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How does moulage contribute to medical students' perceived engagement in simulation? A mixed-methods pilot study
Jessica B Stokes-Parish1, Robbert Duvivier1,2, Brian Jolly1,3
1School of Medicine & Public Health, University of Newcastle, Callaghan, New South Wales Australia.
Advances in Simulation (London, England)
|September 1, 2020
Summary
Highly authentic moulage in medical simulation significantly enhances student engagement and task completion. This realism improves learning conditions, making high-authenticity moulage preferable for optimizing educational outcomes.
Area of Science:
- Medical Education
- Simulation-Based Learning
- Healthcare Training
Background:
- Moulage is widely used in simulation for fields like paramedicine and dermatology.
- Evidence suggests moulage enhances realism, but its practice remains ambiguous.
- This study investigates the impact of highly authentic moulage on simulation engagement.
Purpose of the Study:
- To explore the effect of high-authenticity moulage on medical students' engagement during simulation.
- To compare engagement levels across different levels of moulage authenticity.
- To identify factors influencing perception of moulage authenticity in simulation.
Main Methods:
- A randomized mixed-methods study involving 33 undergraduate medical students.
- Participants were assigned to control, low-authenticity moulage, or high-authenticity moulage groups.
- Measures included self-reported engagement, Immersion Scale Reporting Instrument (ISRI), objective performance metrics, and stimulated recall interviews.
Main Results:
- No significant difference in overall ISRI scores between groups.
- Statistically significant differences observed in self-reported engagement, treatment actions, and time-to-treat.
- Qualitative analysis revealed themes related to simulation rules, believability, consistency, and personal knowledge.
Conclusions:
- Students perceive high-authenticity moulage positively in simulations.
- High-authenticity moulage influences student prioritization and task completion.
- Authentic moulage is recommended for optimizing learning conditions in simulation-based medical education.
