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Simulation –based Education in Turkey: Insights from a recent trip CSC Brown Bag Series
January 5 , 2016 Deborah Rooney PhD
MEDICAL SCHOOL UNIVERSITY OF MICHIGAN
Today’s talk
• Highlights from visit to Mersin University and AHEKON conference (November, 2015)
• Brief review of projects
• Discussion about next steps in collaborative efforts
How’d this begin?
Growing relationship with Ibrahim Başhan, MD
o Family Medicine Physician and Director of Simulation Center
o Department of Medical Education, Mersin University, Turkey
o Began during 3-month visiting scholar’s program June, 2014
o Interested growing SBE for graduate learners
Where in the World is Turkey?
Where did I go in Turkey?
Antakya
Mersin
• University built 1992
• 11 Departments (e.g. Education, Pharmacy, Communication, Fine Arts, Architecture, Medicine)
• 25,000 students
• 2005 Mersin Technology Development Zone (Technoscope)
Mersin Űniversitesi
Medical faculty (College) also built 1992
Osmaniye State Hospital, 750 beds
~750 medical students (basic medical education 6 year program)
Mersin Űniversitesi Faculty of Medicine
Est. 2008
6 faculty (Microbiology, Public health, Anesthesiology, Otolaryngology, DME (x2)
AIMS:
• Improve training quality of medical education
• Promote/ organize Train theTrainers Course
• Providing support to the Medical Faculty Dean (e.g. curriculum regulation & assessment)
Department of Medical Education
Space (320 m2, 3400 sf) Meeting rooms seat 14-20 (x14) Conference room, seat 200 (x1)
Resources SimMan (x1) Noelle (x1) Variety of task trainers (x153)
Staffing Simulation technician (ft) Software specialist (pt)
Clinical Simulation Center: Resources
Clinical Simulation Center: Resources
Annual Coverage 500 undergraduate medical
students (M3-6) 220 ‘graduate medical
students’ (R1-R3)
Est. 60-70 hours/month*
Clinical Simulation Center: Learners
*Medical education programs
Undergraduate Training Organized via rotation departments Clinical skills and communication skills training
Train the Trainers Annual, 4 day course 75 trainers ‘certified’ to date
Graduate Training Bootcamp/Orientation (4 day) Mid-year (4 day)
“Cardiac Mngmt” (20 lners/mo)
Continuing Professional Development
Clinical Simulation Center: Programs
Mersin: personal experience
Mersin: personal experience
Mersin: personal experience
Mersin: Aynalıgöl cave
Antakya
Mersin: Antakya day trip
Hatay Mosaic Museum
Antakya day trip
A few observations
• Annual Turkish Family Medicine Conference
• 2000 Attendees
• Antalya, Resort town
AHEKON
AHEKON: Precourse
AHEKON: Experience
AHEKON: Experience
But what’s been produced?
Manuscript 1: Using simulation-based education to improve residents’ clinical decision-making skills in developing countries
• Literature review of SBE (n=83) to identify practical methods to promote the implementation of simular curricula in developing countries
• Ten curricula, targeted for their; • course administration • content development • learner assessment • program evaluation
Manuscript 1: Summary table
• 6 clinical disciplines
• Highlights specific, practical resources
Manuscript 2: The Use of Simulation in Continued Professional Development: Perspectives and Comparisons of Turkish and US Family Physicians
• Survey-based needs assessmentà US &Turkey FM Ass.
• Survey: Demographics, reasons for CPD, preferred resources and learning modalities
• Participants, n=273 Turkey n=208 US n=68
Findings: Turkish and United States family medicine physicians’ preferred CPD topics
0 10 20 30 40 50 60 70 80
Other
Conflict Management
Administra=on Skills
Informa=on Applica=ons
Scien=fic Research Methods
Communica=on Skills
Technical Skills
Medical Law
Simula=on
% Agreement
Preferred CPD Topics
Turkey (n=208)
US (n=68)
Findings: Family medicine physician use of resources used during Continuing Professional Development (CPD) [scored 1=none, 5=mostly]
Resource
Turkey Mean (SD) (n = 208)
US Mean (SD)
(n = 68)
P-value
Published periodical (magazine) 2.4 (1.1) 2.3 (0.8) 0.52
Textbooks 2.5 (1.2) 3.5 (0.9) 0.01
Online magazines/Books 3.6 (0.9) 2.5 (0.9) 0.01
Clinical simulation 2.6 (1.1) 4.0 (1.1) 0.01
Web/Computer-based simulation 2.3 (1.1) 3.8 (1.3) 0.01
Meetings/Courses/Seminars 3.4 (1.0) 2.4 (0.9) 0.01
Specialist opinion 3.3 (0.7) 2.9 (0.9) 0.01
Opportunities for Collaboration
Opportunities for Collaboration
• AHEKON 2016 • Panhellenic Course, Fall 2016 (with
Nikos Kerameris, Greece) • Mersin, Acibadem University (CASE)… • UM Global REACH initiative (?) • Others?
