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‘Disaster day’: global health simulation teaching
Author(s) -
MohamedAhmed Rayan,
Daniels Alex,
Goodall Jack,
O'Kelly Emily,
Fisher James
Publication year - 2016
Publication title -
the clinical teacher
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.354
H-Index - 26
eISSN - 1743-498X
pISSN - 1743-4971
DOI - 10.1111/tct.12349
Subject(s) - session (web analytics) , global health , likert scale , medical education , psychology , medicine , nursing , computer science , public health , developmental psychology , world wide web
Summary Background As society diversifies and globalisation quickens, the importance of teaching global health to medical undergraduates increases. For undergraduates, the majority of exposure to ‘hands‐on’ teaching on global health occurs during optional elective periods. This article describes an innovative student‐led initiative, ‘Disaster Day’, which used simulation to teach global health to undergraduates. Methods The teaching day began with an introduction outlining the work of Médecins Sans Frontières and the basic principles of resuscitation. Students then undertook four interactive simulation scenarios: Infectious Diseases in a Refugee Camp, Natural Disaster and Crush Injury, Obstetric Emergency in a Low‐Income Country, and Warzone Gunshot Wound. Sessions were facilitated by experienced doctors and fourth‐year students who had been trained in the delivery of the scenarios. Students completed pre‐ and post‐session evaluation forms that included the self‐rating of confidence in eight learning domains (using a five‐point Likert scale). Results Twenty‐seven students voluntarily attended the session, and all provided written feedback. Analysis of the pre‐ and post‐session evaluations demonstrated statistically significant improvements in confidence across all but one domains (Wilcoxon signed rank test). Free‐text feedback was overwhelmingly positive, with students appreciating the practical aspect of the scenarios. For undergraduates, the majority of exposure to ‘hands‐on’ teaching on global health occurs during optional elective periodsDiscussion Simulation‐based teaching can provide students with ‘hands‐on’ exposure to global health in a controlled, reproducible fashion and appears to help develop their confidence in a variety of learning domains. The more widespread use of such teaching methods is encouraged: helping tomorrow's doctors develop insight into global health challenges may produce more rounded clinicians capable of caring for more culturally diverse populations.