Hybrid simulation during military medical student field training--a novel curriculum

Implement a new hybrid simulation curriculum into the Uniformed Services University of the Health Sciences Bushmaster Field Training Exercise for fourth-year medical students. The principal goal was to determine if high-fidelity hybrid simulation could be successfully implemented in a field environment. The secondary goals were to enhance the medical realism of training, allow students to practice crucial combat emergency medical skills and management in stressful field conditions, and develop medical team leadership.

Low-, mid- and high-fidelity simulators were used in combination with standardized patients in a variety of field clinical settings. Students were given multiple opportunities to interact with the hybrid simulations. Student feedback about the simulation training was sought as part of their normal after-course critiques.

High-fidelity simulation can be successfully implemented in combat-simulated field conditions, and QA feedback indicated very positive perceptions from students.

Multiple modality hybrid simulation can be successfully implemented into large-scale military medical field exercises, and appears beneficial for multiple educational goals.