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Molding Tomorrow’s Doctors

Simulation Labs redefine medical education standards

Published: 04:36, 30 January 2024

Update: 08:30, 30 January 2024

Simulation Labs redefine medical education standards

Photo : Messenger

Establishing a Simulation Lab can address the deficiency in hands-on medical education for students. This initiative aligns with the guidelines of the World Federation for Medical Education and the World Health Organisation, which consider Simulation Labs a crucial component for the international recognition of medical graduates.

Presently, students rely on deceased human bodies for studying anatomy during their first and second years. However, acquiring cadavers for dissection poses challenges, and there is limited awareness about postmortem donation in our country. By implementing a Simulation Lab, students can effectively learn human anatomy through artificial means, mitigating the reliance on cadavers and ensuring a more accessible and efficient educational experience.

The utilisation of Simulation Labs significantly enhances the education of medical professionals including doctors, nurses, and paramedics. These labs, equipped with modern, self-controlled equipment and overseen by skilled trainers, mark the onset of a revolutionary transformation in medicine. This paradigm shift is already evident in the medical education systems of many advanced nations.

In neighboring India, Simulation Labs have been incorporated into the medical curriculum as an integral component, earning recognition from the Medical Council. Students recognize the value of Simulation Labs in the educational system, considering it a highly rational approach to learning.

For nearly two decades, the education system in numerous medical colleges across Malaysia has been effectively administered through Simulation Labs. Despite its introduction nearly two decades ago, the tangible benefits of this new education system were observed approximately five years ago. The method, which encompasses training, teaching, and performance assessment, has gained widespread adoption and recognition throughout Malaysia.

A 2010 study conducted by the Association of American Medical Colleges (AAMC) revealed that 133 member medical schools and 263 medical colleges, representing 80 percent of the total number of medical schools and colleges, integrate educational programs utilising simulation techniques. Presently, students in medical colleges acquire knowledge through direct engagement in practical tasks involving patients. It is essential for students/physicians to obtain a patient`s consent before conducting any examinations.

Repeated tests on a patient`s body can induce severe physical and mental reactions, posing risks to both the patient and the health care provider. Furthermore, physical examinations on patients entail inherent risks to the health of physicians, students, and patients alike. In light of these considerations, Simulation Labs serve to minimise the need for repeated interventions on patients, thereby reducing potential risks to them and to medical practitioners or students.

Simulation Labs play a crucial role in facilitating the practical application of medical education knowledge for students. By establishing Simulation Labs in every medical college, students are provided with the opportunity to enhance their understanding, observe, and test their theoretical knowledge using various simulators before directly applying practical skills on real patients. This approach not only enhances the educational experience but also prioritizes patient safety and well-being.

The integration of Simulation Labs into educational programs enables the formative assessment of students and facilitates the practical application of acquired knowledge, including psychomotor skills. Through simulated scenarios, students can learn and refine their techniques for providing effective medical care, thus preparing them for their future roles in the healthcare field. This hands-on experience not only enhances their skills but also instills confidence in their professional abilities. As a result, students emerge from their education better equipped to deliver high-quality care in their working lives.

In today`s world, the primary objective of undergraduate medical education curricula is to ensure that students attain specific target competencies at each phase of their training. These competencies encompass practical skills and the ability to provide treatment effectively through their proper application. Competencies refer to the "doing" or "performing" aspect of medical education, adhering to established rules and guidelines.

To achieve this objective, specific skills are identified and outlined through a structured performance process, forming specific lists that serve as benchmarks for student proficiency. These lists guide the curriculum development and assessment processes, ensuring that students acquire the necessary competencies required for clinical practice. By emphasising practical skills acquisition and proper application, undergraduate medical education aims to produce competent and proficient healthcare professionals equipped to meet the demands of modern healthcare.

These institutions are responsible for training a significant number of healthcare professionals in Bangladesh. With 37 government medical colleges, 2 dental colleges, and 8 dental units under the Directorate of Health Education within the Department of Health Education and Family Welfare of the Ministry of Health and Family Welfare, the country`s healthcare education infrastructure is substantial.

Each year, a total of 4,895 students are admitted to these institutions, contributing to the development of a skilled workforce to address the healthcare needs of the population. Through comprehensive education and training programs, these institutions play a crucial role in producing competent medical and dental professionals who can serve the healthcare needs of Bangladesh effectively.

In the field of medical education, both knowledge and skills are paramount. While knowledge can be acquired from textbooks and other sources, skills are cultivated through hands-on practice and experience. Recognizing the importance of integrating knowledge and skills acquisition, Simulation Labs have emerged as a novel approach to enhancing medical education and aligning it with global standards.

Simulation Labs serve as innovative additions to the medical education system, providing students with opportunities to develop and refine their skills in a simulated environment. Through realistic scenarios and practical exercises, students can hone their clinical decision-making abilities, communication skills, and procedural competencies. This hands-on training prepares them for the complexities of real-life medical practice and instills confidence in their abilities to provide high-quality patient care.

By incorporating Simulation Labs into medical education curricula, institutions can ensure that students not only possess the necessary knowledge but also have the practical skills and competencies required for success in their careers as physicians. This integrated approach to medical education promotes excellence and prepares future healthcare professionals to meet the challenges of modern healthcare delivery.
In order to keep pace with advancements in the modern world, it is imperative to embrace innovative approaches to medical education and tailor action plans to suit the specific context of our country. While Bangladesh has a high population, some medical institutions face a shortage of patients available for educational purposes. In such cases, Simulation Labs can serve as invaluable tools for providing practical training to medical students.

Simulation Labs play a crucial role in bridging the gap between theoretical knowledge and practical experience. As not all patients with various diseases are readily available in hospitals, medical students may not have equal opportunities to acquire hands-on experience with all conditions. Through Simulation Labs, students can repeatedly practice and examine a wide range of diseases, thus enhancing their understanding and proficiency in diagnosing and managing diverse medical conditions.

By leveraging Simulation Labs in medical education, students can efficiently acquire knowledge and skills that are essential for providing quality healthcare. This hands-on training prepares them to address the diverse healthcare needs of the population and ensures that they are well-equipped to deliver effective care in real-life clinical settings.

The implementation of Simulation Labs in medical and dental colleges holds significant promise for enhancing student learning outcomes and ensuring their safety. These labs facilitate self-directed learning, allowing students to take control of their education and explore medical scenarios at their own pace. Additionally, the repetitive and purposeful practice offered by Simulation Labs enables students to master essential skills and procedures in a controlled environment.

Through the Medical Education and Health Manpower Development Operational Plan initiated by the Department of Health Education, Simulation Labs have been established in 15 government medical colleges and 1 dental college across the country. This initiative marks a significant step towards modernizing medical education and providing students with valuable learning experiences within their own institutions.

Moving forward, it is crucial to expand the implementation of Simulation Labs to all remaining medical and dental colleges/units in the country. By ensuring widespread access to these facilities, we can equip future healthcare professionals with the necessary knowledge, skills, and confidence to excel in their roles and contribute effectively to the healthcare system. This concerted effort will contribute to the continuous improvement and advancement of medical education in Bangladesh.

The writer is a News Editor, Dhakapost.com

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