Advances in Medical Education and Practice (Jan 2020)
Integrating High-Fidelity Simulation into a Medical Cardiovascular Physiology Curriculum
Abstract
Jinjie Zheng, 1 Rigobert Lapu, 2 Hammad Khalid 3 1Department of Medical Education, Morehouse School of Medicine, Atlanta, GA, USA; 2Department of Medicine, Morehouse School of Medicine, Atlanta, GA, USA; 3MD Program, Morehouse School of Medicine, Atlanta, GA, USACorrespondence: Jinjie ZhengMorehouse School of Medicine, 720 Westview Drive, SW, Atlanta, GA 30310, USATel +1404 752 1565Fax +1404 752 1064Email [email protected]: The challenges of transitioning from basic sciences to clerkships are well identified in medical education. High-fidelity simulations, which have established a track record of improving clinical reasoning and clinical skills, have been proposed as a viable approach to bridge the gap between basic sciences and clerkships. However, little is known about the results of using simulation to address the gap.Methods: In 2018, Morehouse School of Medicine enhanced the first-year cardiovascular physiology curriculum by integrating the high-fidelity simulation iStan into the cardiovascular physiology curriculum, with the purpose of early clinical exposure, cardiovascular concept mastery, and increased clinical associations. The integration included three structural design elements: (a) simulated clinical case introduction; (b) simulated clinical case development; and (c) student-led clinical case study.Results: The first-year medical (MD1) students’ cardiovascular physiology learning outcomes have significantly improved compared to the last two cohorts of MD1 students, and the students’ test-taking time was significantly reduced compared to the performance of the last two counterpart cohorts. Students reported increased engagement in the simulation-enhanced cardiovascular physiology curriculum.Conclusion: The findings provide preliminary evidence to suggest that the structural integration of high-fidelity simulation in the cardiovascular physiology curriculum proved successful in terms of students’ learning experience and learning outcomes. The three central elements of high-fidelity simulation integration can inform future endeavor as a structural solution to effectively bridge the gaps between basic science concepts and clinical reasoning by using high-fidelity simulations.Keywords: high-fidelity simulation, preclinical curriculum integration, evaluation, simulation case development
