James Madison University, Harrisonburg, VA.
Am J Speech Lang Pathol. 2018 Feb 6;27(1):71-81. doi: 10.1044/2017_AJSLP-17-0015.
This study provides a framework for understanding the range and diversity of simulation use, along with the benefits and challenges to the growth of simulation in university programs in communication sciences and disorders (CSD) across the United States.
A web-based questionnaire was developed and deployed to educators in undergraduate and graduate speech-language pathology and audiology programs in the American Speech-Language-Hearing Association EdFind database (N = 309). Responses from 44% (n = 136) of the American Speech-Language-Hearing Association-accredited CSD programs were analyzed.
Overall, 51% (n = 69) of respondents reported using simulations in clinical education. Of the 5 categories of health care simulation, programs most often employed standardized patients and/or computer-based simulations. Barriers to using simulations included a lack of knowledge, limited financial resources, undertrained faculty, and little guidance from accrediting bodies. A significant number of respondents (n = 66) agreed with the statement that simulated experiences could account for up to 25% of required direct clinical hours in speech-language pathology and audiology.
Results of this study suggest an emerging acceptance of simulations as a method of augmenting clinical education within CSD programs. Expanding educational efforts and increasing opportunities for faculty training are essential in realizing the full potential of future professionals using simulations in CSD.
本研究提供了一个框架，用于理解模拟在美国大学言语-语言病理学和听力学课程中的使用范围和多样性，以及模拟对该领域发展的益处和挑战。
开发了一个基于网络的问卷，并在美国言语-语言听力协会 EdFind 数据库（N = 309）中的本科和研究生言语-语言病理学和听力学课程的教育者中进行了部署。对来自美国言语-语言听力协会认证的言语-语言病理学课程的 44%（n = 136）的回应进行了分析。
总体而言，51%（n = 69）的受访者报告在临床教育中使用模拟。在 5 类医疗保健模拟中，课程最常使用标准化患者和/或基于计算机的模拟。使用模拟的障碍包括知识匮乏、有限的财务资源、教师培训不足以及认证机构的指导很少。相当数量的受访者（n = 66）同意这样的说法，即模拟经验可以占言语-语言病理学和听力学规定的直接临床时间的 25%。
这项研究的结果表明，模拟作为一种增强言语-语言病理学课程临床教育的方法正在被逐渐接受。扩大教育努力并增加教师培训机会对于未来专业人员在言语-语言病理学中充分利用模拟至关重要。
