Serveur d'exploration sur les dispositifs haptiques

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Simulation-based medical teaching and learning

Identifieur interne : 000E00 ( Pmc/Curation ); précédent : 000D99; suivant : 000E01

Simulation-based medical teaching and learning

Auteurs : Abdulmohsen H. Al-Elq

Source :

RBID : PMC:3195067

Abstract

One of the most important steps in curriculum development is the introduction of simulation- based medical teaching and learning. Simulation is a generic term that refers to an artificial representation of a real world process to achieve educational goals through experiential learning. Simulation based medical education is defined as any educational activity that utilizes simulation aides to replicate clinical scenarios. Although medical simulation is relatively new, simulation has been used for a long time in other high risk professions such as aviation. Medical simulation allows the acquisition of clinical skills through deliberate practice rather than an apprentice style of learning. Simulation tools serve as an alternative to real patients. A trainee can make mistakes and learn from them without the fear of harming the patient. There are different types and classification of simulators and their cost vary according to the degree of their resemblance to the reality, or ‘fidelity’. Simulation- based learning is expensive. However, it is cost-effective if utilized properly. Medical simulation has been found to enhance clinical competence at the undergraduate and postgraduate levels. It has also been found to have many advantages that can improve patient safety and reduce health care costs through the improvement of the medical provider's competencies. The objective of this narrative review article is to highlight the importance of simulation as a new teaching method in undergraduate and postgraduate education.


Url:
DOI: 10.4103/1319-1683.68787
PubMed: 22022669
PubMed Central: 3195067

Links toward previous steps (curation, corpus...)


Links to Exploration step

PMC:3195067

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Simulation-based medical teaching and learning</title>
<author>
<name sortKey="Al Elq, Abdulmohsen H" sort="Al Elq, Abdulmohsen H" uniqKey="Al Elq A" first="Abdulmohsen H." last="Al-Elq">Abdulmohsen H. Al-Elq</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">22022669</idno>
<idno type="pmc">3195067</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3195067</idno>
<idno type="RBID">PMC:3195067</idno>
<idno type="doi">10.4103/1319-1683.68787</idno>
<date when="2010">2010</date>
<idno type="wicri:Area/Pmc/Corpus">000E00</idno>
<idno type="wicri:Area/Pmc/Curation">000E00</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Simulation-based medical teaching and learning</title>
<author>
<name sortKey="Al Elq, Abdulmohsen H" sort="Al Elq, Abdulmohsen H" uniqKey="Al Elq A" first="Abdulmohsen H." last="Al-Elq">Abdulmohsen H. Al-Elq</name>
<affiliation>
<nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Journal of Family and Community Medicine</title>
<idno type="ISSN">2230-8229</idno>
<idno type="eISSN">2229-340X</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>One of the most important steps in curriculum development is the introduction of simulation- based medical teaching and learning. Simulation is a generic term that refers to an artificial representation of a real world process to achieve educational goals through experiential learning. Simulation based medical education is defined as any educational activity that utilizes simulation aides to replicate clinical scenarios. Although medical simulation is relatively new, simulation has been used for a long time in other high risk professions such as aviation. Medical simulation allows the acquisition of clinical skills through deliberate practice rather than an apprentice style of learning. Simulation tools serve as an alternative to real patients. A trainee can make mistakes and learn from them without the fear of harming the patient. There are different types and classification of simulators and their cost vary according to the degree of their resemblance to the reality, or ‘fidelity’. Simulation- based learning is expensive. However, it is cost-effective if utilized properly. Medical simulation has been found to enhance clinical competence at the undergraduate and postgraduate levels. It has also been found to have many advantages that can improve patient safety and reduce health care costs through the improvement of the medical provider's competencies. The objective of this narrative review article is to highlight the importance of simulation as a new teaching method in undergraduate and postgraduate education.</p>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
<biblStruct>
<analytic>
<author>
<name sortKey="Kohn, Lt" uniqKey="Kohn L">LT Kohn</name>
</author>
<author>
<name sortKey="Corrigan, Jm" uniqKey="Corrigan J">JM Corrigan</name>
</author>
<author>
<name sortKey="Donaldson, Ms" uniqKey="Donaldson M">MS Donaldson</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Brennan, Ta" uniqKey="Brennan T">TA Brennan</name>
</author>
<author>
<name sortKey="Leape, Ll" uniqKey="Leape L">LL Leape</name>
</author>
<author>
<name sortKey="Laird, Nm" uniqKey="Laird N">NM Laird</name>
</author>
<author>
<name sortKey="Hebert, L" uniqKey="Hebert L">L Hebert</name>
</author>
<author>
<name sortKey="Localio, Ar" uniqKey="Localio A">AR Localio</name>
</author>
<author>
<name sortKey="Lawthers, Ag" uniqKey="Lawthers A">AG Lawthers</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Bates, Dw" uniqKey="Bates D">DW Bates</name>
</author>
<author>
<name sortKey="Spell, N" uniqKey="Spell N">N Spell</name>
</author>
<author>
<name sortKey="Cullen, Dj" uniqKey="Cullen D">DJ Cullen</name>
</author>
<author>
<name sortKey="Burdick, E" uniqKey="Burdick E">E Burdick</name>
</author>
<author>
<name sortKey="Laird, N" uniqKey="Laird N">N Laird</name>
</author>
<author>
<name sortKey="Petersen, La" uniqKey="Petersen L">LA Petersen</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Smith, Sr" uniqKey="Smith S">SR Smith</name>
</author>
<author>
<name sortKey="Dollas, R" uniqKey="Dollas R">R Dollas</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Ledingham, Mca" uniqKey="Ledingham M">McA Ledingham</name>
</author>
<author>
<name sortKey="Harden, Rm" uniqKey="Harden R">RM Harden</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Langdale, La" uniqKey="Langdale L">LA Langdale</name>
</author>
<author>
<name sortKey="Schaad, D" uniqKey="Schaad D">D Schaad</name>
</author>
<author>
<name sortKey="Wipf, J" uniqKey="Wipf J">J Wipf</name>
</author>
<author>
<name sortKey="Marshall, S" uniqKey="Marshall S">S Marshall</name>
</author>
<author>
<name sortKey="Vontver, L" uniqKey="Vontver L">L Vontver</name>
</author>
<author>
<name sortKey="Scott, Cs" uniqKey="Scott C">CS Scott</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Jones, A" uniqKey="Jones A">A Jones</name>
</author>
<author>
<name sortKey="Mcardle, Pf" uniqKey="Mcardle P">PF McArdle</name>
</author>
<author>
<name sortKey="O Eill, Pa" uniqKey="O Eill P">PA O’Neill</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Issenberg, Sb" uniqKey="Issenberg S">SB Issenberg</name>
</author>
<author>
<name sortKey="Mcgaghie, Wc" uniqKey="Mcgaghie W">WC McGaghie</name>
</author>
<author>
<name sortKey="Gordon, Dl" uniqKey="Gordon D">DL Gordon</name>
</author>
<author>
<name sortKey="Symes, S" uniqKey="Symes S">S Symes</name>
</author>
<author>
<name sortKey="Petrusa, Er" uniqKey="Petrusa E">ER Petrusa</name>
</author>
<author>
<name sortKey="Hart, Ir" uniqKey="Hart I">IR Hart</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Al Elq, Ah" uniqKey="Al Elq A">AH Al-Elq</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Scalese, Rj" uniqKey="Scalese R">RJ Scalese</name>
</author>
<author>
<name sortKey="Obeso, Vt" uniqKey="Obeso V">VT Obeso</name>
</author>
<author>
<name sortKey="Issenberg, Sb" uniqKey="Issenberg S">SB Issenberg</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Issenberg, Sb" uniqKey="Issenberg S">SB Issenberg</name>
</author>
<author>
<name sortKey="Gordon, Ms" uniqKey="Gordon M">MS Gordon</name>
</author>
<author>
<name sortKey="Gordon, Dl" uniqKey="Gordon D">Dl Gordon</name>
</author>
<author>
<name sortKey="Safford, Re" uniqKey="Safford R">RE Safford</name>
</author>
<author>
<name sortKey="Hart, Ir" uniqKey="Hart I">IR hart</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Dent, Ja" uniqKey="Dent J">JA Dent</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Flangan, B" uniqKey="Flangan B">B Flangan</name>
</author>
<author>
<name sortKey="Nestel, D" uniqKey="Nestel D">D Nestel</name>
</author>
<author>
<name sortKey="Joseph, M" uniqKey="Joseph M">M Joseph</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Ziv, A" uniqKey="Ziv A">A Ziv</name>
</author>
<author>
<name sortKey="Ben David, S" uniqKey="Ben David S">S Ben-David</name>
</author>
<author>
<name sortKey="Ziv, M" uniqKey="Ziv M">M Ziv</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Cannon Bowers, Ja" uniqKey="Cannon Bowers J">JA Cannon-Bowers</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Yaeger, Ka" uniqKey="Yaeger K">KA Yaeger</name>
</author>
<author>
<name sortKey="Arafeh, Jm" uniqKey="Arafeh J">JM Arafeh</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Cheng, A" uniqKey="Cheng A">A Cheng</name>
</author>
<author>
<name sortKey="Duff, J" uniqKey="Duff J">J Duff</name>
</author>
<author>
<name sortKey="Grant, E" uniqKey="Grant E">E Grant</name>
</author>
<author>
<name sortKey="Kissoon, N" uniqKey="Kissoon N">N Kissoon</name>
</author>
<author>
<name sortKey="Grant, Vj" uniqKey="Grant V">VJ Grant</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Robertson, B" uniqKey="Robertson B">B Robertson</name>
</author>
<author>
<name sortKey="Schumacher, L" uniqKey="Schumacher L">L Schumacher</name>
</author>
<author>
<name sortKey="Gosman, G" uniqKey="Gosman G">G Gosman</name>
</author>
<author>
<name sortKey="Kanfer, R" uniqKey="Kanfer R">R Kanfer</name>
</author>
<author>
<name sortKey="Kelley, M" uniqKey="Kelley M">M Kelley</name>
</author>
<author>
<name sortKey="Devita, M" uniqKey="Devita M">M DeVita</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Rudolph, Jw" uniqKey="Rudolph J">JW Rudolph</name>
</author>
<author>
<name sortKey="Simon, R" uniqKey="Simon R">R Simon</name>
</author>
<author>
<name sortKey="Raemer, Db" uniqKey="Raemer D">DB Raemer</name>
</author>
<author>
<name sortKey="Eppich, Wj" uniqKey="Eppich W">WJ Eppich</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Seropian, Ma" uniqKey="Seropian M">MA Seropian</name>
</author>
<author>
<name sortKey="Brown, K" uniqKey="Brown K">K Brown</name>
</author>
<author>
<name sortKey="Gavilanes, Js" uniqKey="Gavilanes J">JS Gavilanes</name>
</author>
<author>
<name sortKey="Driggers, B" uniqKey="Driggers B">B Driggers</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Maran, Nj" uniqKey="Maran N">NJ Maran</name>
</author>
<author>
<name sortKey="Glavin, Rj" uniqKey="Glavin R">RJ Glavin</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Issenberg, Sb" uniqKey="Issenberg S">SB Issenberg</name>
</author>
<author>
<name sortKey="Mcgaghie, Wc" uniqKey="Mcgaghie W">WC McGaghie</name>
</author>
<author>
<name sortKey="Petrusa, Er" uniqKey="Petrusa E">ER Petrusa</name>
</author>
<author>
<name sortKey="Lee Gordon, D" uniqKey="Lee Gordon D">D Lee Gordon</name>
</author>
<author>
<name sortKey="Scalese, Rj" uniqKey="Scalese R">RJ Scalese</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Ypinazar, Va" uniqKey="Ypinazar V">VA Ypinazar</name>
</author>
<author>
<name sortKey="Margolis, Sa" uniqKey="Margolis S">SA Margolis</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Cherry, Ra" uniqKey="Cherry R">RA Cherry</name>
</author>
<author>
<name sortKey="Ali, J" uniqKey="Ali J">J Ali</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Jeffries, Pr" uniqKey="Jeffries P">PR Jeffries</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Vozenilek, J" uniqKey="Vozenilek J">J Vozenilek</name>
</author>
<author>
<name sortKey="Huff, Js" uniqKey="Huff J">JS Huff</name>
</author>
<author>
<name sortKey="Reznek, M" uniqKey="Reznek M">M Reznek</name>
</author>
<author>
<name sortKey="Gordon, Ja" uniqKey="Gordon J">JA Gordon</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Gordon, Ja" uniqKey="Gordon J">JA Gordon</name>
</author>
<author>
<name sortKey="Wilkerson, Wm" uniqKey="Wilkerson W">WM Wilkerson</name>
</author>
<author>
<name sortKey="Shaffer, Dw" uniqKey="Shaffer D">DW Shaffer</name>
</author>
<author>
<name sortKey="Armstrong, Eg" uniqKey="Armstrong E">EG Armstrong</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Pian Smith, Mc" uniqKey="Pian Smith M">MC Pian-Smith</name>
</author>
<author>
<name sortKey="Simon, R" uniqKey="Simon R">R Simon</name>
</author>
<author>
<name sortKey="Minehart, Rd" uniqKey="Minehart R">RD Minehart</name>
</author>
<author>
<name sortKey="Podraza, M" uniqKey="Podraza M">M Podraza</name>
</author>
<author>
<name sortKey="Rudolph, J" uniqKey="Rudolph J">J Rudolph</name>
</author>
<author>
<name sortKey="Walzer, T" uniqKey="Walzer T">T Walzer</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Weller, Jm" uniqKey="Weller J">JM Weller</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Margan, Pj" uniqKey="Margan P">PJ Margan</name>
</author>
<author>
<name sortKey="Cleave Hogg, D" uniqKey="Cleave Hogg D">D Cleave-Hogg</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Toback, Sl" uniqKey="Toback S">SL Toback</name>
</author>
<author>
<name sortKey="Fiedor, M" uniqKey="Fiedor M">M Fiedor</name>
</author>
<author>
<name sortKey="Kilpela, B" uniqKey="Kilpela B">B Kilpela</name>
</author>
<author>
<name sortKey="Reis, Ec" uniqKey="Reis E">EC Reis</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Ramsey, Pg" uniqKey="Ramsey P">PG Ramsey</name>
</author>
<author>
<name sortKey="Curtis, Jr" uniqKey="Curtis J">JR Curtis</name>
</author>
<author>
<name sortKey="Paauw, Ds" uniqKey="Paauw D">DS Paauw</name>
</author>
<author>
<name sortKey="Carline, Jd" uniqKey="Carline J">JD Carline</name>
</author>
<author>
<name sortKey="Wenrich, Md" uniqKey="Wenrich M">MD Wenrich</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Costanza, Me" uniqKey="Costanza M">ME Costanza</name>
</author>
<author>
<name sortKey="Luckmann, R" uniqKey="Luckmann R">R Luckmann</name>
</author>
<author>
<name sortKey="Quirk, Me" uniqKey="Quirk M">ME Quirk</name>
</author>
<author>
<name sortKey="Clemow, L" uniqKey="Clemow L">L Clemow</name>
</author>
<author>
<name sortKey="White, Mj" uniqKey="White M">MJ White</name>
</author>
<author>
<name sortKey="Stoddard, Am" uniqKey="Stoddard A">AM Stoddard</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Vaidya, Vu" uniqKey="Vaidya V">VU Vaidya</name>
</author>
<author>
<name sortKey="Greenberg, Lw" uniqKey="Greenberg L">LW Greenberg</name>
</author>
<author>
<name sortKey="Patel, Km" uniqKey="Patel K">KM Patel</name>
</author>
<author>
<name sortKey="Strauss, Lh" uniqKey="Strauss L">LH Strauss</name>
</author>
<author>
<name sortKey="Pollack, Mm" uniqKey="Pollack M">MM Pollack</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="O Onnor, Pj" uniqKey="O Onnor P">PJ O’Connor</name>
</author>
<author>
<name sortKey="Sperl Hillen, Jm" uniqKey="Sperl Hillen J">JM Sperl-Hillen</name>
</author>
<author>
<name sortKey="Johnson, Pe" uniqKey="Johnson P">PE Johnson</name>
</author>
<author>
<name sortKey="Rush, Wa" uniqKey="Rush W">WA Rush</name>
</author>
<author>
<name sortKey="Asche, Se" uniqKey="Asche S">SE Asche</name>
</author>
<author>
<name sortKey="Dutta, P" uniqKey="Dutta P">P Dutta</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Morrow, R" uniqKey="Morrow R">R Morrow</name>
</author>
<author>
<name sortKey="Fletcher, J" uniqKey="Fletcher J">J Fletcher</name>
</author>
<author>
<name sortKey="Mulvihill, M" uniqKey="Mulvihill M">M Mulvihill</name>
</author>
<author>
<name sortKey="Park, H" uniqKey="Park H">H Park</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Srinivasan, M" uniqKey="Srinivasan M">M Srinivasan</name>
</author>
<author>
<name sortKey="Hwang, Jc" uniqKey="Hwang J">JC Hwang</name>
</author>
<author>
<name sortKey="West, D" uniqKey="West D">D West</name>
</author>
<author>
<name sortKey="Yellowlees, Pm" uniqKey="Yellowlees P">PM Yellowlees</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Weinberg, Er" uniqKey="Weinberg E">ER Weinberg</name>
</author>
<author>
<name sortKey="Auerbach, Ma" uniqKey="Auerbach M">MA Auerbach</name>
</author>
<author>
<name sortKey="Shah, Nb" uniqKey="Shah N">NB Shah</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Gordon, Ja" uniqKey="Gordon J">JA Gordon</name>
</author>
<author>
<name sortKey="Oriol, Ne" uniqKey="Oriol N">NE Oriol</name>
</author>
<author>
<name sortKey="Cooper, Jb" uniqKey="Cooper J">JB Cooper</name>
</author>
</analytic>
</biblStruct>
<biblStruct>
<analytic>
<author>
<name sortKey="Okuda, Y" uniqKey="Okuda Y">Y Okuda</name>
</author>
<author>
<name sortKey="Bryson, Eo" uniqKey="Bryson E">EO Bryson</name>
</author>
<author>
<name sortKey="Demaria, S" uniqKey="Demaria S">S DeMaria</name>
</author>
<author>
<name sortKey="Jacobson, L" uniqKey="Jacobson L">L Jacobson</name>
</author>
<author>
<name sortKey="Quinones, J" uniqKey="Quinones J">J Quinones</name>
</author>
<author>
<name sortKey="Shen, B" uniqKey="Shen B">B Shen</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<pmc article-type="other">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Family Community Med</journal-id>
<journal-id journal-id-type="publisher-id">JFCM</journal-id>
<journal-title-group>
<journal-title>Journal of Family and Community Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">2230-8229</issn>
<issn pub-type="epub">2229-340X</issn>
<publisher>
<publisher-name>Medknow Publications Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">22022669</article-id>
<article-id pub-id-type="pmc">3195067</article-id>
<article-id pub-id-type="publisher-id">JFCM-17-35</article-id>
<article-id pub-id-type="doi">10.4103/1319-1683.68787</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Medical Education</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Simulation-based medical teaching and learning</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Al-Elq</surname>
<given-names>Abdulmohsen H.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">
<italic>Department of Internal Medicine, College of Medicine, University of Dammam, Kingdom of Saudi Arabia</italic>
</aff>
<author-notes>
<corresp id="cor1">
<bold>Address for correspondence:</bold>
Dr. Abdulmohsen H. Al-Elq, Associate Professor, Consultant Internist / Endocrinologist, Department of Internal Medicine, King Fahd Hospital of the University, P.O. Box 40145, Al-Khobar 31952, Kingdom of Saudi Arabia. E-mail:
<email xlink:href="aalelq@yahoo.com">aalelq@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Jan-Apr</season>
<year>2010</year>
</pub-date>
<volume>17</volume>
<issue>1</issue>
<fpage>35</fpage>
<lpage>40</lpage>
<permissions>
<copyright-statement>© Journal of Family and Community Medicine</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>One of the most important steps in curriculum development is the introduction of simulation- based medical teaching and learning. Simulation is a generic term that refers to an artificial representation of a real world process to achieve educational goals through experiential learning. Simulation based medical education is defined as any educational activity that utilizes simulation aides to replicate clinical scenarios. Although medical simulation is relatively new, simulation has been used for a long time in other high risk professions such as aviation. Medical simulation allows the acquisition of clinical skills through deliberate practice rather than an apprentice style of learning. Simulation tools serve as an alternative to real patients. A trainee can make mistakes and learn from them without the fear of harming the patient. There are different types and classification of simulators and their cost vary according to the degree of their resemblance to the reality, or ‘fidelity’. Simulation- based learning is expensive. However, it is cost-effective if utilized properly. Medical simulation has been found to enhance clinical competence at the undergraduate and postgraduate levels. It has also been found to have many advantages that can improve patient safety and reduce health care costs through the improvement of the medical provider's competencies. The objective of this narrative review article is to highlight the importance of simulation as a new teaching method in undergraduate and postgraduate education.</p>
</abstract>
<kwd-group>
<kwd>Clinical skills</kwd>
<kwd>medical education</kwd>
<kwd>medical simulation</kwd>
<kwd>simulators</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1-1">
<title>INTRODUCTION</title>
<p>Medical education has undergone significant changes all over the world. One of the reasons for the changes is concern for the patient's safety. “To Err Is Human”, a landmark report released by the Institute of Medicine (IOM) in 1999[
<xref ref-type="bibr" rid="ref1">1</xref>
] estimated that medical errors cause injury to approximately 3% of hospital patients and results in a minimum of 44,000 and perhaps as many as 98,000 deaths per year in the United States. Another important finding came from the Harvard Medical Practice Study 1, in which the authors reviewed over 30,000 randomly selected hospital records at New York State in 1984 as part of an interdisciplinary study of medical injury and malpractice litigation. They found that injuries from adverse events occurred in 3.7% of hospital admissions, 27.6% of which were due to negligence and in which 13.6% led to death.[
<xref ref-type="bibr" rid="ref2">2</xref>
] Medical errors also contribute to the cost of medical care throughout the world. The annual cost attributable to all adverse drug events and preventable adverse drug events for a 700-bed American teaching hospital was estimated by one study as $5.6 million and $2.8 million repectively.[
<xref ref-type="bibr" rid="ref3">3</xref>
] Though it is expected that such medical errors occur in Saudi Arabia, there are no studies on their extent in Saudi hospitals.</p>
<p>Calls for a change in the instructional methods have resulted in innovative medical curricula. The new curricula stress the importance of proficiency in several clinical skills by medical graduates rather than mere acquisition of knowledge. As evidenced by their endorsement by many of the international bodies and medical schools,[
<xref ref-type="bibr" rid="ref4">4</xref>
] it is universally accepted that clinical skills constitute an essential learning outcome. The acquisition of appropriate clinical skills is key to health education; however, students sometimes complete their educational programs armed with theoretical knowledge but lack many of the clinical skills vital for their work. A major challenge for medical undergraduates is the application of theoretical knowledge to the management of patients. Some medical schools in the Middle East have changed their curricula and adopted such educational strategies as problem-based learning. Also many medical schools have started to utilize clinical skills laboratories for training. However, simulation-based learning is not yet well established in this region. The objective of this narrative review article is to highlight the importance of simulation as a new teaching method for undergraduate and postgraduate education.</p>
</sec>
<sec sec-type="materials|methods" id="sec1-2">
<title>MATERIALS AND METHODS</title>
<p>This is a narrative review of literature on a medical simulator and the use of simulation in medical education. A literature search of MEDLINE/PubMed database for English-language publications and reference lists from relevant articles published between 1990 and August 2009 was conducted. The main search terms were medical simulation, medical simulator, medical education, and clinical skills. All articles thought to be relevant to the title and/or abstracts were retrieved. These articles were reviewed if they were considered relevant to the search.</p>
</sec>
<sec id="sec1-3">
<title>CLINICAL COMPETENCE</title>
<p>Medical training programs should ensure that students have the necessary learning opportunities and assessed by the appropriate methods. Clinical skills competencies including communication skills, history-taking, professional attitudes, awareness of ethical basis of healthcare, physical examination, procedural skills, clinical laboratory skills, diagnostic skills, therapeutic skills, resuscitation skills, critical thinking, clinical reasoning, problem solving, team-work, organization skills, management skills, and information technology skills should be part of the core undergraduate curriculum.[
<xref ref-type="bibr" rid="ref5">5</xref>
] Traditionally, the acquisition and ongoing improvement of high level psychomotor skills required by future physician take place in an apprentice-style model of ‘See One, Do One, Teach One.’ This apprentice-style of learning is no longer considered acceptable because of the increasing concern for the quality of patient care and safety and change in health care systems. The pressure of managed care has shaped the forms and frequency of hospitalization and led to a higher percentage of acutely ill patients and shorter inpatient stays. This has resulted in fewer opportunities for the medical learner to access a wide variety of diseases and physical findings. Relying on exposure to real hospital patients during training years may result in an ad-hoc method of learning clinical skills, as this depends on the availability of cases, and consequently to less than optimal development and performance of clinical skills. There are many reports that indicate concerns for the level of skills medical graduates even in western countries possess.[
<xref ref-type="bibr" rid="ref6">6</xref>
<xref ref-type="bibr" rid="ref7">7</xref>
]</p>
<p>The acquisition of expertise in clinical medicine requires the learner's engagement in deliberate practice of desired learning outcomes. According to Issenberg
<italic>et al</italic>
(2002)[
<xref ref-type="bibr" rid="ref8">8</xref>
] “Deliberate practice involves (a) repetitive performance of intended cognitive or psychomotor skills in focused domain, coupled with (b) rigorous skills assessment, that provides learners (c) specific, informative feedback, that results in increasingly (d) better skills performance, in a controlled setting.” Concerns about patient safety and fewer available patients for learning, and many other factors have led to the introduction of simulation and the development of simulation centers and clinical skills laboratories in medical education.[
<xref ref-type="bibr" rid="ref9">9</xref>
<xref ref-type="bibr" rid="ref10">10</xref>
]</p>
</sec>
<sec id="sec1-4">
<title>SIMULATION</title>
<p>Aviation and aerospace industries have been using simulation as a teaching tool for many years. Simulators are now widely used in education and training in a variety of high risk professions and disciplines, including the military, commercial airlines, nuclear power plants, business and medicine.[
<xref ref-type="bibr" rid="ref11">11</xref>
] Recently, the inclusion of clinical skills training into the curricula of medical students has seen significant growth. There are many examples of curricular reform that include clinical skills training, the use of simulators, and the creation of clinical skills centres.[
<xref ref-type="bibr" rid="ref12">12</xref>
] Simulation has been defined as a situation in which a particular set of conditions is created artificially in order to study or experience something that is possible in real life; or a generic term that refers to the artificial representation of a real world process to achieve educational goals via experimental learning.[
<xref ref-type="bibr" rid="ref13">13</xref>
] A simulator is defined as a device that enables the operator to reproduce or represent under test conditions phenomena likely to occur in actual performance. On the other hand, simulation based medical education can be defined as any educational activity that utilizes simulative aides to replicate clinical scenarios. Simulation tools serve as an alternative to the real patient. Trainers can make mistakes and learn from them without the fear of distressing the patient.[
<xref ref-type="bibr" rid="ref14">14</xref>
] Experiential learning, which is a part of the definition of simulation, is an active process during which the learner constructs knowledge by linking new information and new experience with previous knowledge and understanding. Experiential learning or learning from experience during simulation based training sometimes involves the use of clinical scenarios as the bases of learning.[
<xref ref-type="bibr" rid="ref15">15</xref>
<xref ref-type="bibr" rid="ref16">16</xref>
] The practice of scenarios can be done individually, but it is mostly carried out by a team from the same or different specialties or professions in a simulated environment made to resemble the intended environment as closely as possible in order to immerse students in an experience closest to real life.[
<xref ref-type="bibr" rid="ref17">17</xref>
<xref ref-type="bibr" rid="ref18">18</xref>
] The practice of a scenario can be videotaped for immediate feedback to participants during the debriefing sessions.</p>
<p>Debriefing after a scenario is an important component of full-scale simulation. Video recording of the scenario is also used to initiate discussion and to make sure that all learning objectives were covered. Debriefing can focus both around the cognitive process involved in the recognition of the problem and the implementation of the management guidelines and the technical level at which the ability of the learner to apply rules and appropriate responses in a stressful situation is evaluated.[
<xref ref-type="bibr" rid="ref19">19</xref>
]</p>
<p>During the full scale scenario-based training, the learner can acquire such important skills as interpersonal communication, teamwork, leadership, decision-making, the ability to prioritize tasks under pressure, and stress management.[
<xref ref-type="bibr" rid="ref13">13</xref>
] However, training through simulation should be viewed as an adjuvant and not a replacement for learning with real patients. Simulation is not intended to replace the need for learning in the clinical environment, so it is important to integrate simulation training with the clinical practice during curriculum development.</p>
</sec>
<sec id="sec1-5">
<title>SIMULATOR</title>
<p>Simulators are classified into different categories.[
<xref ref-type="bibr" rid="ref20">20</xref>
<xref ref-type="bibr" rid="ref21">21</xref>
] An example of the classification of simulators is shown in
<xref ref-type="table" rid="T1">Table 1</xref>
. Simulators can be classified according to their resemblance to reality into low-fidelity, medium- fidelity and high-fidelity simulators.[
<xref ref-type="bibr" rid="ref20">20</xref>
] Low-fidelity simulators are often static and lack the realism or situational context. They are usually used to teach novices the basics of technical skills. Example of a low-fidelity simulator is the intravenous insertion arm [
<xref ref-type="fig" rid="F1">Figure 1</xref>
] and Resusci-Anne [
<xref ref-type="fig" rid="F2">Figure 2</xref>
]. Moderate fidelity simulators give more resemblance of reality with such features as pulse, heart sounds, and breathing sounds but without the ability to talk and they lack chest or eye movement. They can be used for both the introduction and deeper understanding of specific, increasingly complex competencies. An example of a moderate fidelity simulator is the “Harvey” cardiology simulator [
<xref ref-type="fig" rid="F3">Figure 3</xref>
]. High fidelity simulators combine part or whole body manikins to carry the intervention with computers that drive the manikins to produce physical signs and feed physiological signs to monitors. They are usually designed to resemble the reality. They can talk, breathe, blink, and respond either automatically or manually to physical and pharmacological interventions. Good examples of high-fidelity simulator is the METI Human Patient Simulator (HPS) which is model driven [
<xref ref-type="fig" rid="F4">Figure 4</xref>
] and the “Noelle” obstetric simulator which is instructor driven. In general, the higher the fidelity, the more expensive it is.</p>
<table-wrap id="T1" position="float">
<label>Table 1</label>
<caption>
<p>Classification of simulators[
<xref ref-type="bibr" rid="ref20">20</xref>
<xref ref-type="bibr" rid="ref21">21</xref>
]</p>
</caption>
<graphic xlink:href="JFCM-17-35-g001"></graphic>
</table-wrap>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption>
<p>Intravenous insertion arm</p>
</caption>
<graphic xlink:href="JFCM-17-35-g002"></graphic>
</fig>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption>
<p>Resusci-Anne</p>
</caption>
<graphic xlink:href="JFCM-17-35-g003"></graphic>
</fig>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption>
<p>“Harvey” cardiology simulator</p>
</caption>
<graphic xlink:href="JFCM-17-35-g004"></graphic>
</fig>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption>
<p>METI Human patient simulator (HPS)</p>
</caption>
<graphic xlink:href="JFCM-17-35-g005"></graphic>
</fig>
<p>Virtual reality can also be incorporated into the simulators (mostly part-task simulators) to enhance learning. Virtual reality is best described as a concept of advanced human-computer interaction. Virtual reality varies greatly according to its level of sophistication in its level of realism and of the user's interaction with the virtual environment.[
<xref ref-type="bibr" rid="ref22">22</xref>
] A common form of virtual reality involves the use of haptic (touch) feedback to produce a feeling of resistance when using instruments in a simulated environment. This technology is frequently used in endoscopic and laparoscopic dexterity training. High-fidelity and virtual reality simulations can bridge the gap between theory and practice by immersing the learner in a realistic, dynamic, complex setting.</p>
<p>Nonetheless, simulation can only imitate but not replicate reality. The recreation of “reality” or “fidelity” is important for the success of simulation and for the participant. Since some simulators can be used to encourage independent or self-directed learning, they should be integrated into the overall curriculum. However, to make learning effective, important conditions are necessary during simulation practice. The intended outcomes should be predefined and the training carried out in a controlled environment. Effective learning requires repetitive practice and feedback during the learning experience. Issenberg
<italic>et al</italic>
[
<xref ref-type="bibr" rid="ref22">22</xref>
] performed an excellent systematic review and identified ten features of high-fidelity medical simulation that can lead to effective learning. Those ten features are listed in
<xref ref-type="table" rid="T2">Table 2</xref>
.</p>
<table-wrap id="T2" position="float">
<label>Table 2</label>
<caption>
<p>Features of high fidelity simulation that lead to effective learning[
<xref ref-type="bibr" rid="ref22">22</xref>
]</p>
</caption>
<graphic xlink:href="JFCM-17-35-g006"></graphic>
</table-wrap>
</sec>
<sec id="sec1-6">
<title>SIMULATION BASED TRAINING</title>
<p>Simulation can be used to resemble existing curricular material. The simulated scenarios are realistic enough to engage the students emotionally, thus providing a unique learning experience, where the high fidelity simulator “patient” actually talks, breathes, blinks, and moves like a real patient. Simulation can be adapted to accommodate the need of various medical specialties such as anesthesia, emergency medicine and trauma, intensive care medicine, obstetrics, pediatrics, and radiology as well as for the use of other professionals such as nurses, paramedics, and respiratory therapists.[
<xref ref-type="bibr" rid="ref13">13</xref>
<xref ref-type="bibr" rid="ref24">24</xref>
<xref ref-type="bibr" rid="ref25">25</xref>
]</p>
<p>Simulation laboratories are quite costly. A single high-fidelity simulator with its monitoring system and other necessary equipment may cost up to $200 000. In addition, synthetic body fluids, replacement skins, bandages, syringes and other supplies are necessary to simulate the experience of treating real patients in a real hospital. The ability to practise without risk must be weighed against the cost of this new technology. Simulation has many advantages, for it results in highly trained medical graduates who are less likely to make life-threatening or costly medical errors.[
<xref ref-type="bibr" rid="ref21">21</xref>
<xref ref-type="bibr" rid="ref23">23</xref>
] Some of the advantages of simulation are listed in
<xref ref-type="table" rid="T3">Table 3</xref>
. Employing medical simulation techniques can help move medical training from the old “See One, Do One, Teach One” method into a “See One, Practice Many, Do One” model of success.[
<xref ref-type="bibr" rid="ref26">26</xref>
] Simulation-based teaching has proved to reduce risks to both patients and learners.[
<xref ref-type="bibr" rid="ref27">27</xref>
<xref ref-type="bibr" rid="ref28">28</xref>
] It has also proved to be effective in both undergraduate and post graduate education as well as faculty development.[
<xref ref-type="bibr" rid="ref29">29</xref>
<xref ref-type="bibr" rid="ref30">30</xref>
] Simulation can be used in the primary health care setting to improve confidence in performing life-saving skills,[
<xref ref-type="bibr" rid="ref31">31</xref>
] clinical skills,[
<xref ref-type="bibr" rid="ref32">32</xref>
<xref ref-type="bibr" rid="ref33">33</xref>
] communication skills,[
<xref ref-type="bibr" rid="ref34">34</xref>
] and the quality of care for patients with chronic diseases such as diabetes mellitus and bronchial asthma.[
<xref ref-type="bibr" rid="ref35">35</xref>
<xref ref-type="bibr" rid="ref36">36</xref>
] Such simulators as part task trainers, computer-based systems, virtual reality and the haptic system, simulated patients, simulated environment, and integrated simulators have been also used effectively to assess and evaluate clinical skills.[
<xref ref-type="bibr" rid="ref10">10</xref>
<xref ref-type="bibr" rid="ref37">37</xref>
<xref ref-type="bibr" rid="ref38">38</xref>
] The major challenge to medical simulation is the fact that evidence to date is weak in methodology. Most of the published work is descriptive and limited in generalisability. The assumption that such learning is directly transferable to the clinical context is often untested.[
<xref ref-type="bibr" rid="ref39">39</xref>
] Only a few studies have shown a direct positive impact in the clinical outcome from the use of simulation for medical training.[
<xref ref-type="bibr" rid="ref40">40</xref>
]</p>
<table-wrap id="T3" position="float">
<label>Table 3</label>
<caption>
<p>Advantages of simulation[
<xref ref-type="bibr" rid="ref21">21</xref>
<xref ref-type="bibr" rid="ref23">23</xref>
]</p>
</caption>
<graphic xlink:href="JFCM-17-35-g007"></graphic>
</table-wrap>
<p>In conclusion, the promise of simulation-based medical training offers useful opportunities to reduce risks to patients and learners, improve learners’ competence and confidence, increase patient safety, and reduce health care costs in the long run. However, robust research is needed to see if simulation training does actually improve patient outcomes.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="supported-by">
<p>
<bold>Source of Support:</bold>
Nil</p>
</fn>
<fn fn-type="conflict">
<p>
<bold>Conflict of Interest:</bold>
Nil</p>
</fn>
</fn-group>
<ref-list>
<title>REFERENCES</title>
<ref id="ref1">
<label>1</label>
<element-citation publication-type="book">
<person-group person-group-type="author">
<name>
<surname>Kohn</surname>
<given-names>LT</given-names>
</name>
<name>
<surname>Corrigan</surname>
<given-names>JM</given-names>
</name>
<name>
<surname>Donaldson</surname>
<given-names>MS</given-names>
</name>
</person-group>
<source>To err is human: Building a safer health system</source>
<year>1999</year>
<publisher-loc>Washington DC</publisher-loc>
<publisher-name>National Academy Press</publisher-name>
</element-citation>
</ref>
<ref id="ref2">
<label>2</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Brennan</surname>
<given-names>TA</given-names>
</name>
<name>
<surname>Leape</surname>
<given-names>LL</given-names>
</name>
<name>
<surname>Laird</surname>
<given-names>NM</given-names>
</name>
<name>
<surname>Hebert</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Localio</surname>
<given-names>AR</given-names>
</name>
<name>
<surname>Lawthers</surname>
<given-names>AG</given-names>
</name>
<etal></etal>
</person-group>
<article-title>Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical practice Study 1</article-title>
<source>N Engl J Med</source>
<year>1991</year>
<volume>324</volume>
<fpage>360</fpage>
<lpage>76</lpage>
</element-citation>
</ref>
<ref id="ref3">
<label>3</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bates</surname>
<given-names>DW</given-names>
</name>
<name>
<surname>Spell</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Cullen</surname>
<given-names>DJ</given-names>
</name>
<name>
<surname>Burdick</surname>
<given-names>E</given-names>
</name>
<name>
<surname>Laird</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Petersen</surname>
<given-names>LA</given-names>
</name>
<etal></etal>
</person-group>
<article-title>Cost of adverse drug events in hospitalized patients.Adverse drug events prevention study group</article-title>
<source>JAMA</source>
<year>1997</year>
<volume>277</volume>
<fpage>307</fpage>
<lpage>11</lpage>
<pub-id pub-id-type="pmid">9002493</pub-id>
</element-citation>
</ref>
<ref id="ref4">
<label>4</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Smith</surname>
<given-names>SR</given-names>
</name>
<name>
<surname>Dollas</surname>
<given-names>R</given-names>
</name>
</person-group>
<article-title>AMEE Guide No 14: Outcome-based education: Part 2- Planning, implementing, and evaluation of competency-based curriculum</article-title>
<source>Med Teach</source>
<year>1999</year>
<volume>21</volume>
<fpage>15</fpage>
<lpage>22</lpage>
</element-citation>
</ref>
<ref id="ref5">
<label>5</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ledingham</surname>
<given-names>McA</given-names>
</name>
<name>
<surname>Harden</surname>
<given-names>RM</given-names>
</name>
</person-group>
<article-title>Twelve tips for setting up a clinical skills training facility</article-title>
<source>Med Teach</source>
<year>1998</year>
<volume>20</volume>
<fpage>503</fpage>
<lpage>7</lpage>
</element-citation>
</ref>
<ref id="ref6">
<label>6</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Langdale</surname>
<given-names>LA</given-names>
</name>
<name>
<surname>Schaad</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Wipf</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Marshall</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Vontver</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Scott</surname>
<given-names>CS</given-names>
</name>
</person-group>
<article-title>Preparing Graduates for the First Year of Residency: Are Medical Schools Meeting the Need?</article-title>
<source>Acad Med</source>
<year>2003</year>
<volume>78</volume>
<fpage>39</fpage>
<lpage>44</lpage>
<pub-id pub-id-type="pmid">12525408</pub-id>
</element-citation>
</ref>
<ref id="ref7">
<label>7</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jones</surname>
<given-names>A</given-names>
</name>
<name>
<surname>McArdle</surname>
<given-names>PF</given-names>
</name>
<name>
<surname>O’Neill</surname>
<given-names>PA</given-names>
</name>
</person-group>
<article-title>Howe well prepared are graduates for the role of pre-registration house officer? A comparison of the perceptions of new graduates and educational supervisors</article-title>
<source>Med Edu</source>
<year>2001</year>
<volume>35</volume>
<fpage>578</fpage>
<lpage>84</lpage>
</element-citation>
</ref>
<ref id="ref8">
<label>8</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Issenberg</surname>
<given-names>SB</given-names>
</name>
<name>
<surname>McGaghie</surname>
<given-names>WC</given-names>
</name>
<name>
<surname>Gordon</surname>
<given-names>DL</given-names>
</name>
<name>
<surname>Symes</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Petrusa</surname>
<given-names>ER</given-names>
</name>
<name>
<surname>Hart</surname>
<given-names>IR</given-names>
</name>
<etal></etal>
</person-group>
<article-title>Effectiveness of a Cardiology Review Course for Internal Medicine Using Simulation Technology and Deliberate Practice</article-title>
<source>Teach Learn Med</source>
<year>2002</year>
<volume>14</volume>
<fpage>223</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="pmid">12395483</pub-id>
</element-citation>
</ref>
<ref id="ref9">
<label>9</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Al-Elq</surname>
<given-names>AH</given-names>
</name>
</person-group>
<article-title>Medicine and Clinical Skills Laboratories</article-title>
<source>J Fam Community Med</source>
<year>2007</year>
<volume>14</volume>
<fpage>59</fpage>
<lpage>63</lpage>
</element-citation>
</ref>
<ref id="ref10">
<label>10</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Scalese</surname>
<given-names>RJ</given-names>
</name>
<name>
<surname>Obeso</surname>
<given-names>VT</given-names>
</name>
<name>
<surname>Issenberg</surname>
<given-names>SB</given-names>
</name>
</person-group>
<article-title>Simulation Technology for Skills Training and Competency Assessment in Medical Education</article-title>
<source>J Gen Intern Med</source>
<year>2008</year>
<volume>23</volume>
<fpage>46</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="pmid">18095044</pub-id>
</element-citation>
</ref>
<ref id="ref11">
<label>11</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Issenberg</surname>
<given-names>SB</given-names>
</name>
<name>
<surname>Gordon</surname>
<given-names>MS</given-names>
</name>
<name>
<surname>Gordon</surname>
<given-names>Dl</given-names>
</name>
<name>
<surname>Safford</surname>
<given-names>RE</given-names>
</name>
<name>
<surname>hart</surname>
<given-names>IR</given-names>
</name>
</person-group>
<article-title>Simulation and new learning technologies</article-title>
<source>Med Teach</source>
<year>2001</year>
<volume>16</volume>
<fpage>16</fpage>
<lpage>23</lpage>
<pub-id pub-id-type="pmid">11260734</pub-id>
</element-citation>
</ref>
<ref id="ref12">
<label>12</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dent</surname>
<given-names>JA</given-names>
</name>
</person-group>
<article-title>Current trends and future implications in the developing role of clinical skills centres</article-title>
<source>Med Teach</source>
<year>2001</year>
<volume>23</volume>
<fpage>483</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="pmid">12098370</pub-id>
</element-citation>
</ref>
<ref id="ref13">
<label>13</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Flangan</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Nestel</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Joseph</surname>
<given-names>M</given-names>
</name>
</person-group>
<article-title>Making patient safety the focus: Crisis resorce management in the undergraduate curriculum</article-title>
<source>Med Edu</source>
<year>2004</year>
<volume>38</volume>
<fpage>56</fpage>
<lpage>66</lpage>
</element-citation>
</ref>
<ref id="ref14">
<label>14</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ziv</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Ben-David</surname>
<given-names>S</given-names>
</name>
<name>
<surname>Ziv</surname>
<given-names>M</given-names>
</name>
</person-group>
<article-title>Simulation Based Medical Education: An opportunity to learn from errors</article-title>
<source>Med Teach</source>
<year>2005</year>
<volume>27</volume>
<fpage>193</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="pmid">16011941</pub-id>
</element-citation>
</ref>
<ref id="ref15">
<label>15</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cannon-Bowers</surname>
<given-names>JA</given-names>
</name>
</person-group>
<article-title>Recent advances in Scenario-based training for medical education</article-title>
<source>Curr Opin Anaethesiol</source>
<year>2008</year>
<volume>21</volume>
<fpage>784</fpage>
<lpage>9</lpage>
</element-citation>
</ref>
<ref id="ref16">
<label>16</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yaeger</surname>
<given-names>KA</given-names>
</name>
<name>
<surname>Arafeh</surname>
<given-names>JM</given-names>
</name>
</person-group>
<article-title>Making the move: From traditional neonatal education to simulation-based training</article-title>
<source>J Perinat Neonatal Nurs</source>
<year>2008</year>
<volume>22</volume>
<fpage>154</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="pmid">18496076</pub-id>
</element-citation>
</ref>
<ref id="ref17">
<label>17</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cheng</surname>
<given-names>A</given-names>
</name>
<name>
<surname>Duff</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Grant</surname>
<given-names>E</given-names>
</name>
<name>
<surname>Kissoon</surname>
<given-names>N</given-names>
</name>
<name>
<surname>Grant</surname>
<given-names>VJ</given-names>
</name>
</person-group>
<article-title>Simualtion in paediatrics: An educational revolution</article-title>
<source>Paediatr Child Health</source>
<year>2007</year>
<volume>12</volume>
<fpage>465</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="pmid">19030409</pub-id>
</element-citation>
</ref>
<ref id="ref18">
<label>18</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Robertson</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Schumacher</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Gosman</surname>
<given-names>G</given-names>
</name>
<name>
<surname>Kanfer</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Kelley</surname>
<given-names>M</given-names>
</name>
<name>
<surname>DeVita</surname>
<given-names>M</given-names>
</name>
</person-group>
<article-title>Simulation-based crisis team training for multidisciplinary obstetric providers</article-title>
<source>Simul Health</source>
<year>2009</year>
<volume>4</volume>
<fpage>77</fpage>
<lpage>83</lpage>
</element-citation>
</ref>
<ref id="ref19">
<label>19</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rudolph</surname>
<given-names>JW</given-names>
</name>
<name>
<surname>Simon</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Raemer</surname>
<given-names>DB</given-names>
</name>
<name>
<surname>Eppich</surname>
<given-names>WJ</given-names>
</name>
</person-group>
<article-title>Debriefing as formative assessment: Closing performance gaps in medical education</article-title>
<source>Acad Emerg Med</source>
<year>2008</year>
<volume>15</volume>
<fpage>1010</fpage>
<lpage>6</lpage>
<pub-id pub-id-type="pmid">18945231</pub-id>
</element-citation>
</ref>
<ref id="ref20">
<label>20</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Seropian</surname>
<given-names>MA</given-names>
</name>
<name>
<surname>Brown</surname>
<given-names>K</given-names>
</name>
<name>
<surname>Gavilanes</surname>
<given-names>JS</given-names>
</name>
<name>
<surname>Driggers</surname>
<given-names>B</given-names>
</name>
</person-group>
<article-title>Simulation: Not just a Manikin</article-title>
<source>J Nurs Educ</source>
<year>2004</year>
<volume>43</volume>
<fpage>164</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="pmid">15098910</pub-id>
</element-citation>
</ref>
<ref id="ref21">
<label>21</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Maran</surname>
<given-names>NJ</given-names>
</name>
<name>
<surname>Glavin</surname>
<given-names>RJ</given-names>
</name>
</person-group>
<article-title>Low-to high-fidelity simulation – a continuum of medical education?</article-title>
<source>Med Edu</source>
<year>2003</year>
<volume>37</volume>
<fpage>22</fpage>
<lpage>8</lpage>
</element-citation>
</ref>
<ref id="ref22">
<label>22</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Issenberg</surname>
<given-names>SB</given-names>
</name>
<name>
<surname>McGaghie</surname>
<given-names>WC</given-names>
</name>
<name>
<surname>Petrusa</surname>
<given-names>ER</given-names>
</name>
<name>
<surname>Lee Gordon</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Scalese</surname>
<given-names>RJ</given-names>
</name>
</person-group>
<article-title>Feature and uses of high-fidelity medical simulations that lead to effective learning: A BEME systematic review</article-title>
<source>Med Teach</source>
<year>2005</year>
<volume>27</volume>
<fpage>10</fpage>
<lpage>28</lpage>
<pub-id pub-id-type="pmid">16147767</pub-id>
</element-citation>
</ref>
<ref id="ref23">
<label>23</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ypinazar</surname>
<given-names>VA</given-names>
</name>
<name>
<surname>Margolis</surname>
<given-names>SA</given-names>
</name>
</person-group>
<article-title>Clinical simulators: Applications and implication for rural medical education</article-title>
<source>Rural Remote Health</source>
<year>2006</year>
<volume>6</volume>
<fpage>527</fpage>
<lpage>38</lpage>
<pub-id pub-id-type="pmid">16764503</pub-id>
</element-citation>
</ref>
<ref id="ref24">
<label>24</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cherry</surname>
<given-names>RA</given-names>
</name>
<name>
<surname>Ali</surname>
<given-names>J</given-names>
</name>
</person-group>
<article-title>Current concepts in simulation-based trauma education</article-title>
<source>J Trauma</source>
<year>2008</year>
<volume>65</volume>
<fpage>1186</fpage>
<lpage>93</lpage>
<pub-id pub-id-type="pmid">19001992</pub-id>
</element-citation>
</ref>
<ref id="ref25">
<label>25</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jeffries</surname>
<given-names>PR</given-names>
</name>
</person-group>
<article-title>A framework for Designing, Implementing and Evaluating Simulation Used as Teaching Strategies in Nursing</article-title>
<source>Nurs Educ Perspect</source>
<year>2005</year>
<volume>26</volume>
<fpage>96</fpage>
<lpage>103</lpage>
<pub-id pub-id-type="pmid">15921126</pub-id>
</element-citation>
</ref>
<ref id="ref26">
<label>26</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vozenilek</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Huff</surname>
<given-names>JS</given-names>
</name>
<name>
<surname>Reznek</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Gordon</surname>
<given-names>JA</given-names>
</name>
</person-group>
<article-title>See one, do one, teach one: Advanced technology in medical education</article-title>
<source>Acad Emerg Med</source>
<year>2004</year>
<volume>11</volume>
<fpage>1149</fpage>
<lpage>54</lpage>
<pub-id pub-id-type="pmid">15528578</pub-id>
</element-citation>
</ref>
<ref id="ref27">
<label>27</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gordon</surname>
<given-names>JA</given-names>
</name>
<name>
<surname>Wilkerson</surname>
<given-names>WM</given-names>
</name>
<name>
<surname>Shaffer</surname>
<given-names>DW</given-names>
</name>
<name>
<surname>Armstrong</surname>
<given-names>EG</given-names>
</name>
</person-group>
<article-title>Practicing medicine without risk: Students’ and educators’ response to high-fidelity patient simulation</article-title>
<source>Acad Med</source>
<year>2001</year>
<volume>76</volume>
<fpage>469</fpage>
<lpage>72</lpage>
<pub-id pub-id-type="pmid">11346525</pub-id>
</element-citation>
</ref>
<ref id="ref28">
<label>28</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pian-Smith</surname>
<given-names>MC</given-names>
</name>
<name>
<surname>Simon</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Minehart</surname>
<given-names>RD</given-names>
</name>
<name>
<surname>Podraza</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Rudolph</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Walzer</surname>
<given-names>T</given-names>
</name>
<etal></etal>
</person-group>
<article-title>Teaching residents the two-challenge rule: A simulation-based approach to improve education and patient safety</article-title>
<source>Simul Healthc</source>
<year>2009</year>
<volume>4</volume>
<fpage>84</fpage>
<lpage>91</lpage>
<pub-id pub-id-type="pmid">19444045</pub-id>
</element-citation>
</ref>
<ref id="ref29">
<label>29</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Weller</surname>
<given-names>JM</given-names>
</name>
</person-group>
<article-title>Simulation in undergraduate medical education: Bridging the gap between theory and practice</article-title>
<source>Med Edu</source>
<year>2004</year>
<volume>38</volume>
<fpage>32</fpage>
<lpage>8</lpage>
</element-citation>
</ref>
<ref id="ref30">
<label>30</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Margan</surname>
<given-names>PJ</given-names>
</name>
<name>
<surname>Cleave-Hogg</surname>
<given-names>D</given-names>
</name>
</person-group>
<article-title>Simulation technology in training students, residents and faculty</article-title>
<source>Curr Opin Anaesthesiol</source>
<year>2005</year>
<volume>18</volume>
<fpage>199</fpage>
<lpage>203</lpage>
<pub-id pub-id-type="pmid">16534339</pub-id>
</element-citation>
</ref>
<ref id="ref31">
<label>31</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Toback</surname>
<given-names>SL</given-names>
</name>
<name>
<surname>Fiedor</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Kilpela</surname>
<given-names>B</given-names>
</name>
<name>
<surname>Reis</surname>
<given-names>EC</given-names>
</name>
</person-group>
<article-title>Impact of a Pediatric Primary Care Office-based Mock Code Program On Physician and Staff Confidence to Perform Life-saving Skills</article-title>
<source>Pediatr Emerg Care</source>
<year>2006</year>
<volume>22</volume>
<fpage>415</fpage>
<lpage>22</lpage>
<pub-id pub-id-type="pmid">16801842</pub-id>
</element-citation>
</ref>
<ref id="ref32">
<label>32</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ramsey</surname>
<given-names>PG</given-names>
</name>
<name>
<surname>Curtis</surname>
<given-names>JR</given-names>
</name>
<name>
<surname>Paauw</surname>
<given-names>DS</given-names>
</name>
<name>
<surname>Carline</surname>
<given-names>JD</given-names>
</name>
<name>
<surname>Wenrich</surname>
<given-names>MD</given-names>
</name>
</person-group>
<article-title>History-aking and Preventive Medicine Skills among Primary Care Physicians: An Assessment Using Standardized Patients</article-title>
<source>Am J Med</source>
<year>1998</year>
<volume>104</volume>
<fpage>152</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="pmid">9528734</pub-id>
</element-citation>
</ref>
<ref id="ref33">
<label>33</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Costanza</surname>
<given-names>ME</given-names>
</name>
<name>
<surname>Luckmann</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Quirk</surname>
<given-names>ME</given-names>
</name>
<name>
<surname>Clemow</surname>
<given-names>L</given-names>
</name>
<name>
<surname>White</surname>
<given-names>MJ</given-names>
</name>
<name>
<surname>Stoddard</surname>
<given-names>AM</given-names>
</name>
</person-group>
<article-title>The Effectiveness of Using Standardized Patients to Improve Community Physician Skills in Mammography Counseling and Clinical Breast Exam</article-title>
<source>Prev Med</source>
<year>1999</year>
<volume>29</volume>
<fpage>241</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="pmid">10547049</pub-id>
</element-citation>
</ref>
<ref id="ref34">
<label>34</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vaidya</surname>
<given-names>VU</given-names>
</name>
<name>
<surname>Greenberg</surname>
<given-names>LW</given-names>
</name>
<name>
<surname>Patel</surname>
<given-names>KM</given-names>
</name>
<name>
<surname>Strauss</surname>
<given-names>LH</given-names>
</name>
<name>
<surname>Pollack</surname>
<given-names>MM</given-names>
</name>
</person-group>
<article-title>Teaching Physicians How to Break Bad News</article-title>
<source>Arch Pediatr Adolesc Med</source>
<year>1999</year>
<volume>153</volume>
<fpage>419</fpage>
<lpage>22</lpage>
<pub-id pub-id-type="pmid">10201727</pub-id>
</element-citation>
</ref>
<ref id="ref35">
<label>35</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>O’Connor</surname>
<given-names>PJ</given-names>
</name>
<name>
<surname>Sperl-Hillen</surname>
<given-names>JM</given-names>
</name>
<name>
<surname>Johnson</surname>
<given-names>PE</given-names>
</name>
<name>
<surname>Rush</surname>
<given-names>WA</given-names>
</name>
<name>
<surname>Asche</surname>
<given-names>SE</given-names>
</name>
<name>
<surname>Dutta</surname>
<given-names>P</given-names>
</name>
<etal></etal>
</person-group>
<article-title>Simulated physician learning intervention to improve safety and quality of diabetes care: A randomized trial</article-title>
<source>Diabetes Care</source>
<year>2009</year>
<volume>32</volume>
<fpage>585</fpage>
<lpage>90</lpage>
<pub-id pub-id-type="pmid">19171723</pub-id>
</element-citation>
</ref>
<ref id="ref36">
<label>36</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Morrow</surname>
<given-names>R</given-names>
</name>
<name>
<surname>Fletcher</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Mulvihill</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Park</surname>
<given-names>H</given-names>
</name>
</person-group>
<article-title>The asthma dialogues: A model of interactive education for skills</article-title>
<source>J Contin Educ Health Prof</source>
<year>2007</year>
<volume>27</volume>
<fpage>49</fpage>
<lpage>58</lpage>
<pub-id pub-id-type="pmid">17385732</pub-id>
</element-citation>
</ref>
<ref id="ref37">
<label>37</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Srinivasan</surname>
<given-names>M</given-names>
</name>
<name>
<surname>Hwang</surname>
<given-names>JC</given-names>
</name>
<name>
<surname>West</surname>
<given-names>D</given-names>
</name>
<name>
<surname>Yellowlees</surname>
<given-names>PM</given-names>
</name>
</person-group>
<article-title>Assessment of clinical skills using simulator technology</article-title>
<source>Acad Psychiatry</source>
<year>2006</year>
<volume>30</volume>
<fpage>505</fpage>
<lpage>15</lpage>
<pub-id pub-id-type="pmid">17139022</pub-id>
</element-citation>
</ref>
<ref id="ref38">
<label>38</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Weinberg</surname>
<given-names>ER</given-names>
</name>
<name>
<surname>Auerbach</surname>
<given-names>MA</given-names>
</name>
<name>
<surname>Shah</surname>
<given-names>NB</given-names>
</name>
</person-group>
<article-title>The use of simulation for pediatric training and assessment</article-title>
<source>Curr Opin Pediatr</source>
<year>2009</year>
<volume>21</volume>
<fpage>282</fpage>
<lpage>7</lpage>
<pub-id pub-id-type="pmid">19381090</pub-id>
</element-citation>
</ref>
<ref id="ref39">
<label>39</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gordon</surname>
<given-names>JA</given-names>
</name>
<name>
<surname>Oriol</surname>
<given-names>NE</given-names>
</name>
<name>
<surname>Cooper</surname>
<given-names>JB</given-names>
</name>
</person-group>
<article-title>Bringing good teaching cases “to life”: A simulation-based medical education service</article-title>
<source>Acad Med</source>
<year>2004</year>
<volume>79</volume>
<fpage>23</fpage>
<lpage>7</lpage>
<pub-id pub-id-type="pmid">14690993</pub-id>
</element-citation>
</ref>
<ref id="ref40">
<label>40</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Okuda</surname>
<given-names>Y</given-names>
</name>
<name>
<surname>Bryson</surname>
<given-names>EO</given-names>
</name>
<name>
<surname>DeMaria</surname>
<given-names>S</given-names>
<suffix>Jr</suffix>
</name>
<name>
<surname>Jacobson</surname>
<given-names>L</given-names>
</name>
<name>
<surname>Quinones</surname>
<given-names>J</given-names>
</name>
<name>
<surname>Shen</surname>
<given-names>B</given-names>
</name>
<etal></etal>
</person-group>
<article-title>The utility of simulation in medical education: What is the evidence?</article-title>
<source>Mt Sinai J Med</source>
<year>2009</year>
<volume>76</volume>
<fpage>330</fpage>
<lpage>43</lpage>
<pub-id pub-id-type="pmid">19642147</pub-id>
</element-citation>
</ref>
</ref-list>
</back>
</pmc>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/HapticV1/Data/Pmc/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000E00 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd -nk 000E00 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Ticri/CIDE
   |area=    HapticV1
   |flux=    Pmc
   |étape=   Curation
   |type=    RBID
   |clé=     PMC:3195067
   |texte=   Simulation-based medical teaching and learning
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Curation/RBID.i   -Sk "pubmed:22022669" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Curation/biblio.hfd   \
       | NlmPubMed2Wicri -a HapticV1 

Wicri

This area was generated with Dilib version V0.6.23.
Data generation: Mon Jun 13 01:09:46 2016. Site generation: Wed Mar 6 09:54:07 2024