evaluated. In the evaluation process, students completed a clinical reasoning tool prior to and after the laboratory simulation experience. Satisfaction as well as effectiveness tools were also used to assess the efficacy of simulation. In addition, faculty evaluated the amount of time and preparation required to implement the simulation protocol. The outcomes of this program have shown not only improved student reasoning but an increase of faculty collaboration and innovation in teaching and student evaluation.