Constantino Christopher S, Genuino Rowena F, Kilem Nicole Katrina P, Perias Glenmarie Angelica S, Ang Gere Ganixon T
Department of Anatomy, College of Medicine, University of the Philippines Manila.
College of Medicine, University of the Philippines Manila.
Acta Med Philipp. 2025 May 30;59(6):9-22. doi: 10.47895/amp.v59i6.11554. eCollection 2025.
Simulation immerses learners in guided replications of real-life experiences. Simulation-based learning in the health profession allows trainees and professionals to practice skills in a controlled environment using various modalities, enhancing patient safety and minimizing clinical errors.
To describe the profile of Philippine studies on clinical simulation in healthcare professional education and assess the methodological quality of these studies.
We conducted a scoping review of studies on clinical simulation studies in healthcare education in the Philippines. We followed the methods for scoping review and reported using the PRISMA Scoping review checklist. We searched for relevant studies from electronic databases (PubMed, Scopus, CENTRAL, Herdin, and Cochrane) as of May 17, 2024, and summarized descriptive data on the characteristics of the study, population, clinical simulation technique, and outcomes, using graphical summaries and tables. We assessed the methodological quality of included studies using the Modified Medical Education Research Study Quality Instrument (MMERSQI).
We included 13 studies mostly published in the 2020s (7), by faculty as main author (9), with hospital affiliation (10), single-center (11), setting in NCR (11), analytic (10), medical field (10), educational purpose (7), using task trainers (5), low- to medium-fidelity (11), with technical competencies (mostly skills) as desired outcome (9), median sample size of 40, and including mostly postgraduate level participants (7). There was moderate methodological quality (median MMERSQI score, 51 [range, 40, 77] with the 'type of data' item being highly reported and 'validity of instrument tool' item poorly reported.
The observed gaps in methodological rigor, study design, and fidelity of simulation techniques in healthcare education in the Philippines highlight opportunities for advancing the field. Future research should aim to address these gaps, particularly by increasing the use of RCTs, enhancing the validity of measurement tools, and incorporating comprehensive simulation components.
模拟使学习者沉浸于对现实生活经历的引导式再现中。卫生专业基于模拟的学习使受训人员和专业人员能够在可控环境中使用各种方式练习技能，提高患者安全性并将临床错误降至最低。
描述菲律宾关于医疗保健专业教育中临床模拟的研究概况，并评估这些研究的方法学质量。
我们对菲律宾医疗保健教育中临床模拟研究进行了范围综述。我们遵循范围综述方法，并使用PRISMA范围综述清单进行报告。我们检索了截至2024年5月17日来自电子数据库（PubMed、Scopus、CENTRAL、Herdin和Cochrane）的相关研究，并使用图形摘要和表格总结了关于研究特征、人群、临床模拟技术和结果的描述性数据。我们使用改良的医学教育研究质量工具（MMERSQI）评估纳入研究的方法学质量。
我们纳入了13项研究，大多发表于2020年代（7项），主要作者为教员（9项），隶属于医院（10项），单中心（11项），位于国家首都地区（11项），分析性研究（10项），医学领域（10项），教育目的（7项），使用任务训练器（5项），低至中等保真度（11项），期望结果为技术能力（大多为技能）（9项），样本量中位数为40，且大多纳入研究生水平参与者（7项）。方法学质量中等（MMERSQI评分中位数为51[范围为40至77]，其中“数据类型”项目报告较多，“工具有效性”项目报告较少）。
菲律宾医疗保健教育在方法学严谨性、研究设计和模拟技术保真度方面存在的明显差距凸显了该领域取得进展的机会。未来研究应旨在弥补这些差距，特别是通过增加随机对照试验的使用、提高测量工具的有效性以及纳入全面的模拟组件。
