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The effects of practical training methods of different forms and intensities on the acquisition of clinical skills

Laiou, Elpiniki (2010)
Ph.D. thesis, University of Birmingham.

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Simulation holds enormous potential for medical education, where patient safety concerns have made practice on patients less acceptable. However, there is no unequivocal evidence of simulation training translating to improved performance in vivo. Therefore, the aim of this thesis is to add to the literature on simulation training by a) synthesising the current evidence on the effectiveness of simulation training in healthcare, b) investigating the effectiveness of different ‘doses’ of mannequin training in learning laryngeal mask airway placement and c) assessing the effectiveness of a simulation course on managing life threatening illness. This thesis has added to the literature in the field of medical education a review of reviews of the evidence regarding the effectiveness of simulation training in medicine and surgery, and two RCTs evaluating different simulation training courses. The review of reviews highlighted that simulation training can be effective, but there was little consistent evidence across tasks or types of simulator. The two RCTs reported nil results, reinforcing that simulation alone is insufficient to ensure effectiveness. These results highlight the importance of recognising when simulation training is appropriate, how simulation interacts with other elements of a training programme and how the simulation can be made maximally effective.

Type of Work:Ph.D. thesis.
Supervisor(s):Brown, Celia A. and Lilford, Richard J.
School/Faculty:Colleges (2008 onwards) > College of Medical & Dental Sciences
Department:Unit of Public Health, Epidemiology and Biostatistics
Subjects:R Medicine (General)
LB2300 Higher Education
Institution:University of Birmingham
ID Code:1078
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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