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TJFMPC. 2016; 10(2): 96-104


Using simulation-based education to improve residents’ clinical decision making skills in developing countries

Ibrahim Bashan, James M Cooke, Deborah M Rooney.

Abstract
Background
Recently, a significant increase occured in the use of medical simulation technology for teaching and assessment. Improved patient safety during medical education has driven simulation-based education (SBE), particularly in resident education. Although many countries have integrated SBE into their undergraduate programs, some developing countries, including Turkey, have been slow to apply SBE into their graduate programs. We propose a review of existing examples of SBE used which may promote the implementation of similar curricula in developing countries.

Methods
To derive a representative sample of relevant curricula, we performed a web-based literature review using the search terms “simulation” and (“ graduate, resident”) and (“clinical decision-making” or ‘‘clinical reasoning”) and “training’’.
Results
Of the 83 original articles, ten resulting articles were relevant to SBE used to support residents’ clinical decision-making in six clinical areas. We summarize the ten curricula and discuss them in the context of three primary considerations (course administration, content development, and assessment program evaluation) so they may be applied in similar graduate curricula in Turkey and others.
Conclusions
It is obvious that simulation-based education offers benefits. In particular, graduate-level training programs used to support clinical decision-making are critical to the development of competent physicians around the world.

Key words: simulation, resident, curriculum, clinical decision-making



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