Simulation –based Education in Turkey: Insights from a recent trip

Simulation –based Education in Turkey: Insights from a recent trip CSC Brown Bag Series

January 5 , 2016 Deborah Rooney PhD

MEDICAL SCHOOL UNIVERSITY  OF  MICHIGAN  

Today’s talk

•  Highlights from visit to Mersin University and AHEKON conference (November, 2015)

•  Brief review of projects

•  Discussion about next steps in collaborative efforts

How’d this begin?

Growing relationship with Ibrahim Başhan, MD

o  Family Medicine Physician and Director of Simulation Center

o  Department of Medical Education, Mersin University, Turkey

o  Began during 3-month visiting scholar’s program June, 2014

o  Interested growing SBE for graduate learners

Where in the World is Turkey?

Where did I go in Turkey?

Antakya

Mersin

•  University built 1992

•  11 Departments (e.g. Education, Pharmacy, Communication, Fine Arts, Architecture, Medicine)

•  25,000 students

•  2005 Mersin Technology Development Zone (Technoscope)

Mersin Űniversitesi

Medical faculty (College) also built 1992

Osmaniye State Hospital, 750 beds

~750 medical students (basic medical education 6 year program)

Mersin Űniversitesi Faculty of Medicine

Est. 2008

6 faculty (Microbiology, Public health, Anesthesiology, Otolaryngology, DME (x2)

AIMS:

•  Improve training quality of medical education

•  Promote/ organize Train theTrainers Course

•  Providing support to the Medical Faculty Dean (e.g. curriculum regulation & assessment)

Department of Medical Education

Space (320 m2, 3400 sf) Meeting rooms seat 14-20 (x14) Conference room, seat 200 (x1)

Resources SimMan (x1) Noelle (x1) Variety of task trainers (x153)

Staffing Simulation technician (ft) Software specialist (pt)

Clinical Simulation Center: Resources

Clinical Simulation Center: Resources

Annual Coverage 500 undergraduate medical

students (M3-6) 220 ‘graduate medical

students’ (R1-R3)

Est. 60-70 hours/month*

Clinical Simulation Center: Learners

*Medical education programs

Undergraduate Training Organized via rotation departments Clinical skills and communication skills training

Train the Trainers Annual, 4 day course 75 trainers ‘certified’ to date

Graduate Training Bootcamp/Orientation (4 day) Mid-year (4 day)

“Cardiac Mngmt” (20 lners/mo)

Continuing Professional Development

Clinical Simulation Center: Programs

Mersin: personal experience

Mersin: personal experience

Mersin: personal experience

Mersin: Aynalıgöl cave

Antakya

Mersin: Antakya day trip

Hatay Mosaic Museum

Antakya day trip

A few observations

•  Annual Turkish Family Medicine Conference

•  2000 Attendees

•  Antalya, Resort town

AHEKON

AHEKON: Precourse

AHEKON: Experience

AHEKON: Experience

But what’s been produced?

Manuscript 1: Using simulation-based education to improve residents’ clinical decision-making skills in developing countries

•  Literature review of SBE (n=83) to identify practical methods to promote the implementation of simular curricula in developing countries

•  Ten curricula, targeted for their; •  course administration •  content development •  learner assessment •  program evaluation

Manuscript 1: Summary table

•  6 clinical disciplines

•  Highlights specific, practical resources

Manuscript 2: The Use of Simulation in Continued Professional Development: Perspectives and Comparisons of Turkish and US Family Physicians

•  Survey-based needs assessmentà US &Turkey FM Ass.

•  Survey: Demographics, reasons for CPD, preferred resources and learning modalities

•  Participants, n=273 Turkey n=208 US n=68

Findings: Turkish and United States family medicine physicians’ preferred CPD topics

0   10   20   30   40   50   60   70   80  

Other  

Conflict  Management  

Administra=on  Skills  

Informa=on  Applica=ons  

Scien=fic  Research  Methods  

Communica=on  Skills  

Technical  Skills  

Medical  Law  

Simula=on  

%  Agreement  

Preferred  CPD  Topics    

Turkey  (n=208)  

US  (n=68)  

Findings: Family medicine physician use of resources used during Continuing Professional Development (CPD) [scored 1=none, 5=mostly]

Resource

Turkey Mean (SD) (n = 208)

US Mean (SD)

(n = 68)

P-value

Published periodical (magazine) 2.4 (1.1) 2.3 (0.8) 0.52

Textbooks 2.5 (1.2) 3.5 (0.9) 0.01

Online magazines/Books 3.6 (0.9) 2.5 (0.9) 0.01

Clinical simulation 2.6 (1.1) 4.0 (1.1) 0.01

Web/Computer-based simulation 2.3 (1.1) 3.8 (1.3) 0.01

Meetings/Courses/Seminars 3.4 (1.0) 2.4 (0.9) 0.01

Specialist opinion 3.3 (0.7) 2.9 (0.9) 0.01

Opportunities for Collaboration

Opportunities for Collaboration

•  AHEKON 2016 •  Panhellenic Course, Fall 2016 (with

Nikos Kerameris, Greece) •  Mersin, Acibadem University (CASE)… •  UM Global REACH initiative (?) •  Others?

     Deborah  Rooney,  PhD  [email protected]    

Thank you

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