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Optimizing Multidisciplinary Simulation in Medical School for Larger Groups: Role Assignment by Lottery and Guided Learning.
Borges, Lawrence F; Robertson, Jamie M; Kappler, Steven M; Venkatan, Suresh K; Jin, David X; Barnes, Edward L; Jaffer, Farouc A; Saldana, Fidencio L; Dudzinski, David M; Stefanescu Schmidt, Ada C; Drachman, Douglas E; Young, Michael N; Hayden, Emily M; Pelletier, Stephen R; Shields, Helen M.
Afiliación
  • Borges LF; Division of Gastroenterology, Mount Auburn Hospital and Harvard Medical School, Cambridge, MA, USA.
  • Robertson JM; Department of Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
  • Kappler SM; Cleveland Clinic Digestive Diseases Center, Port St. Lucie, FL, USA.
  • Venkatan SK; Learning Laboratory, Massachusetts General Hospital, Boston, MA, USA.
  • Jin DX; Division of Gastroenterology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
  • Barnes EL; Division of Gastroenterology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
  • Jaffer FA; Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Saldana FL; Division of Cardiovascular Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
  • Dudzinski DM; Learning Laboratory, Massachusetts General Hospital, Boston, MA, USA.
  • Stefanescu Schmidt AC; Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Drachman DE; Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Young MN; Division of Cardiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Hayden EM; Cardiology Division, Dartmouth-Hitchcock Medical Center and Geisel School of Medicine, Lebanon, NH, USA.
  • Pelletier SR; Department of Emergency Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
  • Shields HM; Office of Educational Quality Improvement, Harvard Medical School, Boston, MA, USA.
Adv Med Educ Pract ; 11: 969-976, 2020.
Article en En | MEDLINE | ID: mdl-33376436
PURPOSE: Medical school simulations are often designed for a limited number of students to maximize engagement and learning. To ensure that all first-year medical students who wished to join had an opportunity to participate, we designed a novel method for larger groups. PATIENTS AND METHODS: We devised a low technology "Orchestra Leader's" chart approach to prominently display students' roles, chosen by lottery. During simulation, the chart was mounted on an intravenous pole and served as a group organizational tool. A course instructor prompted students using the chart to accomplish the course objectives in a logical order. Real-life cardiologists and gastroenterologists provided the students with expert subspecialty consultation. We analyzed 125 anonymous student evaluation ratings for 3 years (2017-2019) with a range of 8 to 19 students per laboratory session. RESULTS: Our 2017-2019 larger group sessions were all rated as excellent (1.26, Mean, SD ±.510) on the Likert scale where 1.0 is excellent and 5.0 is poor. There were no statistically significant differences in overall ratings among the 2017, 2018 and 2019 sessions. The subspecialists were uniformly rated as excellent. Verbatim free-text responses demonstrated resounding student appreciation for the role assignment by lottery method. CONCLUSION: We designed a novel, "Orchestra Leader's" chart approach for accommodating larger groups in a multidisciplinary simulation laboratory using role assignment by lottery, roles depicted on an organizational chart, and expert instructor prompting. Our consistently excellent ratings suggest that our methods are useful for achieving well-rated larger group simulation laboratories.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Med Educ Pract Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Nueva Zelanda

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Adv Med Educ Pract Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Nueva Zelanda