Simulering som opplæringsmetode i spesialistutdanning av leger - evaluering av effekt
Peer reviewed, Research report
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Original versionRapport fra Kunnskapssenteret 4/2009
1-PAGE KEY MESSAGES Virtual training of manual and practical skills in skills laboratories gives possibilities for training without the involvement of real patients by use of physical models, or different types of simulators. Virtual training can be used for development of component skills or as a full scale simulation to practice an entire procedure in a realistic environment, but without living patients. The National knowledge centre for the health services was given an assignment by the Spesialitetsrådet, The Norwegian Medical Association, to summarise available research on the effect of virtual training of skills by using models or different categories of simulators which are used in specialist training of physicians. The report is based on the results of six systematic reviews that were published within January 2008. All of the reviews deal with training of surgical skills. We have not identified any systematic reviews from other medical fields where virtual training has been used, despite growing number of primary studies. Summed up research shows: * Virtual training of skills without the use of real patients, but with models and simulators, given in addition to standard training, may improve surgical skills and may increase general competence. * Surgical skills practiced in skills laboratories or simulator training can probably be transferred to clinical practice, but documentation is still limited and the results should be interpreted with care. * The research does not give grounds for conclusion about which type of virtual training is most effective or how training should best be organised. * The quality of available research is too low to decide if virtual training of skills has an impact on patient oriented outcomes such as pain, mortality, morbidity or satisfaction. * The impact of virtual training of skills with simulators and models is best documented with regard to training of certain technical and manual skills. * The impact of virtual training is still poorly documented with regards to whether this training actually improves the quality of health services and improves patient security.
PublisherNorwegian Knowledge Centre for the Health Services