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14 The Use of Medical Simulation to Enhance the Clinical Exposure to International Emergency Medicine
Author(s) -
Bouslough David
Publication year - 2008
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/j.1553-2712.2008.00131_14.x
Subject(s) - medicine , curriculum , emergency department , public health , family medicine , pediatric emergency medicine , medical emergency , nursing , emergency physician , psychology , pedagogy
Study Objectives: Increasing numbers of immigrants and returned travelers use emergency departments for health care. Many physicians‐in‐training are interested in participating in health electives abroad, yet residency curricula generally address global health inadequately. Advanced medical simulation (SIM) is an educational modality used to artificially re‐create clinical experiences. Authors explored the application of SIM and standardized patient encounters to teach emergency medicine residents select topics in tropical medicine, public health, and decision‐making in varied‐resource settings. Methods: International Emergency Medicine (IEM) faculty created four case scenarios interspersed into the established residency simulation curriculum. Moulaged manikins and standardized patients in immersive IEM clinical settings provided history and physical exam cues to learners during the following clinical encounters: ‐ “Tent‐side” mobile clinic, East Africa: “Dizzy” pregnant patient (Hookworm). ‐ Rural health clinic, Southeast Asia: Infant with “altered mental status” (Dengue). ‐ Emergency department, North America: Central American immigrant with “dyspnea” (Chagas). ‐ Emergency department, North America: Returned traveler from East Africa with “fever” (Typhoid). Post‐scenario debriefings addressed unique elements of IEM including