I decided to choose ‘Surgical Skills’ as my first choice SSM module after reading the learning objectives of the module; I felt that it would be very useful and beneficial, and would greatly enhance my medical education. As students we do not get much exposure to surgical situations, and we are also not taught basic surgical techniques in our school curriculum, which I feel is important to learn, as possessing the knowledge and competence of such skills will undoubtedly be valuable for us as practicing doctors in the very near future. Hence I was interested in this SSM because we would be allowed to learn and develop these basic surgical skills, and also learn how to manage common surgical emergencies. In addition, part of the learning objectives of the SSM was also to learn and develop good communication and team-working skills; skills which I feel are instrumental to have as a doctor. I was very glad that I was given the opportunity to participate in this SSM. I feel that it has indeed contributed greatly to and enhanced my medical knowledge, and that it was definitely a valuable bonus to my medical curriculum. At the core of the SSM module was simulation-based learning, which utilizes simulation aides to mimic, or replicate, clinical scenarios . Simulation-based learning can be the way to develop health professionals’ knowledge, skills, and attitudes, whilst protecting patients from unnecessary risks . It has been shown to enhance clinical competence at undergraduate and postgraduate levels, and I certainly found this to be my experience during the SSM.
During the SSM, I learned and practiced basic surgical skills such as knot-tying, basic surgical suturing, and IV cannulation, as well as more complex surgical skills such as ...
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...erforming the skills without the risk of any adverse consequences, on the same ‘patient’, that we tend to forget that life in the hospital is not so ideal; every patient is different, and the possibility that we will encounter complications from surgical procedures is very real. Simulation-based learning can only do so much as an educational method. It has its own limitations; however, it is still superior to problem-based learning for the acquisition of critical assessment and management skills . Maintaining the knowledge and skills learnt over the past four months during this SSM will require active application of them throughout clinical practice, and continuously refining and improving on them. This SSM has given me a solid foundation of basic surgical competencies, and I look forward to being able to practise what I have learned during my clinical practice.
Practice is an essential component of the development of expertise. Despite the necessity for practice, ethical and practical tensions may arise as a result of it. These tensions are shown throughout the articles, “The Learning Curve” by Atul Gawande and “The Great Forgetting” by Nicholas Carr. Gawande focuses how surgeons have to practice on patients which can sometimes be considered unethical. On the other hand, Carr focuses on how dependence on technology can be detrimental, especially in the aviation industry. In both of these passages, the authors present arguments explaining how practice can lead to several mistakes as well as the loss of numerous lives. However, practice is needed in order to achieve expertise which leads to an ethical
A medical assistant’s cooperation and presence during a surgical procedure is essential in order to provide satisfactory patient care. Although the role of the medical assistant may not shine though as strongly as the physician’s, their subtle presence provide organization in the form of administrative and clinical tasks to facilitate the physician’s demanding profession. During a surgical procedure, such as an incision and drainage of an abscess, the medical assistant is the patient’s first point of contact. The medical assistant’s role in any surgical procedure will begin as the patient schedules an appointment with the providing health care provider.
Everyday life in a hospital is complete and absolute chaos. There are doctors and nurses running everywhere to treat patients, ambulances coming through every so often, children and patients crying, and surgeons telling a family that their loved one did not make it. However, outside of all that craziness is an operating room (OR). A place filled with pressure, intensity, high hopes, and stress. There to help control the environment is a surgical technologist. While preparing patients for surgery, surgical technologists manage the equipment and operating room, follow the instructions of the surgeon, and ensure the safety of the patient.
This year, the applications to enroll in medical schools increased by 6.1 percent to more than 48,000, breaking records set in 1996 (Lopatto). Job openings for doctors and nurses sparked the interest of the younger generation, and this, I believe, is because of the enthralling and captivating experiences that result from these fields. The article “The Central Line” by Atul Gawande covers an example of what these future surgeons and medics learn while in the field. However, the student will not perform perfectly the first time. Of course, the techniques of using the tools and how to perform the procedures take practice and time to perfect, exhibited through Gawande’s writing. Repetition and training is needed to excel at any skill or act. In his article, Gawnde motivates his readers through the use of his credibility and emotional appeals to the learning curb.
...006). Effect of practice on standardised learning outcomes. Medical Education, 40(8), Retrieved from http://0-web.ebscohost.com.lib.utep.edu/ehost/pdfviewer/pdfviewer?vid=12&hid=106&sid=265b8200-d816-4fa5-aa4f-f99400f42b76%40sessionmgr104 doi: 10.1111/j.1365- 2929.2006.02528.x
It would be of advantage to reflect again on this clinical skill in the future, to see how different I am from now and what I have learnt from my experiences (Boyd EM,
In [3], twenty five right handed surgeons completed two-hand maneuvers task in LAP MentorTM (Simbionix USA Corp., Cleveland, OH) VR laparoscopic surgical simulator, which the task recommended by research to discriminates between levels of expertise, they were ten experienced surgeons who led more than 60 laparoscopic procedures, and fifteen novice surgeons who performed less than 10 procedures.
Simulation learning is becoming more fascinating as the advancement of technology practiced across all domains of education, this is the same is true in nursing education. Simulation experience provides opportunity for students to practice patient care prior to the actual clinical setting. It allows students to reflect on their own skill by critically thinking and analyzing the action. Simulation learning promotes active learning process and helps students to evaluate and investigate the alternative teaching methods. It also opens a news ways for educators and researchers to practice and improve nursing education as the nursing field advanced.
... simulations, which range from computer run screen simulations to physical simulations, are helping the medical trainees acquire high edge experiences from repetitive exercises of complex medical procedures. The skills and understanding derived from this kind of training is hopefully expected to improve the actual medical service delivery once the students graduate.
Because of his leadership abilities, he is often sought out to evaluate program and service activities. For example, he utilized this recognized body of evidence to form and lead a team that evaluated and developed a standardized preference cards, an effective orthopedics and urology instrumentation handlings, an effective communication intra-and-interdepartmentally, and perioperative nursing competency process for this program. He was able to funnel creative recommendations from his team into practical applications beyond the application of this process on the perioperative, SPS and surgical units. Through a review of CMS, Joint Commission, and AORN standards, he identified a comprehensive ortho and neuro-competency, and urology competency process for the surgical interdisciplinary staff. During the process, he ensures that every member of the team identify goals and measurable outcomes; quickly and accurately calibrates project priorities; cultivates a culture of openness while building consensus among the group; and actively collaborating multidisciplinary team actions toward a common goal. The implementation of the process lead to decreased cancellation of cases due to compromised instrumentation, failed timely processing of limited positioners and inadequate/incomplete unit preparation of the complex surgical cases. This has also resulted to increased
On the other hand, I learned new concepts and terms. Simulation repeats some essential aspects of patient situation so that the situation may be understood and managed when it occurs in real clinical practice. Students in the school of nursing use the simulation learning center to learn and get experience in the field. The simulation is an educational process that requires the learner to demonstrate procedural techniques, decision making, and critical thinking. I learned that a simulation experience allows students to critically analyze their own actions and reflect on their own skill set. As a nursing student, I learned you have to complete clinical hours and practice in the simulation learning center. To become a certified nurse there are many training courses, exams to pass, and in the field experience to complete. Health professionals such as a nurse,
H. Al-Elq, (2010),Simulation-based medical teaching and learning Simulation-based medical teaching and learning Family Community Med.
Throughout the sterile dressing change competency I felt that I adequately prepared and knew what I was doing. I felt a little off since I was being recorded and was not performing my skill on a real person. Regardless, I still feel that this competency overall went well. I feel that I could successfully perform a sterile dressing change in a hospital setting and not cause harm to my patient. Upon reflection, I realized I definitely still have a lot of room for improvement. I found that by being able to watch my recording I could see more clearly my strengths and weaknesses throughout this competency.
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.
I started to explore the different fields of medicine by working as a Medical Scribe in the Emergency Department, ER tech in Trauma Centers, getting involved in research, volunteering at hospitals and taking high level science classes. This will enhance my knowledge and experience i...