ROLE OF DEBRIEFING AS A LEARNING TOOL IN SIMULATION BASED LEARNING FOR STUDENTS OF PRECLINICAL YEARS AT THE END OF TWO CONSECUTIVE MODULES-INITIAL EXPERIENCE

Authors

  • Liaqat Ali Department of Physiology, Foundation University Medical College, Islamabad
  • Sabina Nisar Department of Physiology, Foundation University Medical College, Islamabad
  • Ayesha Ghassan Department of Physiology, Foundation University Medical College, Islamabad

Abstract

Background: The topic of debriefing has been receiving some attention in the simulation literature. Because of the significance of debriefing on learning, evaluation of the de-briefer is done to ensure optimal performance. Structured debriefing as a learning tool was evaluated at the end of modular teaching of first year MBBS. This study is a descriptive cross sectional study to analyze the usefulness of debriefing as an instructional strategy during observed structured clinical examination conducted at the end of two consecutive modules of first year MBBS students. Methods: Performance of 150 students of first year MBBS was evaluated at the end of modules called Foundation module and skin and musculoskeletal module. Debriefing was structured and conducted after training of six staff members who conducted and supervised Objectively Structured Clinical Examination. Results: Apart from description of results of Objectively Structured Clinical Examination that were generally good, students praised the debriefing session. Ninety percent students thought the timing of debriefing to be perfect. Only 2% percent students complained about negative debriefing. Ten percent students wanted the debriefing session to be conducted in camera so that they could evaluate their own performance. Conclusion: Debriefing session at the end of modular teaching Objectively Structured Clinical Examination is a useful learning tool as not only it provides immediate feedback about the performance but gives students opportunity to discuss own performance with the instructor in order to develop habit of lifelong self-directed adult learner.Keywords: Debriefing, simulation, clinical skill lab

References

Paul TB, Adler AB. Event-Oriented Debriefing Following Military Operations: What Every Leader Should Know. US Army Medical Research Unit-Europe Unit 29218 APO AE 09102; 95, p 1-9 Retrieved 2008 Dec 8. Available from: http://en.wikipedia.org/wiki/Debriefing

Robinson RC, Mitchell JT. Evaluation of psychological debriefings. J Trauma Stress. 1993; 6, 367–82.

Green BL. Psychosocial research in traumatic stress: An update. J Trauma Stress. 1994;7,341–62

Halamek L. The simulated delivery-room environment as the future modality for acquiring and maintaining skills in fetal and neonatal resuscitation. Semin Fetal Neonatal Med. 2008;13:448–53.

Childs JC, Sepples S. Clinical teaching by simulation: lessons learned from a complex patient care scenario. Nurs Educ Perspect. 2006; 27:154–8.

Fanning RM, Gaba DM. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2:115–25.

Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nurs Educ Perspect. 2005; 26:96–103.

Spunt D, Foster D, Adams K. Mock code: a clinical simulation module. Nurse Educ 2004;29:192–4

Itin CM. Reasserting the Philosophy of Experiential Education as a Vehicle for Change in the 21st Century. J Exper Edu 1999;22:91–8.

"Yturralde´s Debriefing Model of the 4 Elements: Water, Air, Earth and Fire", Association for Challenge Course Technology 22nd Conference at Boston, Massachusetts, on February 2012 and presented at the AEE | Association for Experiential Education International Conference at Colombia in June 2012. Yturralde E, Latinoamérica A. Andragogía qué es la Andragogía. Recuperado el. 2009;20.

Aronson, E., Wilson, T. D., & Brewer, M. B. Experimentation in social psychology. In D. T. Gilbert, S. T. Fiske, & G. Lindzey (Eds.), The handbook of social psychology, 4th ed. Boston: McGraw-Hill 1998:1,pp.99–142.

Broder A. Deception can be acceptable. Am Psychol 1998; 53(7):805–6.

Curriculum of MBBS (Revised 2011) Prepared by: Pakistan Medical & Dental Council and Higher Education Commission Islamabad (Notification): [internet] 2011: [cited 2015 Feb 14]. Available at: Curriculum of MBBS-Pakistan Medical & Dental Council. available at: www.pmdc.org.pk/LinkClick.aspx?fileticket=EKfBIOSDTkE%3D

Reese CE, Jeffries PR,Engum SA. Learning together: Using simulations to develop nursing and medical student collaboration. Nurs Educ Perspect. 2010;31(1):33-7

Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook 2009;57(6):332–7.

Dewey J. How We Think: A Restatement of the Relation of Reflective Thinking to the Educative Process, revised edition. Boston: Heath 1910.

Dewey J. Democracy and Education. New York: Macmillan. 1916; p. 434

Schön D. The reflective practitioner. How professionals think in action. New York: Basic Books; 1983.

Schön D. Educating the Reflective Practitioner. San Francisco: Jossey-Bass; 1987.

David AK, Richard EB, Charalampos Mainemelis Department of Organizational Behaviour Weatherhead School of Management Case Western Reserve University 10900 Euclid Avenue, Cleveland, OH 44106;1999. Kolb DA, Boyatzis RE, Mainemelis C. Experiential learning theory: Previous research and new directions. Perspectives on thinking, learning, and cognitive styles. 2001;1:227-47.

Jean L, Etienne W. Situated Learning. Legitimate peripheral participation, Cambridge: University of Cambridge Press.1991; 138

Dreifurst, K. The Essentials of debriefing in Simulation learning: A concept analysis. Nursing Education Perspectives. 2009; (30)2, 109-14. [Internet] 2009 [cited 2015 Feb 14]. Available from: http://www.nlnjournal.org/

Scherer LA, Chang MC, Meredith JW, Battistella FD. Videotape review leads to rapid and sustained learning. Am J Surg 2003;185:516–20

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Published

2015-06-20

Issue

Vol. 27 No. 2 (2015): Journal of Ayub Medical College, Abbottabad

Section

ORIGINAL ARTICLE

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