Keeping Clinical Skills Education Reform in Steps with Technological Advances in Simulation

1. Keeping Clinical Skills Education Reform in Steps with Technological Advances in Simulation Clinical Skills Training Center Shantou University Medical College Dr. Xu Jiezhou

2. Simulation in Healthcare

3. Simulation in Healthcare

4. Simulation in Healthcare

5. Simulation in Healthcare

6. Simulation in Healthcare

7. Simulation in Healthcare • 情景 Game Learning

8. Simulation in Healthcare Hybrid Simulation

9. Scenario Teaching

10. Scenario Teaching

11. Scenario Teaching • 情景

12. Banner Simulation Center in Phoenix, USA

13. Banner Simulation Center in Phoenix, USA

14. Banner Simulation Center in Phoenix, USA

15. 临床 技能中心 模拟重 症监护室 多功能 培训室一 心肺检 查训练室 多功能 培训室二 标准 诊室 储存室 监控室 Simulation Facilities at SUMC 多功能 培训室一

16. Simulation in Healthcare 消毒洗手室 术科技能中心 动物手术室

17. Medical Education Reforms at SUMC Table 1 Curriculum Structures of Clinical Medicine Programs at SUMC

18. Medical Education Reforms at SUMC Table 2 SUMC Systems-integrated Modules and Courses Schedule

19. Including most clinical skills in Medicine, Surgery, Gynecology and Obstetrics, Pediatrics, Ophthalmology,Psychiatrics Span 4 semesters Symptoms and History Taking Physical Examination Laboratory Investigations Basic Clinical Skills Essential Surgical Techniques Electro- cardiogram Resuscitation Skills Clinical Procedures Communication Skills A New Comprehensive Course ‘Diagnostics’ ‘Basic Clinical Skills’ 急救技术、手术基本操作 体格检查、症状病史 实验诊断、心电图 诊疗操作、沟通技能

20. ‘Basic Clinical Skills’—1st semester

21. ‘Basic Clinical Skills’—2nd semester

22. ‘Basic Clinical Skills’—3rd semester

23. ‘Basic Clinical Skills’—4th semester

24. Focus on experience based learning Group training and team work Practices : Lectures = 2 : 1 Clinical Skills Teaching

25. Clinical Skills Teaching • Standardized Patient • Medical simulated devices • Virtual Reality • Computer simulation cases • Network education

26. Clinical Skills Teaching Preparation

27. Student’s Association and Activities

28. Student’s Association and Activities Table 3 Comparison of TOSCE results between study and control group (p<0.05)

29. Multiple Assessment System • Balance of experiences and knowledge • Assessment of comprehensive competences, esp. human sympathy • Objective Structured Clinical Examination（OSCE） • T-OSCE（Teaching OSCE） • Mock United States Medical Licensing Examination（USMLE）

30. Teaching OSCE

31. For medical students For nursingstudents • Long stations • Short stations History Taking Interview Physical Examination Venus Injection Documentation History Taking Clinical Procedures Urethral Catheterization Aseptic Techniques Video Feedback Professional Ethics and Communication skills Test result interpretation Resuscitation Skills CPR Change Bed Sheet Surgical Skills Gynecologic and Obstetric Skills Objective Structured Clinical Examination (Final OSCE） 108 min

32. Final OSCE Waiting History Taking PE

33. Final OSCE Resuscitation Skills Interview Clinical Procedures Surgical Skills G ＆ O Skills

34. Final OSCE Lab Interpretation Communication Skills Video Feedback

35. Assessments Table 4 OSCE Results Between 2005 and 2009 Table 5 Comparison of results between new model group and old model group in final OSCE

36. Assessments • Awarded the 2nd prizes in National Teaching Achievement • Awarded the 1st and 2nd prizes in Provincial Teaching Achievement • Won No.4 in the First National Student’s Clinical Skills Competition Table 6 Comparison of passing rates of National Medical Licensing Examination between SUMC and other domestic medical schools （From National Medical Examination Center）

37. Appeal to the Clinicians 天下攘攘皆为利往 天下熙熙皆为利来

38. Thank you for your attention