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Simulated Shift in the Emergency Room: a Novel Teaching Method

hassan motamed, Mohammad Reza Maleki Verki, mohammad karimi, pezhman larki


Paying close attention to several clinical issues and timeliness of proper treatment is of prime importance in EM. Simulation based training (SBT) is a popular growing trend in the field fulfilling both otherwise competing goals of patient care and education, in a residence clinical experience. In this study a virtual shift was designed to use potentials of SBT in a SMARTER (simulation module for assessment of resident’s targeted event response) based approach. Our SMARTER scenarios are mostly focused on multiple clinical contexts, with more steps than usual SMARTER procedures. An evaluation was introduced using pre/post tests and SPSS statistics were used to get more insight into our newly designed virtual shift methods. T-test results along with questionnaires showed both the benefits of this new method and the resident’s tendency to learn and develop their KSA (knowledge skill attitude) level in emergency medicine.


Emergency Medicine, several clinical issuesg, Simulation based training

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Ziv, A., et al., Simulation-based medical education: an ethical imperative. Simulation in Healthcare, 2006. 1(4): p. 252-256.

Cheng, A., et al., The use of high-fidelity manikins for advanced life support training—a systematic review and meta-analysis. Resuscitation, 2015. 93: p. 142-149.

Evans, L.V., et al., A comprehensive, simulation-based approach to teaching clinical skills: the medical students’ perspective. The Yale journal of biology and medicine, 2014. 87(4): p. 575.

von der Heyden, M. and K. Meissner, Simulation in preclinical emergency medicine. Best Practice & Research Clinical Anaesthesiology, 2015. 29(1): p. 61-68.

Ende, J., Feedback in clinical medical education. Jama, 1983. 250(6): p. 777-781.

Hays, R.T. and M.J. Singer, Simulation fidelity in training system design: Bridging the gap between reality and training. 2012: Springer Science & Business Media.

Silvestri, S., et al., Beyond the basics: brining simulation theory and technology together. Council of Emergency Medicine Residency Directors (CORD) Academic Assembly, 2007.

Swing, S.R., Assessing the ACGME general competencies: general considerations and assessment methods. Academic Emergency Medicine, 2002. 9(11): p. 1278-1288.

Education, A.C.f.G.M., ACGME Outcomes Project—Toolbox of Assessment Methods. 2000. 2005.

Swick, S., M.S. Hall, and E. Beresin, Assessing the ACGME competencies in psychiatry training programs. Academic Psychiatry, 2006. 30(4): p. 330-351.

Salas, E., et al., Scenario-based training: Improving military mission performance and adaptability. Military life: The psychology of serving in peace and combat. Vol. 2: Operational stress, 2006: p. 32-53.

Barry Issenberg, S., et al., Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Medical teacher, 2005. 27(1): p. 10-28.

McFetrich, J., A structured literature review on the use of high fidelity patient simulators for teaching in emergency medicine. Emergency Medicine Journal, 2006. 23(7): p. 509-511.

Heng, K.W., Teaching and evaluating multitasking ability in emergency medicine residents-what is the best practice? International journal of emergency medicine, 2014. 7(1): p. 1.

Perina, D.G., et al., The 2011 model of the clinical practice of emergency medicine. Academic Emergency Medicine, 2012. 19(7): p. e19-e40.

Stephens, R.J. and R.J. Fairbanks, Humans and multitask performance: let’s give credit where credit is due. Academic Emergency Medicine, 2012. 19(2): p. 232-234.

Wang, E.E., P.L. Dyne, and H. Du, Systems‐based Practice: Summary of the 2010 Council of Emergency Medicine Residency Directors Academic Assembly Consensus Workgroup—Teaching and Evaluating the Difficult‐to‐teach Competencies. Academic Emergency Medicine, 2011. 18(s2): p. S110-S120.

Kobayashi, L., et al., Multiple Encounter Simulation for High‐acuity Multipatient Environment Training. Academic Emergency Medicine, 2007. 14(12): p. 1141-1148.

Rosen, M.A., et al., A measurement tool for simulation-based training in emergency medicine: the simulation module for assessment of resident targeted event responses (SMARTER) approach. Simulation in Healthcare, 2008. 3(3): p. 170-179.

Baptista, R.C.N., et al., Students' satisfaction with simulated clinical experiences: validation of an assessment scale. Revista latino-americana de enfermagem, 2014. 22(5): p. 709-715.



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