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At least 559 records · Page 31Linked to original sources
PubMed2005

Using children as simulated patients in communication training for residents and medical students: a pilot program.

Medical schools are charged with the challenge of teaching effective communication skills, a core competency for residents and medical students. Especially challenging is the task of developing effective methods for training residents and students to communicate with children with mental health issues. The authors describe a pilot program at Mercer University School of Medicine that used pediatric standardized patients (SPs), ages 9-19, to aid in training residents and medical students in complex interviewing skills addressing mental health issues. New curriculum components for four pediatric problems, anorexia nervosa, depression, separation anxiety, and attention deficit hyperactivity disorder (ADHD), were designed and implemented by the authors in 2002-04. The training sessions were evaluated by the participating SPs as well as the residents and medical students in training. The components of the training were a lecture and subsequent practice using pediatric SPs and adults acting as their mothers. Evaluation included the qualitative analysis of SPs' reactions to participation in the training as described during a posttraining-session focus-group, as well as questionnaire responses by residents and medical students. The children role-playing the scenario of a difficult-to-manage situation and their adult "parent" actors voiced strongly positive reactions to participating in training residents and medical students. The reactions of physicians in training were also positive. The authors thus conclude that child and adolescent actors can be effectively used as SPs to train residents and students in complex interviewing skills, even in cases involving children with challenging mental health issues.

Adolescent↗
PubMed2006

Virtual reality thread simulation for laparoscopic suturing training.

The level of realism in virtual reality trainers might not be proportional to its didactic value. As an example, three exercises to train suturing skills are proposed in this article. They use a discrete thread model with a simple but good enough behaviour, and constitute a training means for three laparoscopic skills: (1) Accurate grasping, which trains grasping a precise point in the thread. (2) Coordinated Pulling, which trains tightening the thread co-ordinately and in different space orientations; and (3) Knotting, which allow the surgeon to practice this manoeuvre. These three exercises, found interesting among experts in surgical training, are now being validated in MIS workshops at the Minimally Invasive Surgery Centre of Cáceres (Spain).

Humans↗
PubMedDate not supplied

[Simulator for individual auditory training of hard-of-hearing persons].

A device-trainer intended for individual exercises with patients suffering from an intensively pronounced hearing defect is described. The device permits it to reproduce sound signals amplifying them up to 130 dB in the mono-binaural and also in the stereophonic modes and provides for a wide bandwidth. The originals can be presented by using the auditory and vibro-tactile reception.

Adult↗
PubMed2004

Intelligent training system integrated in an echocardiography simulator.

Computer simulators play an important role in medical education. We have extended our simulator EchoComJ with an intelligent training system (ITS) to support trainees adjusting echocardiographic standard views. EchoComJ is an augmented reality application that combines real three-dimensional ultrasound data with a virtual heart model enabling one to simulate an echocardiographic examination. The ITS analyzes the image planes according to their position, orientation and the visualization of anatomical landmarks using fuzzy rules. An adaptive feedback is provided that colors the specific anatomic landmarks within the contours of the virtual model based on the quality of the image plane.

Artificial Intelligence↗
PubMed1983

Ozone and high ventilation effects on pulmonary function and endurance performance.

Ozone (O3) toxicity is potentiated by exercise-induced expired minute ventilation (VE) for a given exposure, which may also impair endurance performance. Ten healthy, well-trained long-distance runners were exposed on six occasions for 1 h to O3 concentrations of 0, 0.20, or 0.35 parts per million (ppm), during exercise simulating either training or competition, with mean VE = 77.5 1 X min -1. Standard pulmonary function tests, subjective symptoms, and periodic observations of exercise ventilatory response and respiratory metabolism were obtained. Statistical analyses revealed no significant exercise mode effect for pulmonary function, but a significant O3 effect for forced vital capacity and expiratory volume at 1 s was observed. Altered exercise ventilatory pattern response was noted, but there was no significant O3 effect on exercise oxygen uptake, heart rate, VE, or alveolar ventilation. Subjective symptoms increased with O3 concentration. Statistically significant pulmonary function impairment observed at 0.20 ppm O3 suggests that endurance athletes may be more susceptible to the effects of a given O3 concentration than normal young adult males as a result of sustained high mean VE incurred during training and competition. Three subjects were unable to complete both the training and competitive simulations at 0.35 ppm O3. Performance decrements appeared to be the result of physiologically induced respiratory discomfort rather than decrements in pulmonary gas exchange and/or oxygen transport and delivery.

Adult↗
PubMed1994

An in vitro physiologic model for cardiopulmonary simulation: a system for ECMO training.

Extracorporeal life support (ELS) systems may be run by certified perfusionists, specially trained nurses or respiratory therapy staff. Guidelines for the training, certification and retraining of ELS operators have been established by the Extracorporeal Life Support Organization. Recommendations include "... a well defined program for staff training, certification, and retraining". Some clinicians have suggested that ELS operators be certified and recertified in an animal laboratory. But such practice involves veterinary expenses, animal use issues and considerable clean-up and disposal. We describe an alternative method of training, using an in vitro physiologic model designed to simulate various pathophysiologic states. In addition, the in vitro physiologic model may be used to evaluate membrane lung characteristics. This model's ease of construction, maintenance and use for training compared with live animal techniques are discussed. Research capabilities may be more flexible than with the use of the live animal technique. The in vitro physiologic model can be a useful and convenient asset to an extracorporeal membrane oxygenation/extracorporeal carbon dioxide removal (ECMO/ECCO2R) program.

Carbon Dioxide↗
PubMed2005

Validation of SimPL -- a simulator for diagnostic peritoneal lavage training.

This study describes a comparison between an animal model and a haptic enabled, needle based, graphical user interface simulator (SimPL), for teaching Diagnostic Peritoneal Lavage (DPL). Forty novice medical students were divided into two groups and then trained to perform a DPL on either a pig or the SimPL. All subjects completed a pre and post test of basic knowledge and were tested by performing a DPL on a TraumaMan mannequin and evaluated by two trauma surgeons blinded to group. The results showed significant improvement over baseline knowledge in both groups but more so in the SimPL group. The simulator group performed better on site selection (p<0.001) and technique (p<0.002) than those who trained on a pig. The finding that a simulator is superior to an animal model for teaching an important skill to medical students has profound implications on future training and deserves further study.

Animals↗