The Use of Moulage in Simulated Patient for Clinical Skill Learning

Authors

  • Gisella Anastasia UNIKA Atma Jaya

DOI:

https://doi.org/10.25170/djm.v21i2.3479

Keywords:

simulated patient, simulation method, skills lab, moulage

Abstract

Introduction: Student’s mastery of clinical skills through simulation is affected by many factors, one of which is fidelity. Clinical skills mastery is expected to be higher if using a higher fidelity simulation method. Simulated patients’ method’s fidelity can be increased by using moulage. This method is relatively new and its effect in clinical skills learning in Indonesia has never been reported before. Thus, the aim of this research is to find out the effect of moulage in simulated patient method for clinical skill learning in skills laboratory setting.

Methods: This study was quantitative experimental research using 2 groups post test only design (n = 40 students). Students were divided randomly into the experimental group (with moulage) and control group (without moulage). Assessment was performed using rubric and check list that consist of history taking, physical examination (PE), and proffesionalism component. The result was statistically analyzed using Wilcoxon test. Evaluation of implementation was obtained from students and skill lab instructor. 

Results: The PE, professionalism and final score in the experimental group is higher than control group, while the history taking is lower, all scores are not statistically significant (p=1; p=0.37; p=0.32). The score for washing hands after doing PE and identifying the wound correctly is higher in the experimental group. This study finds that moulage encourage student to participate in clinical skills learning just like in the real practice.

Conclusion: Moulage gives a positive influence in clinical skills learning, especially in treating the simulated patient just like a real patient.

Key Words: simulated patient, simulation method, skills lab, Moulage.

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References

1. Bradley, P. The history of simulation in medical education and possible future directions. Med. Educ. 40, 254–262 (2006).
2. Gordon, J. A., Wilkerson, W. M., Shaffer, D. W. & Armstrong, E. G. ‘Practicing’ medicine without risk: students’ and educators’ responses to high-fidelity patient simulation. Acad. Med. J. Assoc. Am. Med. Coll. 76, 469–472 (2001).
3. Maran, N. J. & Glavin, R. J. Low- to high-fidelity simulation – a continuum of medical education? Med. Educ. 37, 22–28 (2003).
4. Datta, R., Upadhyay, K. K. & Jaideep, C. N. Simulation and its role in medical education. Med. J. Armed Forces India 68, 167 (2012).
5. Miller RB. Psychological considerations in the design of training equipment. Available at: http://scholar.google.co.id/scholar_url?url=http://www.dtic.mil/get-tr-doc/pdf%3FAD%3DAD0071202&hl=en&sa=X&scisig=AAGBfm27ZgQffYJuEv-AJn1eLZUUt7oPLQ&nossl=1&oi=scholarr&ved=0ahUKEwjSm7uw6fTXAhVIxrwKHaDFChYQgAMIKCgAMAA. (Accessed: 6th December 2017)
6. Council, N. R. Learning, Remembering, Believing: Enhancing Human Performance. (2001). doi:10.17226/2303
7. Schuwirth, L. W. T. & Van Der Vleuten, C. P. M. The use of clinical simulations in assessment. Med. Educ. 37, 65–71 (2003).
8. Norman, G., Dore, K. & Grierson, L. The minimal relationship between simulation fidelity and transfer of learning. Med. Educ. 46, 636–647 (2012).
9. Chen, R., Grierson, L. E. & Norman, G. R. Evaluating the impact of high- and low-fidelity instruction in the development of auscultation skills. Med. Educ. 49, 276–285 (2015).
10. John A Dent & Ronald M Harden. A Practical Guide for Medical Teacher. (Elsevier Churchill Livingstone, 2005). - Google Search. Available at: https://www.google.com/search?q=John+A+Dent+%26+Ronald+M+Harden.+A+Practical+Guide+for+Medical+Teacher.+%28Elsevier+Churchill+Livingstone%2C+2005%29.&ie=utf-8&oe=utf-8&client=firefox-b-ab. (Accessed: 15th November 2017)
11. An overview of the uses of standardized patients for teachin... : Academic Medicine. Available at: http://journals.lww.com/academicmedicine/pages/articleviewer.aspx?year=1993&issue=06000&article=00002&type=abstract. (Accessed: 15th November 2017)
12. Smith-Stoner, M. Using Moulage to Enhance Educational Instruction. Nurse Educ. 36, 21–24 (2011).
13. M.J. Pywell, E. Evgeniou, K. Highway, E. Pitt and C.M. Estela. High fidelity, low cost moulage as a valid simulation tool to improve burns education- ClinicalKey. Available at: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0305417916000036?returnurl=http:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0305417916000036%3Fshowall%3Dtrue&referrer=. (Accessed: 15th November 2017)
14. Yaeger, K. A. et al. High-fidelity simulation-based training in neonatal nursing. Adv. Neonatal Care Off. J. Natl. Assoc. Neonatal Nurses 4, 326–331 (2004).

Published

2022-08-27

How to Cite

1.
Anastasia G. The Use of Moulage in Simulated Patient for Clinical Skill Learning. DJM [Internet]. 2022 Aug. 27 [cited 2024 Nov. 5];21(2):103-12. Available from: https://ejournal.atmajaya.ac.id/index.php/damianus/article/view/3479
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