The role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa

dc.contributor.advisorHartman, Nadia
dc.contributor.advisorGrant, David
dc.contributor.authorJansen, Marvin Jeffrey
dc.date.accessioned2022-06-10T09:51:12Z
dc.date.available2022-06-10T09:51:12Z
dc.date.issued2022
dc.date.updated2022-06-10T09:50:41Z
dc.description.abstractThe study aim was to explore the role, including the limits and possibilities, of medical simulation as a pedagogical method in an undergraduate acute care clinical skills curriculum within a South African tertiary education environment. The study consisted of two phases. During phase one, I conducted a modified Delphi study to identify the acute care clinical skills competencies undergraduate medical students need to acquire to prepare them, in the role as newly qualified clinicians, for managing acute care cases within a South African in-hospital environment. Phase two explored what acute care clinical competencies would lend themselves to a medical simulation modality within a South African tertiary education environment, as well as exploring the role, the limits and possibilities of medical simulation as an educational modality in developing acute care clinical skills curriculum within a South African tertiary education environment. The data was collected through Focus Group Discussion (FGD) and semi-structured interviews with simulation experts within South Africa. The findings of the modified Delphi study contributed to developing a comprehensive list of undergraduate acute care clinical skills competencies, previously unavailable, for SA. The value of engaging with medical practitioners at the forefront of societal engagement such as practising medical practitioners, who on a day-to-day basis are exposed to the healthcare needs of society, became evident. Having empirically established a comprehensive set of acute care competencies for SA undergraduate medical education, phase 2 sought to identify the simulation modality/modalities that these competences would lend themselves to. Thereafter, pesent the SimSMART framework for curriculum developers exploring the possibility of implementing simulation as pedagogy in their context. The findings were significant as they provided curriculum developers with contextually relevant literature to consider which competencies would best be suited to medical simulation as pedagogy, which is particularly important when considering the resource constraints within developing world contexts. The findings provided valuable insights into complex contextual issues such as the effects of the Apartheid legacy on teaching within health sciences, communication, and social inequality.
dc.identifier.apacitationJansen, M. J. (2022). <i>The role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa</i>. (). ,Faculty of Health Sciences ,Department of Health Sciences Education. Retrieved from http://hdl.handle.net/11427/36464en_ZA
dc.identifier.chicagocitationJansen, Marvin Jeffrey. <i>"The role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa."</i> ., ,Faculty of Health Sciences ,Department of Health Sciences Education, 2022. http://hdl.handle.net/11427/36464en_ZA
dc.identifier.citationJansen, M.J. 2022. The role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa. . ,Faculty of Health Sciences ,Department of Health Sciences Education. http://hdl.handle.net/11427/36464en_ZA
dc.identifier.ris TY - Doctoral Thesis AU - Jansen, Marvin Jeffrey AB - The study aim was to explore the role, including the limits and possibilities, of medical simulation as a pedagogical method in an undergraduate acute care clinical skills curriculum within a South African tertiary education environment. The study consisted of two phases. During phase one, I conducted a modified Delphi study to identify the acute care clinical skills competencies undergraduate medical students need to acquire to prepare them, in the role as newly qualified clinicians, for managing acute care cases within a South African in-hospital environment. Phase two explored what acute care clinical competencies would lend themselves to a medical simulation modality within a South African tertiary education environment, as well as exploring the role, the limits and possibilities of medical simulation as an educational modality in developing acute care clinical skills curriculum within a South African tertiary education environment. The data was collected through Focus Group Discussion (FGD) and semi-structured interviews with simulation experts within South Africa. The findings of the modified Delphi study contributed to developing a comprehensive list of undergraduate acute care clinical skills competencies, previously unavailable, for SA. The value of engaging with medical practitioners at the forefront of societal engagement such as practising medical practitioners, who on a day-to-day basis are exposed to the healthcare needs of society, became evident. Having empirically established a comprehensive set of acute care competencies for SA undergraduate medical education, phase 2 sought to identify the simulation modality/modalities that these competences would lend themselves to. Thereafter, pesent the SimSMART framework for curriculum developers exploring the possibility of implementing simulation as pedagogy in their context. The findings were significant as they provided curriculum developers with contextually relevant literature to consider which competencies would best be suited to medical simulation as pedagogy, which is particularly important when considering the resource constraints within developing world contexts. The findings provided valuable insights into complex contextual issues such as the effects of the Apartheid legacy on teaching within health sciences, communication, and social inequality. DA - 2022 DB - OpenUCT DP - University of Cape Town KW - clinical competence LK - https://open.uct.ac.za PY - 2022 T1 - The role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa TI - The role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa UR - http://hdl.handle.net/11427/36464 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/36464
dc.identifier.vancouvercitationJansen MJ. The role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa. []. ,Faculty of Health Sciences ,Department of Health Sciences Education, 2022 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/36464en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Health Sciences Education
dc.publisher.facultyFaculty of Health Sciences
dc.subjectclinical competence
dc.titleThe role of medical simulation curriculum in developing acute care clinical competence in undergraduate medical students in South Africa
dc.typeDoctoral Thesis
dc.type.qualificationlevelDoctoral
dc.type.qualificationlevelPhD
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