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How valid are commercially available medical simulators?

Jj Stunt1, Ph Wulms2, Gm Kerkhoffs1

  • 1Orthopedic Research Center Amsterdam, Department of Orthopedic Surgery, Academic Medical Centre, Amsterdam, the Netherlands.

Advances in Medical Education and Practice
|October 25, 2014
PubMed
Summary
This summary is machine-generated.

Most medical simulators lack validation, with only 8% tested for effectiveness. Prioritizing validated simulators ensures safe and effective medical skills training for improved patient care.

Keywords:
medical educationmedical skills trainingtraining modalityvalidation studiesvalidity level

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Area of Science:

  • Medical Education
  • Simulation Technology
  • Clinical Skills Training

Background:

  • Medical simulators are increasingly vital for training physical actions in medical education.
  • A wide array of simulators are commercially available, necessitating evidence of their efficacy.
  • Validation is crucial to confirm that simulator training translates to improved clinical performance.

Purpose of the Study:

  • To assess the availability of diverse medical simulators.
  • To evaluate the evidence supporting the validation of these simulators.
  • To identify suitable simulators for clinical training.

Main Methods:

  • A comprehensive review of commercially available medical simulators.
  • Analysis of validation studies assessing simulator efficacy.
  • Categorization of simulators based on type and level of validity.

Main Results:

  • 433 simulators were identified; 94% were physical models.
  • Only 35 (8%) simulators had validation studies, ranging from face to predictive validity.
  • Surgical skills simulators achieved the highest validity (predictive); 37% of validated simulators provided objective feedback.

Conclusions:

  • A significant majority (93.5%) of available simulators lack known validation.
  • Validation rigor varies, with stronger studies supporting higher validity levels.
  • Critical evaluation of simulator validation is advised for safe, effective, and affordable medical psychomotor skills training.