Basavarajegowda Abhishekh, Pai Dinker R, Nalini Y C
Department of Transfusion Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Simulation Centre, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India.
Asian J Transfus Sci. 2024 Jan-Jun;18(1):108-114. doi: 10.4103/ajts.ajts_109_22. Epub 2022 Dec 12.
Simulation in medical education has made significant inroads in most of the specialties in some form or the other. Transfusion medicine, as a branch, being a new specialty, is imbibing a few things from the world of simulation and provides immense scope for its utilization, given its broad applicability as well as necessity. In the current Indian scenario of transfusion medicine, wherein the transfusion process has undergone significant changes involving critical steps, with fewer but can be serious complications arising due to the transfusion process, it is desirable for students and the staff involved to practice on the simulators to attain the desired level of competency as it allows the practice of hands-on invasive procedures before performing the actual process. The principles, pedagogies, and educational strategies with their modalities used in health care simulation like case-based scenarios, physical models, computer systems, standardized patients, mannequins, virtual reality, and integrated simulators are all being used and the scope for improvisation is always in the fore with technical advancements. The transfusion and related activities include significant risks, so regular training is essential. The costs are also reasonably high, and focusing on being time-efficient is essential as many scenarios need immediate attention and management. Simulation in transfusion medicine has farsighted returns wherein there is the possibility of defining goals and objectives and ensuring that they could be adjusted to the individual learners as per their knowledge and skill level. The simulations can be set up that can train as well as assess cognitive, affective, and psychomotor domains simultaneously in transfusion using multiple modalities.
医学教育中的模拟已经以某种形式在大多数专业中取得了重大进展。输血医学作为一个新的专业分支,正在从模拟领域吸收一些东西,鉴于其广泛的适用性和必要性,它为模拟的应用提供了广阔的空间。在当前印度的输血医学场景中,输血过程经历了重大变化,涉及关键步骤,输血过程中出现的并发症较少但可能很严重,因此,参与其中的学生和工作人员需要在模拟器上进行练习,以达到所需的能力水平,因为这允许他们在实际操作之前进行侵入性操作的实践。医疗保健模拟中使用的原则、教学方法和教育策略及其模式,如基于案例的情景、物理模型、计算机系统、标准化病人、人体模型、虚拟现实和集成模拟器,都在被使用,并且随着技术进步,改进的空间一直存在。输血及相关活动存在重大风险,因此定期培训至关重要。成本也相当高,并且注重提高效率至关重要,因为许多情况需要立即关注和处理。输血医学模拟具有深远的回报,其中有可能定义目标,并确保根据个体学习者的知识和技能水平对目标进行调整。可以设置模拟,使用多种模式同时在输血过程中训练和评估认知、情感和心理运动领域。