Sim:PLEA
Simulations in Medical training:
Personalised Learning Environments and Assessment
Many TEL
projects support the development of cognitive competences to achieve Europe’s
goal as a ‘knowledge society’. Sensorimotor competences are often neglected, but are
needed as well in this knowledge economy for the effective handling of various
technical devices.
Simulations combine
both cognitive and sensorimotor knowledge and skills,
and when well executed are responsive environments which motivate, engage and
inspire learners. A successful
simulation environment requires particularly careful attention to be paid to
its intended learning outcomes, and thus particularly supports the
transformation of learning outcomes into knowledge and skill. Effective simulations need to be ecologically
valid, close to task, and embeddable into the business processes of the
organisation, hence they require the close integration of pedagogical and
business approaches.
Simulations
in teaching and training are particularly suited to being contextualized and
adaptable to specific situations, and when done appropriately provide excellent
pedagogical solutions for competency, skills and performance enhancement. The essence of a simulation involves the
learner undertaking a sequence of activities which exploit interactivity and
context-awareness, inherently taking a mass learning experience and
individualizing a particular learning pathway for a learner on a one-to-one or
small group basis. Simulations may be
easily designed to be collaborative as well.
While the
value of simulations is unquestioned, their design principles remain something
of an art form rather than a set of empirically-grounded engineering
processes. For example, what is it,
exactly, within a simulation which engages a learner? What is an appropriate structure for the
intended learning outcomes which allows more adaptable simulations and better
personalization? How can simulation
environments be reliably and repeatedly designed to meet engineering and
pedagogy quality attributes? The Sim:PLEA project intends to
research and deliver evidence for the engineering techniques and technologies
required for effective teaching and learning involving simulations.
Target
domains for simulations are wherever knowledge and skill needs to be combined
into effective decision-making, such as flying, driving, and operating
equipment which is either expensive, difficult, or
potentially hazardous. Modern medicine is
highly dependent on computer-controlled systems and medical personnel need to
acquire new competences of handling such technical equipment in systematic practical
training or Personal Development Programs (PDP).
Ultrasound
visualization of line and injectate
The core deliverable of the project will be a simulator, demonstrating
the Sim:PLEA engineering and
pedagogic processes, for sensorimotor competence development
in two medical areas: Trans-Esophageal Echocardiography (TEE) and Spinal Anaesthesia
(SA). TEE requires extensive hands-on
training supervised by an experienced echocardiographer,
and is often performed under constraints making it difficult for beginners to
achieve proficiency in time. The Heart
Centre of Leipzig University, Germany, has developed a simulator for TEE. SA is usually performed in a stressful
environment, requiring context-dependent clinical judgement and reasoning. The Cork University Hospital has substantial
expertise in a set of medical competences termed ‘peripheral nerve blockade’,
and have developed a simulation prototype for training on this technique in SA.
Laerdal, an
international designer and manufacturer of medium-fidelity medical mannequins
and associated equipment, is the project’s commercial partner with a strong
interest in the commercial application and exploitation of the project’s work.
The Educational Technology Expertise Centre of the Open
University of the Netherlands, the Department of Psychology of Graz University,
and the Learning Societies Lab of the University of Southampton will contribute
their expertise towards the technical, pedagogic, and competence development of
the project, which will be managed by the University of Southampton.
Lester Gilbert
Learning Societies Lab
University of Southampton
lg3@ecs.soton.ac.uk